Thank you for expressing your interest in Placer County's Cancer Prevention Program. This program will be focused on skin cancer and aims to reduce the risk of skin cancer through preventive education, community engagement, and policy promotion.

Please feel free share this survey with contacts who may have an interest or stand to benefit from participating.

For any questions or comments, please contact Ashley Pen at apen@placer.ca.gov

1.Please provide your contact information.

First Name

Last Name

Organization

Email Address

2.Would you like to receive a quarterly newsletter and other resources on skin cancer prevention?

Yes

No

3.What topics would be most valuable to you and/or your organization
(Select all that apply)

How to spot early signs of skin cancer

Sun safety tips and prevention strategies

Sun safety for children and youth

Risks for outdoor workers or high-risk populations

Myths around skin cancer

Current trends and data on skin cancer

Other (please specify)

4.Any additional thoughts or comments?