Mole Clinic Pre-assessment

Section

Do you have a personal history of skin cancer? *
Did you live or spend an extended amount of time in a hot country as a child? *
Have you ever been sunburnt to the point where your skin blistered? *

About the mole you are concerned about

In weeks/months/years
In weeks/months/years
Is it painful or itchy? *
Does it ooze or bleed? *