PennSCAPE (Skin Cancer Awareness, Prevention, and Education) builds on a previous study conducted by Dr. Glanz and others looking at the impact of sending tailored risk information and motivational intervention materials to increased-risk adults from a large primary care practice. The primary aim of the study was to evaluate the impact of tailored print materials on skin cancer prevention behaviors and skin self-examination among an adult population at moderate to high risk for skin cancer. This study also examined the relative yield and functioning of the two risk assessment tools (BRAT and Fears) for determining level of risk for skin cancer.