OPINION
Daniel Wesley appeals the District Court’s order dismissing his complaint for failure to prosecute. In January 2004, Wesley filed a civil rights complaint in which he alleged that two doctors at the Allegheny County Jail were deliberately indifferent to his medical needs because they refused to provide him with surgery to remove his bowel bag and reattach his intestines because it would be too expensive. In March 2004, the District Court granted Wesley’s motion to proceed in forma pauperis. In March 2005, the Magistrate Judge ordered the U.S. Marshal to mail the complaint and request for waiver of service to the defendants. On May 13, 2005, the Marshal filed notices of inability to serve the complaint on the three named defendants. On the forms it was noted “returned to court unexecuted — no response to waiver by mail.” On May 19, 2005, the Magistrate Judge ordered that the Clerk prepare a duplicate summons and complaint and that the U.S. Marshal make personal service on the defendants. There is nothing in the record to indicate that personal service was attempted.
On February 1, 2006, the Magistrate Judge ordered Wesley to show cause why the case should not be dismissed for lack of prosecution. The Magistrate Judge noted that Wesley had been released from jail and had not advised the court of any change of address. The Magistrate Judge stated that Wesley had been informed that the failure to advise the District Court of an address change could result in the dismissal of his case for failure to prosecute. Wesley did not respond1 and the District Court entered an order dismissing the action on February 28, 2006. On March 23, 2006, Wesley filed a timely notice of ap*251peal. He has also filed a motion for the appointment of counsel.
We have jurisdiction under 28 U.S.C. § 1291. We review the District Court’s order dismissing the action for failure to prosecute for an abuse of discretion. Redmond v. Gill, 352 F.3d 801 (3d Cir.2003); Poulis v. State Farm Fire & Casualty Co., 747 F.2d 863, 868 (3d Cir.1984). “Dismissals with prejudice or defaults are drastic sanctions, termed ‘extreme’ by the Supreme Court, and are to be reserved for comparable cases.” Poulis, 747 F.2d at 867-8 (citation omitted). In Poulis, we set forth six factors to be balanced in deciding whether to dismiss a case as a sanction:
(1) the extent of the party’s personal responsibility; (2) the prejudice to the adversary caused by the failure to meet scheduling orders and respond to discovery; (3) a history of dilatoriness; (4) whether the conduct of the party or the attorney was willful or in bad faith; (5) the effectiveness of sanctions other than dismissal, which entails an analysis of alternative sanctions; and (6) the meritoriousness of the claim or defense.
Id. at 868 (emphasis omitted). In determining whether the District Court has abused its discretion, we examine its balancing of these factors and whether its findings are supported by the record. Here, the District Court did not address or weigh the Poulis factors.
With respect to the first Poulis factor, because Wesley is proceeding pro se, he bears full responsibility for the litigation. However, as noted above, the District Court had ordered the Clerk to prepare duplicate summons and the Marshal to make personal service on the defendants.2 Thus, at the time Wesley was ordered to show cause why the case should not be dismissed, there was nothing for him to do for the prosecution of the action.
As for the second Poulis factor, it is not clear whether the defendants will be prejudiced by any delay. However, because the delay is not attributable to Wesley, this factor does not weigh against him. As the case was in its initial stages, there was no history of dilatoriness on Wesley’s part. As for whether the conduct was willful or in bad faith, there is nothing to indicate that Wesley’s failure to notify the Court of his address change was anything more than forgetfulness. With respect to the effectiveness of alternate sanctions, we believe that there was no need for a sanction in this case. Wesley’s allegations state a claim for deliberate indifference to his serious medical needs; he alleged that he was denied necessary medical treatment because of its cost.
Because the District Court did not weigh the Poulis factors, it abused its discretion in dismissing the action for failure to prosecute. We conclude that a balancing of the Poulis factors does not weigh in favor of dismissal. Summary action is appropriate if there is no substantial question presented in the appeal. See Third Circuit LAR 27.4. For the above reasons, we will summarily vacate the District Court’s February 28, 2006 order and remand the matter to the District Court for service of the complaint on the defendants. See Third Circuit I.O.P. 10.6. Wesley’s motion for the appointment of counsel on appeal is denied as moot.