Please answer by circling the answer to each question to determine your skin type:

Score

0

1

2

3

4

What is the colour of your eyes?

Light Blue, gray, green

Blue, gray or

green

Blue

Dark Brown

Brown Black

What is the natural colour of your hair?

Sandy red

Blond

Chestnut brown, dark blond

Dark brown

Black

What is the colour of your skin in non-exposed areas?

Reddish

Very pale

Pale with beige tint

Light brown

Dark Brown

Do you have freckles in the non-exposed areas?

Many

Several

Few

Incidental

None

What happens when

You stay in the sun too long?

Painful, blistering, redness, peel

Burns followed by peeling

Burns sometimes followed by peeling

Rare burns

Never had a burn

To what degree do you turn brown?

Hardly at all

Light colour tan

Reasonable tan

Tan very easy

Turn dark brown

Do you turn brown within several hours after sun exposure?

Hardly or not at all.

Seldom

Sometimes

Often

Always

How does your face react to the sun?

Very sensitive

Sensitive

Normal

Very resistant

Never had a problem

When did you last expose your body to the sun or sun bed?

More than 3 months ago

2-3 months ago

1-2 months ago

Less than one month

Less than 2 weeks ago

Did you expose the area you want treated to the sun?

Never

Hardly ever

Sometimes

Often

Always

Total score of all questions_______

Total

Score

Fitzpatrick

type

0-7

I

8- 16

II

17- 25

III

26- 30

IV

Over 30

V- VI

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