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 |