Skin Typing Form

What happens when you expose your skin to the sun for more than an hour?

Painful redness, blistering, peeling--------0Blistering, followed by peeling--------------1Burns sometimes, followed by peeling----2Rarely burn--------------------------------------3Never had burns-------------------------------4

To what degree do you turn brown?

Hardly or not at all-------------0Light color tan-------------------1Reasonable tan------------------2Tan very easily-------------------3Turn dark brown quickly------4

Do you turn brown within several hours after sun exposure?

Never-----------------0Seldom----------------1Sometimes-----------2Often-----------------3Always---------------4

How does your face react to sun exposure? Sensitive skin burns easily. Resistant does not.

Very sensitive-------------0Sensitive-------------------1Normal---------------------2Resistant------------------3Very resistant-------------4

Total for Reaction to sun exposure

This Skin Typing form helps us determine the type and treatment program suitable for your skin.

Genetic Disposition

Reaction to sun exposure

Tanning Habits/History of sun exposure

Confirmation