22
23
GB
The Fitzpatrick Skin-T
ype Chart
The Fitzpatrick Skin-T
ype Chart
Tanning Habits
Score
0
1
2
3
4
When did
you last
expose your
body to sun
(or artificial
sunlamp/
tanning
cream)?
More than
3 months
ago
2-3
months
ago
1-2
months
ago
Less than
a month
ago
Less than
2 weeks
ago
Did you
expose the
area to be
treated to
the sun?
Never
Hardly
ever
Sometimes
Often
Always
Total score for Tanning Habits: _____
Add up the total scores for each of the three sections for your Skin Type Score.
Reaction to Sun Exposure
Score
0
1
2
3
4
What
happens
when you
stay in the
sun too
long?
Painful
redness,
blistering,
peeling
Blistering
followed
by peeling
Burns
sometimes
followed
by peeling
Rare burns
Never
had
burns
To what
degree do
you turn
brown?
Hardly or
not at all
Light color,
tan
Reasonable
tan
Tan very
easily
Turn dark
brown
quickly
Do you
turn brown
within
several
hours
after sun
exposure?
Never
Seldom
Sometimes
Often
Always
How does
your face
react to the
sun?
Very
sensitive
Sensitive
Normal
Very
reisitant
Never
had a
problem
Total score for Reaction to Sun Exposure: _____
100827_REM_IFU_IPL5000_21L GB22-GB23
100827_REM_IFU_IPL5000_21L GB22-GB23
05.11.10 13:25
05.11.10 13:25
