19
18
ENGLISH
ENGLISH
Genetic Disposition:
Score
0
1
2
3
4
What is the colour
of your eyes?
Light blue,
Grey, Green
Blue, Grey or
Green
Blue
Dark Brown
Brownish
Black
What is the natural
colour of your hair?
Sandy Red
Blond
Chestnut
Dark Blond
Dark Brown
Black
What is the colour
of your skin (non
exposed areas)?
Reddish
Vary Pale
Pale with
Beige tint
Light Brown
Dark Brown
Do you have
freckles on
unexposed areas?
Many
Several
Few
Incidental
None
Total score for genetic disposition:----
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 colour,
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 resistant Never had a
problem
Total score for Reaction to Sun Exposure:----
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.
Skin Type Score - Fitzpatrick Skin Type
0-7
I
8-16
II
17-25
III
25-30
IV
Over30
V-VI Do Not Use i-Light
TYPE I: Highly sensitive, always burns, never tans. Example: Red hair with freckles.
TYPE II: Very sun sensitive, burns easily, tans minimally. Example: Fair skinned, fair haired Caucasians.
TYPE III: Sun sensitive skin, sometimes burns, slowly tans to light brown. Example: Darker Caucasians.
TYPE IV: Minimally sun sensitive, burns minimally, always tans to moderate brown.
Example: Mediterranian type Caucasians, some Hispanics.
TYPE V: Sun insensitive skin, rarely burns, tans well. Example: Some Hispanics, some Blacks.
TYPE VI: Sun insensitive, never burns, deeply pigmented. Example: Darker Blacks.
H
ENVIRONMENTAL PROTECTION
To avoid environmental and health problems due to hazardous substances in electrical and
electronic goods, appliances marked with this symbol must not be disposed of with unsorted
municipal waste, but recovered, reused or recycled.
GB
D
NL
F
E
I
DK
S
FIN
P
SK
