Fitzpatrick'S Skin Type Assessment Chart

Patient   N ame______________________________________        

                                                                           

Date:_____________________  

 

 

Fitzpatrick’s Skin Type Chart

Skin

0

1

2

3

4

Score

What is your eye

Light Blue

Blue or

Hazel or

Dark

Brownish

color?

or Grey

Green

Light Brown

Brown

Black

What is your

Red,

Blonde

Dark

Dark

Black

natural hair color?

Sandy

Blonde,

Brown

Red

Chestnut,

Brown

What is the color of

Reddish

Very Pale

Pale with

Light

Dark

your skin

Beige Tint

Brown

Brown

(unexposed

areas)?

Do you have

Many

Several

Few

Incidenta

None

freckles on

l

exposed areas?

What happens

Painful,

Blistering

Burns,

Rarely

Never

when you stay in

redness,

followed

sometimes

Burn

burn

the sun too long?

blistering

by

followed by

and

peeling

peeling

peeling

To what degree do

Hardly or

Light tan

Reasonable

Tan very

Turn dark

you turn brown?

not at all

Tan

easily

brown

quickly

How does your

Very

Sensitive

Normal

Very

Never has

face respond to

sensitive

resistant

problems

the sun?

in the sun

When did you last

More than

2-3

1-2 Months

Less than

Less than

expose yourself to

3 months

Months

1 month

2 weeks

the sun, tanning

ago

ago

ago

beds or self-

tanning creams?

How often is the

Never

Hardly

Sometimes

Often

Always

area that you want

Ever

to have treated

exposed to the

sun?

Score:

Skin Type:

0-7

I

TOTAL:

8-16

II

17-25

III

26-30

IV

Over 30

V-VI