Fitzpatrick Skin Type Quiz Template Page 2
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1
2to sun
Very sensitive
Sensitive
Normal
Very resistant
problem
Tanning Habits
0
1
2
3
4
Exposure to
sun, tanning
More than 3
2 to 3 months
1 to 2 months
Less than a
Less than 2
beds or self
months ago
ago
ago
month ago
weeks ago
tanning
Treated area
Never
Hardly ever
Sometimes
Often
Always
exposure to
sun
Total score for reaction to sun exposure:
_____________________
Summary
Add up the total scores for each section for your Skin type score to give us a better evaluation of
your skin type.
______ Total Score for Genetic Dispostion
______ Total Score for Reaction to Sun Exposure
______ Total Score for Tanning Habits
______ Skin Type Score
Your Fitzpatrick Skin Type
Skin Type Score
Fitzpatrick Skin Type
0-7
I
8-16
II
17-25
III
25-30
IV
Over 30
V-VI
Name: _____________________________
Date: _______________
Which of the following best describes your skin type?
1 – Always burn, never tan
2 – Always burn, sometimes tan
3 – Sometimes burn, tan somewhat
4 – Rarely burn, tan with ease
5 – Moderately pigmented, tans vary easily
6 – Deeply pigmented, never burn
Ethnic background is of importance when considering skin color and laser hair removal. If
known what is your ethnic background? ____________________________________________
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