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ENGLISHENGLISH
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
DNLFEIDKSFINPSK
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