Fitzpatrick Skin Type Questionnaire

Are you ready for a pop quiz? Wait, don’t panic. It's a test about your skin—just a few simple questions about your genetic disposition, reaction to sun exposure and tanning habits. You should already know the answers. Ready?

Name*
Email*
Phone Number*
What color are your eyes?*
What is the natural color of your hair?*
Your natural skin color (before sun exposure) is?*
How many freckles do you have on unexposed areas of your skin?*
What happens when you stay in the sun for 45 minutes the first time of the season without any sun protection?*
Does your skin tan?*
Do you turn brown within several hours of sun exposure?*
How does your face react to sun exposure?*
When was the last time you exposed your body to the sun, tanning beds or self-tanning creams?*
How frequently do you expose the area to be treated to the sun?*
That's it, just add all of the points from each question, and then choose the corresponding range in the drop down below to see which skin type you have!
Form Completion
When you select the button below, you will be taken to a screen to sign this document electronically. If you are unfamiliar with electronic signatures, please watch this short video.

Fitzpatrick Skin Type Questionnaire

Form Completion

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