Part I: Genetic Disposition

1

Your eye color is:* This field is required.

Light blue, light gray or light green

Blue, gray or green

Hazel or light brown

Dark brown

Brownish black

3

Your natural skin color (before sun exposure) is:* This field is required.

Ivory white

Fair or pale

Fair to beige, with golden undertone

Olive or light brown

Dark brown or black

5

Total score for genetic disposition * This field is required.

6

Total score for genetic disposition (Part I): {totalScore}

7

How does your skin respond to the sun?* This field is required.

Always burns, blisters and peels

Often burns, blisters and peels

Burns moderately

Burns rarely, if at all

Never burns

10

How sensitive is your face to the sun? * This field is required.

Very sensitive

Sensitive

Normal

Resistant

Very resistant/Never had a problem

11

Total score for reaction to extended sun exposure* This field is required.

12

Both Sums* This field is required.

13

Total score for reaction to extended sun exposure (Part II): {totalScore14}

14

Fullname* This field is required.

First Name

Last Name

15

Email* This field is required.

example@example.com

16

Do you confirm that by providing email above you'll be automatically signed up into our mailing list and you may receive promotional emails. * This field is required.

I agree