Beauty Valley Spa- Skin Type Chart
1. What is your natural eye colour?
*
0- Light Blue, Grey, or Green
1- Blue, Grey, or Green
2- Blue
3- Dark Brown
4- Brownish Black
2. What is your natural hair colour?
*
0- Sandy Red
1- Blonde
2- Chestnut, Dark Blonde
3- Dark Brown
4- Black
3. What is the color of your unexposed skin? (Stomach, thighs)
*
0- Reddish
1- Very Pale
2- Pale with beige tint
3- Light Brown, Olive
4- Dark Brown
4. Do you have freckles on sun exposed areas? (Lower arms, face)
*
0- Many
1- Several
2- Few
3- Incidental
4- None
5. What happens when you stay in the sun too long?
*
0- Painful, redness, blistering, peeling
1- Blistering followed by peeling
2- Burns sometimes followed by peeling
3- Rare burns
4- Never burns
6. How easily do you turn brown or tan?
*
0- Hardly or not at all
1- Light colour tan
2- Reasonable/moderate tan
3- Tan very easily
4- Turn dark brown very quickly
7. Do you turn brown or tan easily several hours after sun exposure?
*
0- Never
1- Seldom
2- Sometimes
3- Often
4- Always
8. How does your face react to the sun?
*
0- Very sensitive
1- Sensitive
2- Normal
3- Very resistant
4- Never had a problem
9. When did you last expose your skin to the sun?
*
0- More than 3 months ago
1- Two to three months ago
2- One to two months ago
3- One month ago
4- Less than two weeks ago
10. Do you intentionally expose your skin to the sun? (Tanning bed, use of self tanning creams, or sun bathing)
*
0- Never
1- Hardly ever
2- Sometimes
3- Often
4- Always
Score
0-7 = Skin Type 18-16 = Skin Type 217-25 = Skin Type 326-30 = Skin Type 5 30+ = Skin Type 6
By signing my name below, I confirm (to the best of my knowledge) that the answers I have given are correct and I have not withheld any information that may be relevant to my treatment, and I consent to this service. This acts as my electronic signature.
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