Skin Typing Worksheet Name ___________________________________________ Skin Score Date ____________________ 0 1 2 What is your eye color? Light Blue or Grey Blue or Green What is your natural hair color? Red or Sandy Red Blonde Hazel or Light Brown Dark Blonde or Chestnut Brown Reddish Very Pale Many What happens when you stay in the sun too long? Painful, rednessblistering, and peeling To what degree do you turn brown? How does your face respond to the sun? When did you last expose yourself to the sun, tanning beds, or self-tanning creams? How often is the area that you want treated exposed to the sun? What is the color of your skin (unexposed areas)? Do you have freckles on exposed areas? 3 4 Dark Brown Brownish Black Dark Brown Black Pale with Beige Tint Light Brown Dark Brown Several Few Incidental None Blistering followed by peeling Burns, sometimesfollowed by peeling Rarely burn Never burn Hardly ever or not at all Light tan Reasonable tan Tan very easily Very sensitive Sensitive Normal Resistant More than 3 months ago 2-3 months ago 1-2 months ago Less than 1 month ago Less than 2 weeks ago Never Hardly ever Sometimes Often Always __________ Skin Score (total number) Signature ______________________________________ Skin Score 0-7 8-16 17-25 26-30 Over 30 Turn dark brown quickly Very resistant Skin Type I II III IV V - VI