31
What’s your
Light blue,
Blue, grey
Dark blue,
Dark
Brownish
eye colour?
grey or
or green
grey or green, brown
black
green
light brown
or hazel
Natural hair colour in
Sandy red
Blonde
Dark blonde,
Brown
Black
area of treatment?
chestnut, or
light brown
your natural skin colour
Reddish
Pale
Beige or
Brown
Dark
in unexposed areas?
olive
brown
How many freckles
Many
Several
Few
Hardly any
None
do you have in
unexposed areas?
If you stay in the
Painful
Mild
Sometimes Rarely
Never
midday sun without
redness,
blistering
burns with
burns
burns
suncream, what
blisters,
followed
mild peeling
happens?
peeling
by peeling
Do you turn brown
Never
Seldom
Sometimes Often
Always
after being in the sun?
How brown do you get?
Not brown
Light tan
Medium tan
Dark tan
Very dark
at
all
tan
Is your face sensitive
Very
Sensitive
Normal
Resistant
Never have
to the sun?
sensitive
a
problem
How often do you tan?
Never
Seldom
Sometimes Often
Always
When was your last tan?
+ 3 months
2 – 3
1 – 2
Weeks ago
Within the
ago
months ago
months ago
last few days
TOTAL FOR EACH COLUMN
Appendix B—Skin Tone Questionnaire
Total Score (adding together all the column totals)
Use the total score to determine your Fitzpatrick Skin Type using the table below.
Your Fitzpatrick Skin Type is used to assess the correct setting you should use on the Boots Smooth Skin
PLUS
system (I, II, III or IIII)
or whether your skin tone is too dark to use the device.
The table below contains a simple list of questions,
which are designed to help you identify your skin tone
more accurately.
Answer each question in the left-hand column and
place one score in the box to the right that most
accurately describes you.
For answers in column 0, score 0.
For answers in column 1, score 1.
For answers in column 2, score 2.
For answers in column 3, score 3.
For answers in column 4, score 4.
Add together the scores in each column and put the total
in the box at the bottom of the column.
Add together the total in each column and write the result
in the box under the table marked
Total Score.
TOTAL SCORE FROM ABOVE
FITzPATRICK SKIN TyPE
BOOTS SMOOTH SKIN
PLUS
SETTING
0 - 7
Type I
I
8 - 16
Type II
II
17 - 25
Type III
III
26 - 30
Type IV
IIII
Over 30
Type V, VI
DO NOT USE
0
1
2
3
4