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Skin Assessment Questionnaire
1. Sex
Female
Male
2. Do you smoke ?
Yes
No
3. Your "Fitzpatrick" skin type is:
Very fair skin, I never tan, I burn
Light skin, I may tan, but I usually burn
Light/medium complexion sometimes I tan, sometimes I burn
Medium complexion I usually tan, rarely burn
Dark complexion - I never burn (Hispanic, Asian, Southern European)
African American, I never burn
4. Your skin is:
Dry/sensitive
Oily
Combination (T-zone)
5. You are allergic to AHA:
Yes
No
6. Are you seeking treatment for any of the following conditions ?
Acne scars
Large pore size
Facial lines or wrinkles
Skin cancers
Pigmented spots
Wrinkles or lines around the eyes
Hair loss
Acne
Rosacea
Eczema
Sensitive Skin