Calculator Survey

I. Hereditary Disposition 1. What is the color of your eyes? =========== Select One =========== Light Blue, Grey or Green Blue, Grey or Green Blue Dark Brown Brownish Black 2. What is the color of your hair? =========== Select One =========== Sandy Red Blonde Chestnut Dark Brown Black 3. What is the color of your un-radiated skin? =========== Select One =========== Reddish Very Pale Pale with Beige Tint Light Brown Dark Brown 4. Are there any freckles on your un-radiated skin? =========== Select One =========== Many Several Few Incidental None   II. Experience with Sunbathing 1. What happens when you stay too long in the sun? =========== Select One =========== Painful, redness, peeling, blistering Burns Regularly with Peeling Burns Sometimes with Peeling Burns Rarely Never Burns 2. To what degree do you turn brown? =========== Select One =========== Hardly or Not at All Tans a Little, a Light Color Tans Reasonably Tans Very Easily Quickly Turns Dark Brown 3. Do you turn brown directly after (within several hours) sunbathing? =========== Select One =========== Never Seldom Sometimes Often Always 4. How does your face react to the sun? =========== Select One =========== Very Sensitive Sensitive Normal Very resistant Never a problem   III. Your Tanning Habits 1. When sunbathing, do you try to tan your whole body? =========== Select One =========== Never Hardly Ever Sometimes Often Always 2. When did you last sunbathe (even under a sunlamp)? =========== Select One =========== More Than 3 Months Ago 2-3 Months Ago 1-2 Months Ago Less Than a Month Ago Less Than 16 Days Ago     Skin Sensitivity: Skin Type: Sun Sensitivity: Pigmentation Response: