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Birthday
Day
Month
Year
Which best describes your skin type?
1 - Very fair. Usually lots of freckles, red or sandy hair; blue or grey eyes.
2 - Fair. Possibly with freckles; blond to brown hair with green or blue eyes.
3 - Fair to light brown. No freckles; dark blond or brown hair, green or blue eyes.
4 - Light brown. Dark brown hair and eyes.
5 - Deep brown skin. Dark hair and eyes.
6 - Very dark skin. Black hair and dark eyes.
How do you usually react to tanning?
1 - Usually burn; skin turns red and peels. Advised not to tan in sunlight.
2 - Risk of burning. Have to take great care when tanning. Can only tan for a short period.
3 - Medium risk of burning. Capable of building a moderate tan.
4 - Burning is rare; tanning is rapid and deep.
5 - Seldom burn; tanning is rapid and deep.
6 - Never burn in natural sunlight.
When did you last sunbathe (whether sunbeds or holiday)?
Less than 2 weeks ago
1 month ago
2-3 months ago
4-6 months ago
More than 6 months ago
Have you used sunbeds in the past 10 years?
Yes
No
Have you been advised by your GP to stay out of sunlight/UV rays?
No
Yes
Are you currently taking any medications that could affect your skin's sensitivity to UV rays?
No
Yes
What is your gender?
Female
Male
Are you pregnant?
No
Yes
What is the reason/s you would like to use sunbeds?
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