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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
Are you pregnant?
No
Yes
What is the reason/s you would like to use sunbeds?
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