I. Hereditary Disposition 1. Eye Color? Please Select One Light Blue, Grey or Green Blue, Grey or Green Blue Dark Brown Brownish Black 2. Hair Color? Please Select One Sandy Red Blonde Chestnut Dark Brown Black 3. Skin Color? Please Select One Reddish Very Pale Pale with Beige Tint Light Brown Dark Brown 4. Have Freckles? Please Select One Many Several Few Incidental None   II. Experience with Sunbathing 1. What happens when too long in the sun? Please Select One Pain, redness, peeling, blisters Burns Regularly with Peeling Burns Sometimes with Peeling Burns Rarely Never Burns 2. What degree do you turn brown? Please Select One Hardly or Not at All Tans a Little, a Light Color Tans Reasonably Tans Very Easily Quickly Turns Dark Brown 3. Turn brown within 7 hours after tanning? Please Select One Never Seldom Sometimes Often Always 4. How does your face react to the sun? Please Select One Very Sensitive Sensitive Normal Very resistent Never a problem   III. Your Tanning Habits 1. Do you try to tan your whole body? Please Select One Never Hardly Ever Sometimes Often Always 2. When did you last tan? Please 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: