Cutera Excel V - Skin Type Classification; Skin Type Questionnaire and Scoring

D1091 Rev.M August. 2016
33
SKIN TYPE CLASSIFICATION QUESTIONNAIRE
SCORE
0
1
2
3
4
What is the natural color
of your hair?
Sandy red
Blond
Chestnut, dark
blond
Dark brown
Black
What is the eye color?
Light blue,
Gray, Green
Blue, Gray,
Green
Brown
Dark Brown
Brownish
Black
What is the color of sun
unexposed skin areas?
Reddish
Very pale
Pale with beige
tint
Light brown
Dark brown
How many freckles on
unexposed skin areas?
Many
Several
Few
Incidental
None
What happens when you
are in the sun TOO long
without sunblock?
Painful
redness,
blistering,
peeling
Blistering
followed by
peeling
Burns, sometimes
followed by
peeling
Rarely burns
Never had a
problem
How well do you turn
brown?
Hardly or not at
all
Light color
tan
Reasonable tan
Tan very
easily
Turn dark
very quickly
Do you turn brown within
one day of sun exposure?
Never
Seldom
Sometimes
Often
Always
How does your face
respond to the sun?
Very sensitive
Sensitive
Normal
Very
resistant
Never had a
problem
When did you last expose
yourself to the sun or
artificial sun treatments?
More than 3
months ago
2-3 month
ago
1-2 months ago
Less than 1
month ago
Less than 2
weeks ago
Do you expose the area to
be treated to the sun?
Never
Hardly ever
Sometimes
Often
Always
TOTAL
• 00-07 points = Skin type I
• 08-16 points = Skin type II
• 17-25 points = Skin type III
• 25-30 points = Skin type IV
• 30-40 points = Skin types V and VI