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FITZPATRICK SKIN TYPE QUESTIONNAIRE

Please fill out below as accurately as possible as this will determine your treatment plan. 

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Please read the scoring options on the chart and tick the below choices for each category as appropriate.

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Which options have you scored 0? Required
Which options have you scored 1? Required
Which options have you scored 2? Required
Which options have you scored 3? Required
Which options have you scored 4? Required

Thanks for submitting!

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