Ill. Admin. Code tit. 77, pt. 795, app B
A. | Determination based on your hereditary disposition | 0 | 1 | 2 | 3 | 4 | Your Points Per Question | |||||||
1. | What is the color of your eyes? | Light blue gray or green | Blue, gray or green | Blue | Dark brown | Brownish black | ||||||||
2. | What is the color of your hair? | Sandy red | Blond | Chestnut/dark blond | Dark brown | Black | ||||||||
3. | What is the color of your unradiated skin? | Reddish | Very Pale | Pale with beige tint | Light brown | Dark brown | ||||||||
4. | Are there freckles on your unradiated skin? | Many | Several | Few | Incidental | None | ||||||||
B. | Determination based on your own experience with sunbathing (to the unexposed skin). | 0 | 1 | 2 | 3 | 4 | ||||||||
1. | What happens when you stay long in the sun? | Painful redness, peeling, blistering | Burns regularly with peeling | Burns sometimes with peeling | Burns rarely | Never burns | ||||||||
2. | To what degree do you turn brown? | Hardly or not at all brown | Tans a little, a light color | Tan reasonably | Tans very easily | Quickly turns dark brown | ||||||||
3. | Do you turn gray-brown directly after (within several hours) sunbathing | Never | Hardly | Sometimes | Often | Always | ||||||||
4. | How does your face react to the sun? | Very sensitive | Sensitive | Normal | Very resistant | Never a problem | ||||||||
C. | Your tanning habits | 0 | 1 | 2 | 3 | 4 | ||||||||
1. | When sunbathing, do you try to tan your whole body? | Never | Hardly ever | Sometimes | Often | Always | ||||||||
2. | When did you last sunbathe (even under a sunlamp)? | More than 3 months ago | 2-3 months ago | 1-2 months ago | Less than a month ago | Less than 16 days ago | ||||||||
TOTAL | ||||||||||||||
Total Score | Skin Sensitivity | Skin behavior estimate (possibly exposed) | |||
0 - 7 | Very sensitive | I | |||
8 - 16 | Sensitive | II | |||
17 - 25 | Normal | III | |||
> 25 | Very resistant | IV | |||
Ill. Admin. Code tit. 77, pt. 795, app B