Health Survey Details
Health & Skin Type Survey
Approved
User Information
Name
John Doe
Phone
+1 (555) 123-4567
Email
john.doe@example.com
Completed Date
January 15, 2024
Skin Type Assessment
What is your natural skin color?
Light to Medium
How does your skin react to sun exposure?
Gradually tans, rarely burns
What is your hair color?
Light brown to dark brown
What is your eye color?
Brown or hazel
Determined Skin Type: Type III
Recommended Session Duration: 12-15 minutes
Recommended Session Duration: 12-15 minutes
Health Conditions & Medications
Do you have any history of skin cancer?
No
Do you have any skin conditions?
No
Are you taking any medications that increase sun sensitivity?
No
Are you pregnant or nursing?
No
Do you have lupus or other autoimmune disorders?
No
Additional Information
Have you used tanning beds before?
Yes, occasionally
Any additional comments or concerns?
None at this time.
Survey Summary
Survey ID
#SRV001
Status
Approved
Skin Type
Type III
Recommended Duration
12-15 minutes
Health Concerns
None
Completed Date
Jan 15, 2024
User ID
#1001
Skin Type Information
Type III Skin:
Light to medium skin that gradually tans and rarely burns. Recommended tanning duration is 12-15 minutes with moderate UV exposure.
Light to medium skin that gradually tans and rarely burns. Recommended tanning duration is 12-15 minutes with moderate UV exposure.