Exit Heat New Client New Client Questionnaire Question Title * 1. Are you pregnant? Yes No Question Title * 2. What is natural color of your hair? Dark Brown Blonde Sandy/ Red Black Chestnut/ dark blonde Question Title * 3. What is color of your skin? (Non exposed areas) Reddish Very pale Pale with beige tint Olive Light brown Brown Dark brown Question Title * 4. What happens when you stay in sun for too long? Painful; redness; peeling Burn; sometimes followed by peeling Redness; eventually becomes tan (no peeling) Never burn Question Title * 5. Do you turn brown within hours of being exposed to the sun? Less than hours Yes No, I’d burn Question Title * 6. How does your face react to the sun? Very sensitive Sensitive Normal Resistant (don’t burn easily) Never had a problem Question Title * 7. How often have you tanned recently? Very often Often Sometimes Hardly ever Never Question Title * 8. Have you previously been diagnosed with skin cancer? Yes No Question Title * 9. Your age: 18-25 26-35 36-50 Question Title * 10. What is your full name ? Done