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Questionnaire - sun allergy

   Ladies and Gentlemen, There are an increasing number of allergies to the sun, which restrict the quality of life of millions of people. In this scientific EC (European Commission) project we would like to learn more about the nature and effects of sun allergies. With this short and anonymous questionnaire you will help us in our efforts.
Thank you very much!

The marked (*) questions have to be answered, as they are of particular importance for our analysis.

Age :* 
Sex :*    male     female
Date of examination :*  day:   month:   year:
Which skin type do you have? :*
I always get a sunburn I never get a tan 
I usually get a sunburn I sometimes get a tan 
I seldom get a sunburn I usually get a tan 
I never get a sunburn I always get a tan 
Do you get a itching rash/ abnormal skin after sun exposures, which you do not regard as sunburn (a so called “sun allergy”)?*    yes     no     do not know  
  






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