A professional Skin Analysis Form is essential for estheticians, dermatologists, and skincare specialists to assess a client’s skin condition before recommending treatments.

Many online skin consultation forms are either paid, locked in PDF format, or lack a professional design.

To solve this, we’ve created a free and fully editable Skin Analysis Form in Google Docs.

You can customize it to match your brand, add your logo, and modify the sections to suit your needs.

Benefits of Using This Free Template

• 100% Free – No hidden charges or subscriptions.
• Editable & Customizable – Easily modify sections as per your requirements.
• Google Docs Format – No need for special software; access it anywhere.
• Professional & Well-Structured – Designed for accurate skin analysis.

What’s Included in This Skin Analysis Form?

This comprehensive skin assessment template contains essential sections to evaluate a client’s skin health effectively:

1. Client Information

Capture the necessary details such as:

• Name
• Date of Birth (DOB)
• Age

2. Fitzpatrick Skin Type Classification

This form includes a Fitzpatrick scale (Type I-VI) to assess how skin reacts to sun exposure and treatments:

• Skin Type I – Never tans, always burns (extremely fair skin, blonde/red hair)
• Skin Type II – Occasionally tans, usually burns (fair skin, sandy to brown hair, green/brown eyes)
• Skin Type III – Often tans, sometimes burns during first sun exposure (medium skin, brown hair)
• Skin Type IV – Always tans, never burns (olive skin, brown/black hair)
• Skin Type V – Never burns (dark brown skin, black hair)
• Skin Type VI – Never burns (black skin, black hair)

3. Glogau Scale & Acne Grading

• Glogau Scale (Skin Aging Assessment):
  • I – Mild – Little to no wrinkles
  • II – Moderate – Wrinkles visible in motion only
  • III – Advanced – Wrinkles visible at rest
  • IV – Severe – Mostly wrinkled skin
• Acne Grade (Severity Classification):
  • 0 – Clear – No acne present
  • I – Mild – Some comedones
  • II – Moderate – Papules and pustules
  • III – Moderately Severe – Numerous papules, pustules, and occasional inflamed nodules
  • IV – Severe – Many large, painful nodules and pustules

4. Skin Characteristics & Concerns

Clients can indicate specific skin concerns such as:

• Acne
• Oily Skin
• Dry Skin
• Aging Signs
• Pigmentation Issues
• Texture Irregularities
• Scarring
• Blackheads
• Whiteheads
• Irritation
• Sunburn
• Other (Specify)

5. Notes & Recommendations Section

Professionals can record observations, treatment plans, and skincare advice in a dedicated notes section.

Free Skin Analysis Form Template

Using this template is quick and easy:

1. Click the “Get this template” button to access the Google Docs preview page.
2. Select “USE TEMPLATE” to make a personal copy.
3. Edit the template by adding your details, adjusting questions, or inserting branding elements.
4. Print or share the completed form with clients.

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