Tattoo Removal Scale Please choose which is applied.Skin Type* 1 point - Always burns & never tans 2 points - Burns easily & tans minimally 3 points - Sometimes burns & slowly tans 4 points - Burns minimally & usually tans 5 points - Rarely burns & tans well 6 points - Never burns & always tans Location* 1 point - Head / neck / face 2 points - Upper trunk / shoulder 3 points - Lower trunk / upper leg 4 points - Lower arm / leg 5 points - Wrist / hand / ankle / foot Amount of Ink* 1 point - Amateur 2 points - Minimal 3 points - Moderate 4 points - Significant Ink Layering* 0 points - No, one layer 2 points - Yes, multiple layers Scarring & Tissue Changes* 0 points - No scar 1 Point - Minimal scarring 3 points - Moderate scarring 5 points - Significant scarring Colors* 1 point - Black only 2 points - Mostly black w/ some red 3 points - Mostly black & red w/ other colors 4 points - Multiple colors
