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Visit
Date of the visit
Month
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
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Subject ID
Gender
Female
Male
Other
Age
Date of Inclusion
Page
Date of data entry
Site
Inclusion
Ethnic origin
Caucasian
Mediterranean
North African
Black
Asian
Other
Other:
Hair structure:
Straight
Wavy
Curly
Unknown
Skin phototype:
I
I (pale white skin; blue/hazel eyes; blond/red hair; always burns; does not tan)
II
II (fair skin; blue eyes; burns easily; tans poorly)
III
III (darker white skin; tans after initial burn)
IV
IV (light brown skin; burns minimally; tans easily)
V
V (brown skin; rarely burns; tans dark easily)
VI
VI (dark brown or black skin; never burns; always tans dark)
Relationship status:
Single
Married/cohabitation
Divorced/separated
Widow/widower
Full-time employment
Yes
No
if yes:
Full time (35 hours and more)
Part time or hourly basis
Leave of absence (parental leave or similar)
Apprentice, retraining student
if no:
Pensioner / pensioner in early retirement
Housewife / Househusband
Pupil, student
Unemployed
not employed for other reasons
Educational level
Primary school 7-10 years
Secondary school diploma
Vocational School
High School
College or university (less than 4 years)
College or university (4 or more years)
Did not graduate
Version 6_August_2023
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