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O Med Dark Where? How Did You Hear About Solar Eclipse? How long has it been since you’ve had a tan? ______________________ Have you ever had a severe sunburn? Yes No Do you tan easily? Yes No If so, how long ago? ______________________ Do you have a tendency to burn? Yes No Have you ever been advised by a Doctor to stay out of the sun? Do you have any known allergies to sunlight? Yes No If so, why?_________________________________________. Do you wear contacts? Yes No PLEASE CIRCLE YOUR S.

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