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 FEMALE QUESTIONNAIRE - PAGE 7 

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SYMPTOMS: SKIN: GENERAL
715.  Do you have calluses on your heels and, if so, are they cracked?
No / don't know
Light callus without significant cracking
Light callus with cracking
Thick callus without significant cracking
Thick callus, cracked
716.  Do you have a problem with cracking skin, typically on the fingers, toes or in skin creases? Do not include cracked heel calluses.
No / don't know
Occasionally / moderate
Often / severe
717.  Do you have small bumps on the backs of your arms?
No / don't know
Yes, some/minor
Yes, many/definite
718.  What is your skin color prior to suntan, compared to others of your race, or family members?
Significantly lighter/paler
A little lighter/paler
Average / don't know
A little darker/redder
Significantly darker/redder
719.  What is your facial coloring prior to suntan, compared to others of your race, or family members?
Noticeably pale
Slightly pale
Average / don't know
Slightly dark
Noticeably dark, pink, flushed or ruddy
720.  Not counting blushing during embarrassing situations, do you experience facial blushing, flushing or redness more frequently or intensely than would be considered normal?
Don't know / I think I'm average
No, definitely not
Mild / occasionally
Moderate / sometimes
Major / often
721.  Does your skin seem to have a more yellowish (jaundiced) tone than previously? It may help to look at untanned areas.
Don't know
No
Probably / somewhat
Definitely
722.  Skin moistness. Without moisturizer, is your skin...?
Very dry
A bit dry
Average / don't know
A bit oily/moist
Definitely oily/moist
723.  Is your skin scaly or flaky in areas other than the top of your head (scalp)?
Don't know
Definitely not
Yes, somewhat
Yes, significantly
724.  Does your skin tend to itch often, perhaps worse at night?
No / don't know
Moderately
Severely
725.  Do you perspire/sweat...?
Very little / not easily
Less than average
About average / don't know
More than average
Lots / easily
726.  Do the palms of your hands sweat excessively?
No / don't know
Moderate problem of less than 1 year
Moderate problem of more than 1 year
Major problem of less than 1 year
Major problem of more than 1 year
727.  Body odor. Does your perspiration (sweat) cause a strong odor? This applies mainly to the armpits and feet.
No / don't know
Somewhat, but it is manageable
Definitely, it is a serious problem for me
728.  Do you bruise easily?
No / don't know
Mildly
Moderately
Seriously
Severely - I usually have bruises somewhere
729.  Do you have palms and fingertips that are more red than average?
No / don't know
Somewhat
Definitely
730.  Is your skin temperature...?
Very cold
Colder than average
Average / don't know
Warmer than average
Very warm

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SYMPTOMS: SKIN: CONDITIONS
731.  Have you had adolescent acne?
No / don't know
Yes, moderately / briefly
Yes, severely / prolonged
732.  Have you had adult acne?
Never had it / don't know
Probably had it/minor episode(s) now resolved
Major episode(s) now resolved
Current minor problem
Current major problem
733.  If you have acne, is it worse with stress and before or during your period?
No / not applicable / don't know
Somewhat
Definitely
734.  Do you have Telangiectasia (persistent red or blue veins on your face, upper chest or neck)?
Don't know
No
Mild (a few veins)
Moderate
Severe (many veins)
735.  Have you had Eczema? This includes many kinds of red, blistering, oozing, scaly, brownish, thickened and itching skin conditions, and may be known as dermatitis.
Never had it / don't know
Probably had it/minor episode(s) now resolved
Major episode(s) now resolved
Current minor problem
Current major problem
736.  Have you had Psoriasis? It is characterized by frequent episodes of redness and itching, and thick, dry, silvery scales in discrete patches on the skin. It is most common on the scalp, trunk, elbows, knees, skin folds and fingernails.
Never had it / don't know
Probably had it/minor episode(s) now resolved
Major episode(s) now resolved
Current minor problem
Current major problem
737.  Do you have Rosacea (a facial rash usually composed of prominent redness and sometimes also pimple-like bumps that do not become whiteheads or blackheads)?
Don't know
No, definitely not
Mild
Moderate
Severe
738.  Do you have dandruff (Seborrheic Dermatitis)?
No / don't know
Some
Significant
Severe
739.  Actinic keratoses. Small, raised, flaky skin lesions usually found on the forehead in older people.
Never had them / don't know
Probably have a few
Current minor problem
Current minor problem, have had many removed
Current major problem
740.  Seborrheic keratoses. They have a waxy, pasted-on or stuck-on look. The look is often compared to brown candle wax that was dropped onto the skin.
None / don't know
I believe I have a few
I have some (5-10)
I have many (11-30)
I have very many (over 30)
741.  Do you have moles that bleed, are enlarging, are painful, or are tender?
Don't know
No
A few / minor problem
Several / definitely an issue
742.  Moles. Do you have a lot of dark moles?
No / don't know
Yes, several
Yes, very many
743.  Polyps
Never had one / don't know
Probably had one/minor episode(s) now resolved
Major episode(s) now resolved
Current minor problem
Current major problem
744.  Have you had lumps or bumps that sometimes hurt or are tender? Do not include sores, bruises or swollen lymph nodes.
Never had one / nothing major / don't know
Major episode(s) now resolved
Current minor problem
Current major problem
745.  Do you tend to get rashes?
It is not a problem for me / don't know
Generally not, but I do have one now
Occasional moderate rashes
Frequent moderate rashes / occasional severe
Frequent severe rashes
746.  Do you have vitiligo (patches of depigmented/lighter skin)?
Never had it / don't know
Probably/minor episode(s) now resolved
Major episode(s) now resolved
Current minor problem
Current major problem
747.  Warts
Never had them / don't know
Probably/minor episode(s) now resolved
Major episode(s) now resolved
Current minor problem
Current major problem
748.  Whether you are male or female, do you have any problems with your nipples, such as itching or a discharge?
Don't know
No
Yes    More questions later...

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SYMPTOMS: HAIR
749.  What is your body hair quantity? This question refers to 'normal' female hair patterns i.e. underarm, pubic or leg hair but not chest or upper lip.
Don't know
Little / none
Less than average
Average
Abundant, more than average
750.  Do you have any hair growth pattern that is usually seen in males? This means increased hair on the chest/nipples, above the pubic area toward the navel, or on the chin or upper lip.
Don't know
No
Very minor
Somewhat / one or two areas
Very noticeable / in several areas
751.  Have you had a recent change in body hair quantity?
Much recent loss
Some recent loss
No / don't know
Some recent gain
Much recent gain
752.  Do you have an urge or habit of pulling or plucking hairs from your body beyond the removal of selected hairs for cosmetic reasons?
Don't know
No
Yes, from time to time
Yes, I habitually pull hairs out
Yes, I habitually pull hairs out and eat them
753.  Do you have less pubic or underarm hair growth than previously?
I can't tell / don't know
No, quantity is at least as much as before
Yes, the quantity has decreased somewhat
Yes, the quantity has decreased substantially
754.  Do you have male pattern hair loss? Male pattern hair loss (MPHL) is a common condition in which men - and sometimes women - experience a receding hairline and/or balding on the top of the head.
No / don't know
Mildly / frontal loss only
Moderately / partial loss on top only
Moderately / complete loss on top only
Severely / nearly or totally bald
755.  Is the hair on your head becoming less dense? In other words, are you losing hair at a significant rate?
Normal loss / not applicable / don't know
Moderate loss
Much loss
756.  How oily is your hair?
Dry
Average / not applicable / don't know
Oily
757.  Apart from graying, what color tone is or was the hair on your head?
Very light
Light
Average / not applicable / don't know
Dark
Very dark
758.  If you have gray hair, choose the answer that best describes the graying process in your case. Hair graying is both genetic and age-related.
I have no hair / no gray hair / don't know
It retained its natural color longer than expected
It has grayed normally for my age and race
Somewhat prematurely (over half gray before 45)
Very prematurely (over half gray before 35)
759.  How dense is the hair on your head?
Very sparse
Somewhat sparse
Average / not applicable / don't know
Dense/abundant
760.  How strong are individual hairs from your head?
Brittle / break easily
Somewhat brittle
Normal / durable / don't know
761.  How thick are individual hairs on your head?
Thin / fine
Average / don't know
Thick
762.  How fast does your head (scalp) hair grow? Hair normally grows about 1/2 inch (1.25cm) per month or 6 inches (15cm) per year.
Very slowly
Slowly
Average / don't know
Quickly
Very quickly
763.  How wavy is your hair naturally?
It is straight
"Average" / don't know
It is wavy / curly

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SYMPTOMS: NAILS
764.  Do your fingernails have white spots on them that are not due to nail trauma/injury?
No / don't know
A few
Several
765.  Do you have any white areas (not spots) on your fingernails that are not due to nail injury/trauma?
No / don't know
Pink at the base, turning white towards the ends
80% or more of nail beds are white, including base
White lines from side to side, do not move
White lines from side to side, move as nails grow
766.  Are (parts of) your fingernails any unusual color other than white?
No / don't know
Green
Blue and brown
Black / somewhat brown
767.  Do you experience inflamed cuticles (the skin over the base of your nails)?
No / don't know
Occasionally / moderately
Often / severely
768.  Do you suffer from hangnails/agnails (painful swelling around the fingernails or toenails) or ragged cuticles (occurring when cuticle or skin surrounding the nail is damaged or torn)?
No / don't know
Occasionally / moderate
Often / severe
769.  Are your fingernails brittle - do they chip, peel or break easily?
Don't know
No
Somewhat
Very
770.  Do your fingernails have ridges or grooves going from side to side, across the direction of growth?
No / don't know
A few / minor
Many / pronounced
771.  Do your fingernails curve backward like little spoons?
Don't know
No
A little
Definitely
772.  Are your toenails distorted/deformed?
No / don't know
Probably/minor episode now resolved
Major episode now resolved
Current minor problem
Current major problem
773.  How fast do your fingernails grow? Normal growth is 0.8 inches (2cm) per year but this can be hard to estimate.
Very slowly
Slowly
Average / don't know
Quickly
Very quickly

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GLOSSARY

Acne
A chronic skin disorder due to inflammation of hair follicles and sebaceous glands (secretion glands in the skin).

Actinic Keratoses
Actinic keratoses are common premalignant skin tumors that appear as small, raised, flaky lesions usually found on heavily sun-exposed skin in older people. They are mainly due to long-term exposure to the sun in susceptible persons and may progress to squamous cell carcinoma.

Bruise (Bruised, Bruising)
Injury producing a hematoma or diffuse extravasation of blood without breaking the skin.

Centimeter (Centimeters, cm)
A metric unit of length equaling one hundredth of a meter, or ten millimeters. There are 2.54 millimeters in one inch.

Dermatitis
A general term used to refer to eruptions or rashes on the skin.

Discharge (Discharges)
A secretion, of pus for example, from a wound or bodily orifice.

Eczema
Swelling of the outer skin of unknown cause. In the early stage it may be itchy, red, have small blisters, and be swollen, and weeping. Later it becomes crusted, scaly, and thickened.

Goose Bumps (Goose Flesh, Goose Pimples, Goosebumps, Goose-Bumps)
Momentary roughness of the skin caused by erection of the papillae in response to cold or fear.

Lesion (Lesions)
Any damage to tissue structure or function; an abnormal change in body tissue caused by disease or injury. A scar is a lesion, as is cancer, a stomach ulcer or a pimple.

Lymph Nodes (Axillary Nodes, Inguinal Nodes, Lymph Gland, Lymph Glands, Lymph Node, Lymphatic)
Small, bean-shaped nodes at various points throughout the body that function to filter the lymph fluid and attempt to destroy the microorganisms and abnormal cells which collect there. The most common locations are the neck (both sides and front), armpit (axillary) and groin (inguinal), but also under the jaw and behind the ears. Swollen or painful lymph nodes generally result from localized or systemic infection, abscess formation, or malignancy. Other causes of enlarged lymph nodes are extremely rare. Physical examination for lymph nodes includes pressing on them to check for size, texture, warmth, tenderness and mobility. Most lymph nodes can not be felt until they become swollen, and then will only be tender when pressed or massaged. A lymph node that is painful even without touching indicates greater swelling. Lymph nodes can usually be distinguished from other growths because they generally feel small, smooth, round or oval-shaped and somewhat mobile when attempts are made to push them sideways. Because less fat covers the lymph nodes in children, they are easier to feel, even when they are not busy filtering germs or making antibodies. Childrens' nodes enlarge faster, get bigger in response to an infection and stay swollen longer than an adult's. Also known (incorrectly) as lymph glands.

Metabolism (Metabolic, Metabolize, Metabolizes, Metabolizing)
The chemical processes of living cells in which energy is produced in order to replace and repair tissues and maintain a healthy body. Responsible for the production of energy, biosynthesis of important substances, and degradation of various compounds. Also defined as the sum total of changes in an organism in order to achieve a balance (homeostasis): Catabolic burns up, anabolic stores and builds up; the sum of their work is metabolism.

Mole (Moles, Nevi, Nevus)
Known more accurately as a "nevus", a mole is a lesion of the skin that may be present from birth, but which most often appears later in life. By three years of age, 40% of children will have at least one nevus. Some varieties are hereditary and most have color. A common nevus in light-skinned people is typically small, round, tan or brown, with a smooth border, and exactly the same throughout. Other types may be very large, or have irregular borders. There are dozens of different types, with many shapes, colors and sizes. While most are benign, malignant changes can occur to turn the benign nevus into a melanoma.

Nipple (Areola, Nipples, Subareolar)
The small projection near the center of the breast containing the outlets of the milk ducts, OR the corresponding projection of the male breast. The areola is the darker tissue that encircles the nipple. Subareolar describes the location beneath the surface of the areola.

Polyp (Polyps)
A usually nonmalignant growth or tumor protruding from the mucous lining of an organ such as the nose, bladder or intestine, often causing obstruction.

Psoriasis
An inherited skin disorder in which there are red patches with thick, dry silvery scales. It is caused by the body making too-many skin cells. Sores may be anywhere on the body but are more common on the arms, scalp, ears, and the pubic area. A swelling of small joints may go along with the skin disease.

Seborrhea (Seborrheic)
Skin disease characterized by dry or moist, greasy, yellow crusts or scales. A disorder of the sebaceous glands, with changes in the amount and quality of the oils secreted. Although it can occur in any part of the body, seborrhea of the scalp (dandruff) is most common.

Seborrheic Keratoses
Seborrheic keratoses are raised growths on the skin. Seborrheic means greasy and keratosis means thickening of the skin. There may be just one or clusters of dozens. They usually start off light tan in color and then may darken to dark brown or nearly black. They may be oval spots a fraction of an inch across, or form long Christmas tree-like patterns on the torso that are inches long.

The consistent feature of seborrheic keratoses is their waxy, pasted-on or stuck-on look. The look is often compared to brown candle wax that was dropped onto the skin.

Telangiectasia
Small, unsightly red, purple or blue blood vessels found along the surface on the face, upper chest, neck and rarely on other parts of the body. Similar veins are found on the legs but called spider veins.





























 

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