The Frequency of Tattoos and Tattoo Complications
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For each question, please circle your response or write your response on the line. If you provide an “other” response, please specify. If you cannot remember an exact number, write your best estimate.
I. Demographics and background information
1 What is your gender? Male
Female
2 How old are you? years 3 What state do you reside in? (specify)
4 What is your race/ethnicity?
(Circle more than one if applicable)
African American/Black Asian/Pacific Islander Hispanic/Latino Native American White/Caucasian
5 How many total tattoos do you currently have? (specify number) 6 How many tattoo sessions have you had? (specify number) 7 How old were you when you got your first
tattoo? years
8 Are you considering getting a new tattoo within the next 12 months?
Yes No
II. Tattoo knowledge among types of professionals
9. For each category below, please indicate to what extent you believe the typical professional is knowledgeable about the infectious and allergic complications of tattoos. Possible responses range from very knowledgeable to not at all knowledgeable. If you are unsure how
knowledgeable the typical professional is, please mark “unsure.”
Very
knowledgeable Knowledgeable Not knowledgeable
Not at all
knowledgeable Unsure
Tattoo artist 4 3 2 1 X Primary
care/family
doctor 4 3 2 1 X
Dermatologist 4 3 2 1 X
Pharmacist 4 3 2 1 X
The Frequency of Tattoos and Tattoo Complications
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III. Tattoo regret
10 Have you ever attempted to remove a tattoo? Yes (go to question 11) No (go to question 12)
11 What methods have you used in your attempt to remove a tattoo? (Circle all that apply)
Laser
New tattoo over old tattoo Tattoo removal cream
Other (specify) 12 Do you regret any of your current tattoos? Yes
No 13 If you could have one or more of your current
tattoos removed for free, would you?
Yes No
IV. Tattoo complications
For the next questions, please think about all the tattoos you have ever had, even those you may have removed.
14 Have any of your tattoos ever become infected? Yes No 15 More than a month after you received them, have
any of your tattoos itched?
Yes No 16 More than a month after you received them, have
any of your tattoos hurt?
Yes No 17
Have any of your tattoos been done anywhere besides a tattoo parlor, such as at a party or in prison?
Yes No 18 Have you ever been intoxicated (drunk and/or
high) when you received a tattoo?
Yes No