Questionnaire 1 – Vata
1. My body frame is light with prominent joints
2. I lose weight easily and find it hard to put it back
on
3. My skin complexion is dull and varies in colour
4. I don’t have a lot of hair and it is dry and wavy
5. My circulation is poor and I often have cold hands
and feet
6. I prefer warm climates and sweat little
7. My appetite varies and I like warm food
8. I find it hard to fall asleep but have many dreams
when I do
9. I tend to have gas and constipation
10. I move quickly and try to do many things at once
11. I tend to be chatty and speak quickly
12. I have a good imagination but become distracted
easily
13. I learn new things quickly but forget them easily
14. I tend to be nervy and worry about things
15. I find it hard to concentrate
VATA SCORE ______ |
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
|
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2 |
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3 |
|
Questionnaire 2 – Pitta
1. I have a medium size frame that is moderately
developed
2. My weight is stable
3. My skin colour is yellowy, red or pink and warm in
relation to other people of my race
4. My hair is thin, fine and light coloured in relation
to other people of my race
5. My circulation is good and I generally feel warm
6. I enjoy cool climates and sweat profusely
7. I have a strong appetite and I like cool foods
8. I sleep well but not for long
9. I have regular bowel movements with a tendency to
loose stools
10. I move calmly and am very focused
11. I am articulate, speaking clearly and precisely
12. I am able to focus easily and carry out plans fully
13. I learn quickly and have good mental retaining
capacity
14. I become angry easily and can be critical
15. I have an intelligent and stable mind
PITTA SCORE ______ |
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
|
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2 |
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3 |
Questionnaire 3 – Kapha
1. I have a large and solid frame
2. I am heavy and gain weight easily
3. My skin is pale, smooth and soft
4. My hair is thick, soft and wavy
5. My circulation is slow and I tend to feel cool
6. I prefer warm climates and sweat moderately
7. I have low appetite and prefer warm food
8. I sleep deeply and enjoy sleeping for long periods
but often feel lethargic when waking
9. I have slow bowel movements with solid and well
formed stools
10. I move calmly and steadily
11. I speak slowly and methodically
12. I am slow to get started but have good mental
stamina
13. I take time to learn but have good long term memory
capacity
14. I can be possessive
15. I tend to be calm and content
KAPHA SCORE ______
FINAL SCORE: VATA ______PITTA
______KAPHA ______ |
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
|
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2 |
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3 |
