Choose which statement best describes you.
Frame I am thin, lanky and slender with prominent joints and thin muscles.I have a medium,symmetrical build with good muscle development.I have a large, round or stocky build. My frame is broad, stout or thick.
Weight LOW; I may forget to eat or have a tendency to lose weight.MODERATE; it is easy for me to gain or lose weight if I put my mind to it.HEAVY; I gain weight easily and have difficulty losing it.
Eyes My eyes are small & active.I have a penetrating gaze.I have large pleasant eyes.
Complexion My skin is dry, rough or thin.My skin is warm, reddish in color and prone to irritation.My skin is thick, moist and smooth.
Hair My hair is dry, brittle or frizzy.My hair is fine with a tendency towards early thinning or graying.I have abundant, thick and oily hair.
Joints My joints are thin and prominent and have a tendency to crack.My joints are lose and flexible.My joints are large, well knit and padded.
Sleep Pattern I am a light sleeper with a tendency to awaken easily.I am a moderately sound sleeper, usually needing less than eight hours to feel rested.My sleep is deep and long. I tend to awaken slowly in the morning.
Body Temperature My hands and feet are usually cold and I prefer warm environments.I am usually warm, regardless of the season, & prefer cooler environments.I am adaptable to most temperatures but do not like cold, wet days.
Temperament I am lively and enthusiastic by nature. I like to change.I am purposeful and intense. I like to convince.I am easy going and accepting. I like to support.
Under Stress... I become anxious and/or worried.I become irritable and/or aggressive.I become withdrawn and/or reclusive.
Using the following scale, indicate how well each statement applies to your life experiences over the past thirty to sixty days .
I’ve been feeling worried or anxious.
1 - Not at All2345 - Very
I’ve been having difficulty falling asleep or have been awakening easily.
I’ve been feeling restless if I’m not constantly on the move.
I’ve been acting impulsively or inconsistently.
I’ve been more forgetful than usual.
My daily schedule of eating meals, going to sleep or awakening has been inconsistent from day to day.
My digestion is irregular with gas or bloating.
My bowel movements have been hard, dry or occurring less than once per day.
My skin has been dry or flaky.
I’ve been having a number of physical concerns.
I’ve been feeling irritable or impatient.
I’ve been feeling critical and intolerant.
I’ve been feeling compulsive, with difficulty stopping once I’ve started a project.
I’ve been strongly opinionated freely sharing my point of view without being asked.
I’ve been easily frustrated by other people’s incompetence.
My skin has felt hot and irritable, or has been breaking out easily.
Spicy foods, while I might enjoy them, have not been agreeing with me.
I’ve been having acid indigestion or heartburn.
I’ve been feeling overheated, have had a low grade fever, or have been having hot flashes.
My bowels have been loose or moving more than twice per day.
I’ve been dealing with conflict by withdrawing.
I’ve been accumulating clutter in my life.
I’ve been maintaining my routine and feeling resistant to changing my pace.
I’ve been having difficulty leaving a relationship, job, or situation even though it is no longer nourishing me.
I’ve been spending more time watching than participating in athletic activity.
I’ve been holding onto extra pounds.
I’ve been having difficulty getting going in the morning.
My digestion has been slow or I’ve been feeling heavy after meals.
I’ve had sinus congestion or excessive phlegm in my respiratory tract.
I’ve been feeling drowsy or sluggish after meals.
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