Ayurvedic Questionnaire
Dr. Marc Halpern, D.C., C.A.S., P.K.S.
While it is always most accurate to be
fully evaluated by a trained Ayurvedic practitioner filling out the
following questionnaire can give you insight into the balances of
energies unique to your body.
As you fill out the following
questionnaire, give yourself two points if a statement is clearly true
for you. Give yourself one point is it is somewhat true. Give yourself
no points if it is clearly not true.
Add up the total number of points for
Vata,
Pitta, and
Kapha. This will give you the relative dominance of
each of the forces in your constitution. You may not necessarily be
dominant in one type but may be a unique blend of the three.
Vata Questions
1. I am thin and my body build is
"slight."
2. I have a difficult time gaining weight or I am like a yo-yo going up
and down.
3. My skin tends to be dry.
4. I feel cold often compared to others and I do not sweat very easily.
5. My complexion is dull gray or dusty.
6. When my digestion is not normal I tend toward
constipation.
7. The shape of my face and jaw line is long and narrow.
8. When I am healthy I have a lot of energy and enthusiasm but focusing
can be difficult.
9. I am prone to feeling nervous or anxious.
10. I tend to be a light sleeper and often suffer from
insomnia.
Pitta Questions
1. I am of moderate weight and my build
is moderate with good muscle tone.
2. My weight is steady and fluctuations are small.
3. My skin tends to be oily.
4. I often feel warm and sweat easily.
5. My complexion is rosy.
6. My digestion is not normal I tend toward
diarrhea or burning
digestion.
7. The shape of my face and jaw like is angular.
8. When I am healthy I have a lot of energy and I am very focused.
9. I am prone to feeling irritated, angry and resentful.
10. I sleep well and wake up easily. I may be awoken by dreams.
Kapha Questions
1. I am of "stocky" body build and I
often carry some extra weight.
2. It is difficult to lose weight.
3. My skin tends to be oily.
4. I often feel cold and sweat easily.
5. My complexion is pale.
6. My digestion is generally good though I may occasionally have some
constipation.
7. The shape of my face is round.
8. When healthy I move slowly and have a lot of endurance.
9. I am prone to feeling lethargic and depressed.
10. I sleep deeply and sometimes have a difficult time waking up.
Dr. Marc Halpern is the founder and
director of the California College of Ayurveda located in Nevada City,
California. He is a nationally known lecturer on the subjects of
Ayurveda and Yoga and has written numerous articles in newspapers and
magazines.
vata
Pitta
kapha
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