Ayur-vedic Medicine Psycho-Physiological Constitution Questionnaire

Copyright © 1993, Gayathri Shanbhag, M.S. (Nutrition-93) Vivek Shanbhag, M.D.(Ayur-Veda), N.D.

Read each question carefully and select one of the choices.

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Page 1

1. My physique is thin - I don't gain weight easily.
2. I am quick and active.
3. My skin is usually dry, more so in winter.
4. My hands and feet are usually cold.
5. My energy fluctuates and comes in bursts.
6. I usually develop gas or constipation.
7. Usually, I have difficulty falling asleep, or having a sound nights sleep.
8. I am uncomfortable in cold weather.
9. My nature is lively and enthusiastic.
10. I have difficulty in memorizing things and remembering them later.
11. It is easily for me to learn new things quickly, but I also forget quickly.
12. I am not good at making decisions.
13. I am anxious or worrisome by nature.
14. People think that I am talkative and that I talk quickly.
15. I am usually emotional by nature and my moods fluctuate.
16. My mind is restless, but also imaginative.
17. I am irregular in my eating and sleeping.

Page 2

1. I don't tolerate hot weather.
2. I sweat easily.
3. I can't tolerate delaying or skipping a meal.
4. My hair is fine, straight, light, blond, red, graying early or balding thin.
5. My appetite is very good and I can eat big meals.
6. My bowel movements are regular. Occasionally I might have loose stool but less constipation.
7. I like cold drinks and foods like ice cream.
8. I often feel that a room is hot.
9. Spciy, hot foods make me uncomfortable.
10. I consider myself efficient.
11. I try to be organized and accurate.
12. I have a strong will and my friends think I am stubborn.
13. I am impatient by nature.
14. I tend to become irritable or angry quite easily.
15. I try to be meticulous and am a perfectionist by nature.
16. Things make me angry easily, but I can also forget it quickly.
17. Usually I am critical of myself and others.

Page 3

1. When compared to others it is easily for me to gain weight but difficult to lose it.
2. Skipping meals is easy for me and does not cause any problems.
3. I tend to have more congestion, mucus, or sinus problems.
4. My sleep is very sound and heavy.
5. I have thick, oily, dark and wavy hair.
6. My skin is smooth and soft with almost pale complexion.
7. My body frame is large and solid with heavy bone stucture.
8. My digestion is slow, so I feel heavy after eating.
9. I have a study energy level with good endurance and strong stamina.
10. Cool and damp weather makes me uncomfortable.
11. In my activity I tend to be slow, methodical and relaxed.
12. I need to sleep a minimum of eight hours to feel well the next morning.
13. By nature I am calmed and composed. I don't get angry easily.
14. I am not quick at learning, but I am good at memorizing things and remembering them later.
15. Many people consider me affectionate, forgiving and peaceful.
16. Usually I oversleep and have difficulty waking up the next morning.
17. I am very reluctant to take on new responsibilities.

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