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Constitution Form
Q1. YOUR GENERAL APPEARENCE Pleasing Appearance/Look Calm(Not Bewildered/Not Confused Look) Normal/Can't Specify
Q2. YOUR BODY SIZE Medium Size Thin or Slim Well Built(Proportational Body Structure
Q3. BODY STRENGTH Less Medium Strength Firm or Strong
Q4. CHARACTERISTICS OF CHEST Normal Size Broad & Well Formed Thin or Small
Q5. APPEARANCE OF VEINS AND TENDONS ? Very Prominent Less Prominent Not Prominent
Q6. CHARACTERISTICS OF JOINTS ? Emits Cracking Sounds when moves Soft & Flabby Joints Well-Knit & Fleshy
Q7. YOUR SKIN COLOUR / COMPLEXION ? Greyish Black Pale Yellow Color Of Lotus/Gold
Q8. YOUR SKIN NATURE ? Rough & Dry Cracked / Wrinkled Oily
Q9. YOUR BODY IS Hot To Touch/Raised Body Temperature Cold To Touch /Lower Body Temperature
Q10. YOUR BODY ODOUR AS EXPERIENCED BY OTHERS Normal Odour Slight Body Odour Unpleasent Body Odour
Q11. NATURE OF YOUR HAIR ? Oily In Nature Firm,Thick/Brushy Deep black in colour Brown/copper in colour Rough in touch
Q12. NATURE OF HAIR GROWTH Tendency for early baldness is seen Tendency for early greying is found Interwined / Curled in nature Scanty / Thin hair Easily breaking hair
Q13. NATURE OF NAILS ? Rough / hard / small Brownish yellow Smooth and shining
Q14. CHARACTERISTICS OF FOREHEAD ? Narrow Medium or Normal Broad
Q15. NATURE / COLOUR OF LIPS ? Rough Pink / Reddish Cannot specify
Q16. COLOUR / NATURE OF EYES ? Grayish in colour Yellow in colour White / red tint at corners EYES BECOME RED due to heat/sun /anger/ alchohol White / red tint at corners
Q17. SHAPE OF YOUR EYES Small / Round Dull / Gloomy eyes Wide long and clear Unsteady or Rolling With Thin and short / less EYE-BROWS
Q18. NATURE OF TEETH AND GUMS...? Rough or broken Regular and well formed Yellowish teeth Whitish teeth
Q19. NATURE OF SPEECH AND VOICE....? Low /feeble /interrupted speech / broken voice Measured conversation Talkative/ tendency to contradict / argue Voice is clear and resonant Talkative/ tendency to contradict / argue Voice is clear and resonant
Q20. NATURE OF WALKING....? Unsteady / Habit of wandering Quick / light footed Walk with heavy measured steps Walking slowly
Q21. PERSPIRATION.....? Sweats profusely Less perspiration
Q22. NATURE OF HUNGER....? Irregular hunger Too much hunger Less appetite / thirst Normal
Q23. TASTE PREFERENCE Sweet Sour Saltish Pungent Bitter Astringent
Q24. TEMPERATURE PREFERENCE Unable to tolerate heat Unable to tolerate cold Like to have hot food and drinks Like to have cold food and drinks Cannot specify
Q25. EXCRETORY HABITS....? Hard and constipated bowels Loose Passing large amount of Urine / Feaces Passing less amount of Urine Normal
Q26. NATURE OF SLEEP...? Sleeps with eyes half open Disturbed, or habit of grinding teeth Deep sleep Moderate sleep Less Sleep
Q27. WHAT ABOUT YOUR DREAMS ? With dreams of Travelling, Flying, Wind etc. With dreams of lightining,lustrous objects,flame With dreams of Lakes, Birds, Flora etc. With dreams of animals and birds
Q28. DO YOU Have Long hand Found many marks / moles / pimples on body Grind your teeth Walk / Work / read/ eat very fast Move your legs/hands/eye lids/head,unnecessarily
Q29. PSYCHOLOGICAL STATUS Moods change often Having good endurance/ toleranc Changing friends often / fallow relation ships Having permanent relationships Liberal minded towards favourite / who appease
Q30. GRASPING POWER..& ACTION ..? Slow grasping Quick grasping Quick action Slow action
Q31. MEMORY POWER.....? Good Moderate Bad
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