Constitution Form

Q1. YOUR GENERAL APPEARENCEPleasing Appearance/LookCalm(Not Bewildered/Not Confused Look)Normal/Can't Specify

Q2. YOUR BODY SIZE Medium SizeThin or SlimWell Built(Proportational Body Structure

Q3. BODY STRENGTHLessMedium StrengthFirm or Strong

Q4. CHARACTERISTICS OF CHESTNormal SizeBroad Well FormedThin or Small

Q5. APPEARANCE OF VEINS AND TENDONS ?Very ProminentLess ProminentNot Prominent

Q6. CHARACTERISTICS OF JOINTS ? Emits Cracking Sounds when movesSoft & Flabby JointsWell-Knit & Fleshy

Q7. YOUR SKIN COLOUR / COMPLEXION ?Greyish BlackPale YellowColor Of Lotus/Gold

Q8. YOUR SKIN NATURE ? Rough & DryCracked / WrinkledOily

Q9. YOUR BODY IS Hot To Touch/Raised Body TemperatureCold To Touch /Lower Body Temperature

Q10. YOUR BODY ODOUR AS EXPERIENCED BY OTHERSNormal OdourSlight Body OdourUnpleasent Body Odour

Q11. NATURE OF YOUR HAIR ? Oily In NatureFirm,Thick/BrushyDeep black in colourBrown/copper in colourRough in touch

Q12. NATURE OF HAIR GROWTH Tendency for early baldness is seenTendency for early greying is foundInterwined / Curled in natureScanty / Thin hairEasily breaking hair

Q13. NATURE OF NAILS ? Rough / hard / smallBrownish yellowSmooth and shining

Q14. CHARACTERISTICS OF FOREHEAD ?NarrowMedium or NormalBroad

Q15. NATURE / COLOUR OF LIPS ? RoughPink / ReddishCannot specify

Q16. COLOUR / NATURE OF EYES ? Grayish in colourYellow in colourWhite / red tint at cornersEYES BECOME RED due to heat/sun /anger/ alchoholWhite / red tint at corners

Q17. SHAPE OF YOUR EYESSmall / RoundDull / Gloomy eyesWide long and clearUnsteady or RollingWith Thin and short / less EYE-BROWS

Q18. NATURE OF TEETH AND GUMS...? Rough or brokenRegular and well formedYellowish teethWhitish teeth

Q19. NATURE OF SPEECH AND VOICE....? Low /feeble /interrupted speech / broken voiceMeasured conversationTalkative/ tendency to contradict / argueVoice is clear and resonantTalkative/ tendency to contradict / argueVoice is harsh and hollow

Q20. NATURE OF WALKING....? Unsteady / Habit of wanderingQuick / light footedWalk with heavy measured stepsWalking slowly

Q21. PERSPIRATION.....? Sweats profuselyLess perspiration

Q22. NATURE OF HUNGER....? Irregular hungerToo much hungerLess appetite / thirstNormal

Q23. TASTE PREFERENCE SweetSourSaltishPungentBitterAstringent

Q24. TEMPERATURE PREFERENCE Unable to tolerate heatUnable to tolerate coldLike to have hot food and drinksLike to have cold food and drinksCannot specify

Q25. EXCRETORY HABITS....? Hard and constipated bowelsLoosePassing large amount of Urine / FeacesPassing less amount of UrineNormal

Q26. NATURE OF SLEEP...? Sleeps with eyes half openDisturbed, or habit of grinding teethDeep sleepModerate sleepLess Sleep

Q27. WHAT ABOUT YOUR DREAMS ? With dreams of Travelling, Flying, Wind etc.With dreams of lightining,lustrous objects,flameWith dreams of Lakes, Birds,Flora etc.With dreams of animals and birds

Q28. DO YOU Have Long handFound many marks / moles / pimples on bodyGrind your teethWalk / Work / read/ eat very fastMove your legs/hands/eye lids/head,unnecessarily

Q29. PSYCHOLOGICAL STATUSMoods change oftenHaving good endurance/tolerancChanging friends often / fallow relation shipsHaving permanent relationshipsLiberal minded towards favourite / who appease

Q30. GRASPING POWER..& ACTION ..? Slow graspingQuick graspingQuick actionSlow action

Q31. MEMORY POWER.....?GoodModerateBad

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