Prakriti Chart

Please complete the prakriti form and submit prior to our consultation:

Note: If the form does not go to the next page when you click NEXT, please scroll up to ensure you’ve completed all answers.

Prakrti Chart

Step 1 of 3

Name *

First

Last

Email *

I. VATA Characteristics

(VATA Characteristics) 0-applies least - 6 applies most *

	0	1	2	3	4	5	6
My stature is shorter or taller than average	0My stature is shorter or taller than average 0	1My stature is shorter or taller than average 1	2My stature is shorter or taller than average 2	3My stature is shorter or taller than average 3	4My stature is shorter or taller than average 4	5My stature is shorter or taller than average 5	6My stature is shorter or taller than average 6
My body is unusually proportioned	0My body is unusually proportioned 0	1My body is unusually proportioned 1	2My body is unusually proportioned 2	3My body is unusually proportioned 3	4My body is unusually proportioned 4	5My body is unusually proportioned 5	6My body is unusually proportioned 6
My body is slender and small-boned for my height	0My body is slender and small-boned for my height 0	1My body is slender and small-boned for my height 1	2My body is slender and small-boned for my height 2	3My body is slender and small-boned for my height 3	4My body is slender and small-boned for my height 4	5My body is slender and small-boned for my height 5	6My body is slender and small-boned for my height 6
My musculature tends to be hard, thin, or wiry	0My musculature tends to be hard, thin, or wiry 0	1My musculature tends to be hard, thin, or wiry 1	2My musculature tends to be hard, thin, or wiry 2	3My musculature tends to be hard, thin, or wiry 3	4My musculature tends to be hard, thin, or wiry 4	5My musculature tends to be hard, thin, or wiry 5	6My musculature tends to be hard, thin, or wiry 6
I find it difficult to gain weight	0I find it difficult to gain weight 0	1I find it difficult to gain weight 1	2I find it difficult to gain weight 2	3I find it difficult to gain weight 3	4I find it difficult to gain weight 4	5I find it difficult to gain weight 5	6I find it difficult to gain weight 6
My body’s secondary sexual characteristics are not markedly developed	0My body’s secondary sexual characteristics are not markedly developed 0	1My body’s secondary sexual characteristics are not markedly developed 1	2My body’s secondary sexual characteristics are not markedly developed 2	3My body’s secondary sexual characteristics are not markedly developed 3	4My body’s secondary sexual characteristics are not markedly developed 4	5My body’s secondary sexual characteristics are not markedly developed 5	6My body’s secondary sexual characteristics are not markedly developed 6
My complexion is dark relative to my ancestral group	0My complexion is dark relative to my ancestral group 0	1My complexion is dark relative to my ancestral group 1	2My complexion is dark relative to my ancestral group 2	3My complexion is dark relative to my ancestral group 3	4My complexion is dark relative to my ancestral group 4	5My complexion is dark relative to my ancestral group 5	6My complexion is dark relative to my ancestral group 6
My facial features are irregular or very refined	0My facial features are irregular or very refined 0	1My facial features are irregular or very refined 1	2My facial features are irregular or very refined 2	3My facial features are irregular or very refined 3	4My facial features are irregular or very refined 4	5My facial features are irregular or very refined 5	6My facial features are irregular or very refined 6
My hair is rough, breaks easily, or is very curly	0My hair is rough, breaks easily, or is very curly 0	1My hair is rough, breaks easily, or is very curly 1	2My hair is rough, breaks easily, or is very curly 2	3My hair is rough, breaks easily, or is very curly 3	4My hair is rough, breaks easily, or is very curly 4	5My hair is rough, breaks easily, or is very curly 5	6My hair is rough, breaks easily, or is very curly 6
My skin tends to be dry, and I don’t perspire easily	0My skin tends to be dry, and I don’t perspire easily 0	1My skin tends to be dry, and I don’t perspire easily 1	2My skin tends to be dry, and I don’t perspire easily 2	3My skin tends to be dry, and I don’t perspire easily 3	4My skin tends to be dry, and I don’t perspire easily 4	5My skin tends to be dry, and I don’t perspire easily 5	6My skin tends to be dry, and I don’t perspire easily 6
I have a lot of nervous energy and often fidget when sitting	0I have a lot of nervous energy and often fidget when sitting 0	1I have a lot of nervous energy and often fidget when sitting 1	2I have a lot of nervous energy and often fidget when sitting 2	3I have a lot of nervous energy and often fidget when sitting 3	4I have a lot of nervous energy and often fidget when sitting 4	5I have a lot of nervous energy and often fidget when sitting 5	6I have a lot of nervous energy and often fidget when sitting 6
My joints often crack when I move	0My joints often crack when I move 0	1My joints often crack when I move 1	2My joints often crack when I move 2	3My joints often crack when I move 3	4My joints often crack when I move 4	5My joints often crack when I move 5	6My joints often crack when I move 6
I tend to move, talk, and eat quickly	0I tend to move, talk, and eat quickly 0	1I tend to move, talk, and eat quickly 1	2I tend to move, talk, and eat quickly 2	3I tend to move, talk, and eat quickly 3	4I tend to move, talk, and eat quickly 4	5I tend to move, talk, and eat quickly 5	6I tend to move, talk, and eat quickly 6
I have trouble being on time	0I have trouble being on time 0	1I have trouble being on time 1	2I have trouble being on time 2	3I have trouble being on time 3	4I have trouble being on time 4	5I have trouble being on time 5	6I have trouble being on time 6
I dislike windy, cold, and dry climates	0I dislike windy, cold, and dry climates 0	1I dislike windy, cold, and dry climates 1	2I dislike windy, cold, and dry climates 2	3I dislike windy, cold, and dry climates 3	4I dislike windy, cold, and dry climates 4	5I dislike windy, cold, and dry climates 5	6I dislike windy, cold, and dry climates 6
I often feel chilly	0I often feel chilly 0	1I often feel chilly 1	2I often feel chilly 2	3I often feel chilly 3	4I often feel chilly 4	5I often feel chilly 5	6I often feel chilly 6
My energy level fluctuates	0My energy level fluctuates 0	1My energy level fluctuates 1	2My energy level fluctuates 2	3My energy level fluctuates 3	4My energy level fluctuates 4	5My energy level fluctuates 5	6My energy level fluctuates 6
My appetite is irregular and my elimination tends to constipation	0My appetite is irregular and my elimination tends to constipation 0	1My appetite is irregular and my elimination tends to constipation 1	2My appetite is irregular and my elimination tends to constipation 2	3My appetite is irregular and my elimination tends to constipation 3	4My appetite is irregular and my elimination tends to constipation 4	5My appetite is irregular and my elimination tends to constipation 5	6My appetite is irregular and my elimination tends to constipation 6
I am attracted to sweet foods	0I am attracted to sweet foods 0	1I am attracted to sweet foods 1	2I am attracted to sweet foods 2	3I am attracted to sweet foods 3	4I am attracted to sweet foods 4	5I am attracted to sweet foods 5	6I am attracted to sweet foods 6
I prefer warm, soupy meals	0I prefer warm, soupy meals 0	1I prefer warm, soupy meals 1	2I prefer warm, soupy meals 2	3I prefer warm, soupy meals 3	4I prefer warm, soupy meals 4	5I prefer warm, soupy meals 5	6I prefer warm, soupy meals 6
I like rich creamy foods with flavorful sauces	0I like rich creamy foods with flavorful sauces 0	1I like rich creamy foods with flavorful sauces 1	2I like rich creamy foods with flavorful sauces 2	3I like rich creamy foods with flavorful sauces 3	4I like rich creamy foods with flavorful sauces 4	5I like rich creamy foods with flavorful sauces 5	6I like rich creamy foods with flavorful sauces 6
I like dairy products, butte or gheer, nut butters, and healthy oils	0I like dairy products, butte or gheer, nut butters, and healthy oils 0	1I like dairy products, butte or gheer, nut butters, and healthy oils 1	2I like dairy products, butte or gheer, nut butters, and healthy oils 2	3I like dairy products, butte or gheer, nut butters, and healthy oils 3	4I like dairy products, butte or gheer, nut butters, and healthy oils 4	5I like dairy products, butte or gheer, nut butters, and healthy oils 5	6I like dairy products, butte or gheer, nut butters, and healthy oils 6
I like salty and sour tastes	0I like salty and sour tastes 0	1I like salty and sour tastes 1	2I like salty and sour tastes 2	3I like salty and sour tastes 3	4I like salty and sour tastes 4	5I like salty and sour tastes 5	6I like salty and sour tastes 6
Left to myself, I tend to snack and graze rather than taking the time to prepare a meal	0Left to myself, I tend to snack and graze rather than taking the time to prepare a meal 0	1Left to myself, I tend to snack and graze rather than taking the time to prepare a meal 1	2Left to myself, I tend to snack and graze rather than taking the time to prepare a meal 2	3Left to myself, I tend to snack and graze rather than taking the time to prepare a meal 3	4Left to myself, I tend to snack and graze rather than taking the time to prepare a meal 4	5Left to myself, I tend to snack and graze rather than taking the time to prepare a meal 5	6Left to myself, I tend to snack and graze rather than taking the time to prepare a meal 6
My sleep patterns are often disturbed or irregular	0My sleep patterns are often disturbed or irregular 0	1My sleep patterns are often disturbed or irregular 1	2My sleep patterns are often disturbed or irregular 2	3My sleep patterns are often disturbed or irregular 3	4My sleep patterns are often disturbed or irregular 4	5My sleep patterns are often disturbed or irregular 5	6My sleep patterns are often disturbed or irregular 6
I dream of levitation, flying, floating, or fleeing helplessly	0I dream of levitation, flying, floating, or fleeing helplessly 0	1I dream of levitation, flying, floating, or fleeing helplessly 1	2I dream of levitation, flying, floating, or fleeing helplessly 2	3I dream of levitation, flying, floating, or fleeing helplessly 3	4I dream of levitation, flying, floating, or fleeing helplessly 4	5I dream of levitation, flying, floating, or fleeing helplessly 5	6I dream of levitation, flying, floating, or fleeing helplessly 6
I have many interests, and am often easily distracted	0I have many interests, and am often easily distracted 0	1I have many interests, and am often easily distracted 1	2I have many interests, and am often easily distracted 2	3I have many interests, and am often easily distracted 3	4I have many interests, and am often easily distracted 4	5I have many interests, and am often easily distracted 5	6I have many interests, and am often easily distracted 6
I can work quickly, but often have difficulty completing tasks	0I can work quickly, but often have difficulty completing tasks 0	1I can work quickly, but often have difficulty completing tasks 1	2I can work quickly, but often have difficulty completing tasks 2	3I can work quickly, but often have difficulty completing tasks 3	4I can work quickly, but often have difficulty completing tasks 4	5I can work quickly, but often have difficulty completing tasks 5	6I can work quickly, but often have difficulty completing tasks 6
I understand theoretical things quickly, but my memory is not the best	0I understand theoretical things quickly, but my memory is not the best 0	1I understand theoretical things quickly, but my memory is not the best 1	2I understand theoretical things quickly, but my memory is not the best 2	3I understand theoretical things quickly, but my memory is not the best 3	4I understand theoretical things quickly, but my memory is not the best 4	5I understand theoretical things quickly, but my memory is not the best 5	6I understand theoretical things quickly, but my memory is not the best 6
I am enthusiastic and vivacious	0I am enthusiastic and vivacious 0	1I am enthusiastic and vivacious 1	2I am enthusiastic and vivacious 2	3I am enthusiastic and vivacious 3	4I am enthusiastic and vivacious 4	5I am enthusiastic and vivacious 5	6I am enthusiastic and vivacious 6
I sometimes feel shy or lacking confidence in social situations	0I sometimes feel shy or lacking confidence in social situations 0	1I sometimes feel shy or lacking confidence in social situations 1	2I sometimes feel shy or lacking confidence in social situations 2	3I sometimes feel shy or lacking confidence in social situations 3	4I sometimes feel shy or lacking confidence in social situations 4	5I sometimes feel shy or lacking confidence in social situations 5	6I sometimes feel shy or lacking confidence in social situations 6
I am empathic, sensitive, and seek emotional intimacy	0I am empathic, sensitive, and seek emotional intimacy 0	1I am empathic, sensitive, and seek emotional intimacy 1	2I am empathic, sensitive, and seek emotional intimacy 2	3I am empathic, sensitive, and seek emotional intimacy 3	4I am empathic, sensitive, and seek emotional intimacy 4	5I am empathic, sensitive, and seek emotional intimacy 5	6I am empathic, sensitive, and seek emotional intimacy 6
When emotionally imbalanced, I tend to worry; or feel anxious, nervous, fearful, or insecure	0When emotionally imbalanced, I tend to worry; or feel anxious, nervous, fearful, or insecure 0	1When emotionally imbalanced, I tend to worry; or feel anxious, nervous, fearful, or insecure 1	2When emotionally imbalanced, I tend to worry; or feel anxious, nervous, fearful, or insecure 2	3When emotionally imbalanced, I tend to worry; or feel anxious, nervous, fearful, or insecure 3	4When emotionally imbalanced, I tend to worry; or feel anxious, nervous, fearful, or insecure 4	5When emotionally imbalanced, I tend to worry; or feel anxious, nervous, fearful, or insecure 5	6When emotionally imbalanced, I tend to worry; or feel anxious, nervous, fearful, or insecure 6
Among my blood relatives, nervous system and mental/ emotional disorders are common	0Among my blood relatives, nervous system and mental/ emotional disorders are common 0	1Among my blood relatives, nervous system and mental/ emotional disorders are common 1	2Among my blood relatives, nervous system and mental/ emotional disorders are common 2	3Among my blood relatives, nervous system and mental/ emotional disorders are common 3	4Among my blood relatives, nervous system and mental/ emotional disorders are common 4	5Among my blood relatives, nervous system and mental/ emotional disorders are common 5	6Among my blood relatives, nervous system and mental/ emotional disorders are common 6
In difficult situations, I tend to feel overwhelmed	0In difficult situations, I tend to feel overwhelmed 0	1In difficult situations, I tend to feel overwhelmed 1	2In difficult situations, I tend to feel overwhelmed 2	3In difficult situations, I tend to feel overwhelmed 3	4In difficult situations, I tend to feel overwhelmed 4	5In difficult situations, I tend to feel overwhelmed 5	6In difficult situations, I tend to feel overwhelmed 6
I am naturally expressive, and find it difficult to hide my emotions	0I am naturally expressive, and find it difficult to hide my emotions 0	1I am naturally expressive, and find it difficult to hide my emotions 1	2I am naturally expressive, and find it difficult to hide my emotions 2	3I am naturally expressive, and find it difficult to hide my emotions 3	4I am naturally expressive, and find it difficult to hide my emotions 4	5I am naturally expressive, and find it difficult to hide my emotions 5	6I am naturally expressive, and find it difficult to hide my emotions 6
I am naturally creative, and like to do artwork, or theater, music, graphic design, creative writing, etc	0I am naturally creative, and like to do artwork, or theater, music, graphic design, creative writing, etc 0	1I am naturally creative, and like to do artwork, or theater, music, graphic design, creative writing, etc 1	2I am naturally creative, and like to do artwork, or theater, music, graphic design, creative writing, etc 2	3I am naturally creative, and like to do artwork, or theater, music, graphic design, creative writing, etc 3	4I am naturally creative, and like to do artwork, or theater, music, graphic design, creative writing, etc 4	5I am naturally creative, and like to do artwork, or theater, music, graphic design, creative writing, etc 5	6I am naturally creative, and like to do artwork, or theater, music, graphic design, creative writing, etc 6
I enjoy movement-related activities: hiking, yoga, skiing, bicycling, dancing, etc.	0I enjoy movement-related activities: hiking, yoga, skiing, bicycling, dancing, etc. 0	1I enjoy movement-related activities: hiking, yoga, skiing, bicycling, dancing, etc. 1	2I enjoy movement-related activities: hiking, yoga, skiing, bicycling, dancing, etc. 2	3I enjoy movement-related activities: hiking, yoga, skiing, bicycling, dancing, etc. 3	4I enjoy movement-related activities: hiking, yoga, skiing, bicycling, dancing, etc. 4	5I enjoy movement-related activities: hiking, yoga, skiing, bicycling, dancing, etc. 5	6I enjoy movement-related activities: hiking, yoga, skiing, bicycling, dancing, etc. 6
I am spiritually and psychically attuned, but less well grounded in the physical world compared to others	0I am spiritually and psychically attuned, but less well grounded in the physical world compared to others 0	1I am spiritually and psychically attuned, but less well grounded in the physical world compared to others 1	2I am spiritually and psychically attuned, but less well grounded in the physical world compared to others 2	3I am spiritually and psychically attuned, but less well grounded in the physical world compared to others 3	4I am spiritually and psychically attuned, but less well grounded in the physical world compared to others 4	5I am spiritually and psychically attuned, but less well grounded in the physical world compared to others 5	6I am spiritually and psychically attuned, but less well grounded in the physical world compared to others 6
Finances are often a challenge for me	0Finances are often a challenge for me 0	1Finances are often a challenge for me 1	2Finances are often a challenge for me 2	3Finances are often a challenge for me 3	4Finances are often a challenge for me 4	5Finances are often a challenge for me 5	6Finances are often a challenge for me 6

Administrative Use Only

Totals

(Total score for each column)

Total VATA Score (Administrative Use)

	0	1	2	3	4	5	6
My stature is medium height with medium build	0My stature is medium height with medium build 0	1My stature is medium height with medium build 1	2My stature is medium height with medium build 2	3My stature is medium height with medium build 3	4My stature is medium height with medium build 4	5My stature is medium height with medium build 5	6My stature is medium height with medium build 6
My skin is soft and warm to the touch, and bruises easily	0My skin is soft and warm to the touch, and bruises easily 0	1My skin is soft and warm to the touch, and bruises easily 1	2My skin is soft and warm to the touch, and bruises easily 2	3My skin is soft and warm to the touch, and bruises easily 3	4My skin is soft and warm to the touch, and bruises easily 4	5My skin is soft and warm to the touch, and bruises easily 5	6My skin is soft and warm to the touch, and bruises easily 6
My skin has reddish, yellowish, or coppery cast, and my hair has reddish tints	0My skin has reddish, yellowish, or coppery cast, and my hair has reddish tints 0	1My skin has reddish, yellowish, or coppery cast, and my hair has reddish tints 1	2My skin has reddish, yellowish, or coppery cast, and my hair has reddish tints 2	3My skin has reddish, yellowish, or coppery cast, and my hair has reddish tints 3	4My skin has reddish, yellowish, or coppery cast, and my hair has reddish tints 4	5My skin has reddish, yellowish, or coppery cast, and my hair has reddish tints 5	6My skin has reddish, yellowish, or coppery cast, and my hair has reddish tints 6
My hair is straight, fine, thin, and tends to be oily	0My hair is straight, fine, thin, and tends to be oily 0	1My hair is straight, fine, thin, and tends to be oily 1	2My hair is straight, fine, thin, and tends to be oily 2	3My hair is straight, fine, thin, and tends to be oily 3	4My hair is straight, fine, thin, and tends to be oily 4	5My hair is straight, fine, thin, and tends to be oily 5	6My hair is straight, fine, thin, and tends to be oily 6
My eyes have an intense expression, and are greenish, hazel, reddish-brown, amber, or gray	0My eyes have an intense expression, and are greenish, hazel, reddish-brown, amber, or gray 0	1My eyes have an intense expression, and are greenish, hazel, reddish-brown, amber, or gray 1	2My eyes have an intense expression, and are greenish, hazel, reddish-brown, amber, or gray 2	3My eyes have an intense expression, and are greenish, hazel, reddish-brown, amber, or gray 3	4My eyes have an intense expression, and are greenish, hazel, reddish-brown, amber, or gray 4	5My eyes have an intense expression, and are greenish, hazel, reddish-brown, amber, or gray 5	6My eyes have an intense expression, and are greenish, hazel, reddish-brown, amber, or gray 6
I have a high metabolism	0I have a high metabolism 0	1I have a high metabolism 1	2I have a high metabolism 2	3I have a high metabolism 3	4I have a high metabolism 4	5I have a high metabolism 5	6I have a high metabolism 6
People who are my blood relatives tend to gray early (before age 40	0People who are my blood relatives tend to gray early (before age 40 0	1People who are my blood relatives tend to gray early (before age 40 1	2People who are my blood relatives tend to gray early (before age 40 2	3People who are my blood relatives tend to gray early (before age 40 3	4People who are my blood relatives tend to gray early (before age 40 4	5People who are my blood relatives tend to gray early (before age 40 5	6People who are my blood relatives tend to gray early (before age 40 6
Among my older blood relatives, hyperacidity, heart disease, and high blood pressure are common.	0Among my older blood relatives, hyperacidity, heart disease, and high blood pressure are common. 0	1Among my older blood relatives, hyperacidity, heart disease, and high blood pressure are common. 1	2Among my older blood relatives, hyperacidity, heart disease, and high blood pressure are common. 2	3Among my older blood relatives, hyperacidity, heart disease, and high blood pressure are common. 3	4Among my older blood relatives, hyperacidity, heart disease, and high blood pressure are common. 4	5Among my older blood relatives, hyperacidity, heart disease, and high blood pressure are common. 5	6Among my older blood relatives, hyperacidity, heart disease, and high blood pressure are common. 6
I dislike heat and hot climates.	0I dislike heat and hot climates. 0	1I dislike heat and hot climates. 1	2I dislike heat and hot climates. 2	3I dislike heat and hot climates. 3	4I dislike heat and hot climates. 4	5I dislike heat and hot climates. 5	6I dislike heat and hot climates. 6
I am overly sensitive to bright light.	0I am overly sensitive to bright light. 0	1I am overly sensitive to bright light. 1	2I am overly sensitive to bright light. 2	3I am overly sensitive to bright light. 3	4I am overly sensitive to bright light. 4	5I am overly sensitive to bright light. 5	6I am overly sensitive to bright light. 6
I perspire easily.	0I perspire easily. 0	1I perspire easily. 1	2I perspire easily. 2	3I perspire easily. 3	4I perspire easily. 4	5I perspire easily. 5	6I perspire easily. 6
I feel better in cool climates and when near bodies of water.	0I feel better in cool climates and when near bodies of water. 0	1I feel better in cool climates and when near bodies of water. 1	2I feel better in cool climates and when near bodies of water. 2	3I feel better in cool climates and when near bodies of water. 3	4I feel better in cool climates and when near bodies of water. 4	5I feel better in cool climates and when near bodies of water. 5	6I feel better in cool climates and when near bodies of water. 6
I have a strong appetite, and get irritable if meals are delayed.	0I have a strong appetite, and get irritable if meals are delayed. 0	1I have a strong appetite, and get irritable if meals are delayed. 1	2I have a strong appetite, and get irritable if meals are delayed. 2	3I have a strong appetite, and get irritable if meals are delayed. 3	4I have a strong appetite, and get irritable if meals are delayed. 4	5I have a strong appetite, and get irritable if meals are delayed. 5	6I have a strong appetite, and get irritable if meals are delayed. 6
I am attracted to sweets.	0I am attracted to sweets. 0	1I am attracted to sweets. 1	2I am attracted to sweets. 2	3I am attracted to sweets. 3	4I am attracted to sweets. 4	5I am attracted to sweets. 5	6I am attracted to sweets. 6
I like bitter or astringent tastes (eg., as in coffee, beer, white wine, chocolate).	0I like bitter or astringent tastes (eg., as in coffee, beer, white wine, chocolate). 0	1I like bitter or astringent tastes (eg., as in coffee, beer, white wine, chocolate). 1	2I like bitter or astringent tastes (eg., as in coffee, beer, white wine, chocolate). 2	3I like bitter or astringent tastes (eg., as in coffee, beer, white wine, chocolate). 3	4I like bitter or astringent tastes (eg., as in coffee, beer, white wine, chocolate). 4	5I like bitter or astringent tastes (eg., as in coffee, beer, white wine, chocolate). 5	6I like bitter or astringent tastes (eg., as in coffee, beer, white wine, chocolate). 6
Hot spices and acidic foods can be aggravating to my mouth or my digestion.	0Hot spices and acidic foods can be aggravating to my mouth or my digestion. 0	1Hot spices and acidic foods can be aggravating to my mouth or my digestion. 1	2Hot spices and acidic foods can be aggravating to my mouth or my digestion. 2	3Hot spices and acidic foods can be aggravating to my mouth or my digestion. 3	4Hot spices and acidic foods can be aggravating to my mouth or my digestion. 4	5Hot spices and acidic foods can be aggravating to my mouth or my digestion. 5	6Hot spices and acidic foods can be aggravating to my mouth or my digestion. 6
I like dairy products and soft, creamy, mild foods.	0I like dairy products and soft, creamy, mild foods. 0	1I like dairy products and soft, creamy, mild foods. 1	2I like dairy products and soft, creamy, mild foods. 2	3I like dairy products and soft, creamy, mild foods. 3	4I like dairy products and soft, creamy, mild foods. 4	5I like dairy products and soft, creamy, mild foods. 5	6I like dairy products and soft, creamy, mild foods. 6
I like to eat a lot of raw foods, like fruits and salads.	0I like to eat a lot of raw foods, like fruits and salads. 0	1I like to eat a lot of raw foods, like fruits and salads. 1	2I like to eat a lot of raw foods, like fruits and salads. 2	3I like to eat a lot of raw foods, like fruits and salads. 3	4I like to eat a lot of raw foods, like fruits and salads. 4	5I like to eat a lot of raw foods, like fruits and salads. 5	6I like to eat a lot of raw foods, like fruits and salads. 6
My digestion is fairly rapid, and my evacuation tends towards loose stools, often twice per day.	0My digestion is fairly rapid, and my evacuation tends towards loose stools, often twice per day. 0	1My digestion is fairly rapid, and my evacuation tends towards loose stools, often twice per day. 1	2My digestion is fairly rapid, and my evacuation tends towards loose stools, often twice per day. 2	3My digestion is fairly rapid, and my evacuation tends towards loose stools, often twice per day. 3	4My digestion is fairly rapid, and my evacuation tends towards loose stools, often twice per day. 4	5My digestion is fairly rapid, and my evacuation tends towards loose stools, often twice per day. 5	6My digestion is fairly rapid, and my evacuation tends towards loose stools, often twice per day. 6
I tend to sleep soundly, about 6-7 hours.	0I tend to sleep soundly, about 6-7 hours. 0	1I tend to sleep soundly, about 6-7 hours. 1	2I tend to sleep soundly, about 6-7 hours. 2	3I tend to sleep soundly, about 6-7 hours. 3	4I tend to sleep soundly, about 6-7 hours. 4	5I tend to sleep soundly, about 6-7 hours. 5	6I tend to sleep soundly, about 6-7 hours. 6
I have dreams of violence, adventure, problem-solving, or bright colors.	0I have dreams of violence, adventure, problem-solving, or bright colors. 0	1I have dreams of violence, adventure, problem-solving, or bright colors. 1	2I have dreams of violence, adventure, problem-solving, or bright colors. 2	3I have dreams of violence, adventure, problem-solving, or bright colors. 3	4I have dreams of violence, adventure, problem-solving, or bright colors. 4	5I have dreams of violence, adventure, problem-solving, or bright colors. 5	6I have dreams of violence, adventure, problem-solving, or bright colors. 6
In conversations, my communication style is often aggressive or argumentative.	0In conversations, my communication style is often aggressive or argumentative. 0	1In conversations, my communication style is often aggressive or argumentative. 1	2In conversations, my communication style is often aggressive or argumentative. 2	3In conversations, my communication style is often aggressive or argumentative. 3	4In conversations, my communication style is often aggressive or argumentative. 4	5In conversations, my communication style is often aggressive or argumentative. 5	6In conversations, my communication style is often aggressive or argumentative. 6
In difficult situations, I try to take control.	0In difficult situations, I try to take control. 0	1In difficult situations, I try to take control. 1	2In difficult situations, I try to take control. 2	3In difficult situations, I try to take control. 3	4In difficult situations, I try to take control. 4	5In difficult situations, I try to take control. 5	6In difficult situations, I try to take control. 6
In situations of injustice, I will fight back.	0In situations of injustice, I will fight back. 0	1In situations of injustice, I will fight back. 1	2In situations of injustice, I will fight back. 2	3In situations of injustice, I will fight back. 3	4In situations of injustice, I will fight back. 4	5In situations of injustice, I will fight back. 5	6In situations of injustice, I will fight back. 6
I am an inspirational speaker, and can talk for a long time.	0I am an inspirational speaker, and can talk for a long time. 0	1I am an inspirational speaker, and can talk for a long time. 1	2I am an inspirational speaker, and can talk for a long time. 2	3I am an inspirational speaker, and can talk for a long time. 3	4I am an inspirational speaker, and can talk for a long time. 4	5I am an inspirational speaker, and can talk for a long time. 5	6I am an inspirational speaker, and can talk for a long time. 6
I am hard-working, ambitious, organized, and achievement-oriented.	0I am hard-working, ambitious, organized, and achievement-oriented. 0	1I am hard-working, ambitious, organized, and achievement-oriented. 1	2I am hard-working, ambitious, organized, and achievement-oriented. 2	3I am hard-working, ambitious, organized, and achievement-oriented. 3	4I am hard-working, ambitious, organized, and achievement-oriented. 4	5I am hard-working, ambitious, organized, and achievement-oriented. 5	6I am hard-working, ambitious, organized, and achievement-oriented. 6
I am a perfectionist, and tend to be overly critical of myself and others.	0I am a perfectionist, and tend to be overly critical of myself and others. 0	1I am a perfectionist, and tend to be overly critical of myself and others. 1	2I am a perfectionist, and tend to be overly critical of myself and others. 2	3I am a perfectionist, and tend to be overly critical of myself and others. 3	4I am a perfectionist, and tend to be overly critical of myself and others. 4	5I am a perfectionist, and tend to be overly critical of myself and others. 5	6I am a perfectionist, and tend to be overly critical of myself and others. 6
When emotionally imbalanced, I tend towards impatience, frustration, irritability, and anger.	0When emotionally imbalanced, I tend towards impatience, frustration, irritability, and anger. 0	1When emotionally imbalanced, I tend towards impatience, frustration, irritability, and anger. 1	2When emotionally imbalanced, I tend towards impatience, frustration, irritability, and anger. 2	3When emotionally imbalanced, I tend towards impatience, frustration, irritability, and anger. 3	4When emotionally imbalanced, I tend towards impatience, frustration, irritability, and anger. 4	5When emotionally imbalanced, I tend towards impatience, frustration, irritability, and anger. 5	6When emotionally imbalanced, I tend towards impatience, frustration, irritability, and anger. 6
After expressing anger, I calm down quickly.	0After expressing anger, I calm down quickly. 0	1After expressing anger, I calm down quickly. 1	2After expressing anger, I calm down quickly. 2	3After expressing anger, I calm down quickly. 3	4After expressing anger, I calm down quickly. 4	5After expressing anger, I calm down quickly. 5	6After expressing anger, I calm down quickly. 6
I have a strong intellect, and tend to like mentally stimulating activities.	0I have a strong intellect, and tend to like mentally stimulating activities. 0	1I have a strong intellect, and tend to like mentally stimulating activities. 1	2I have a strong intellect, and tend to like mentally stimulating activities. 2	3I have a strong intellect, and tend to like mentally stimulating activities. 3	4I have a strong intellect, and tend to like mentally stimulating activities. 4	5I have a strong intellect, and tend to like mentally stimulating activities. 5	6I have a strong intellect, and tend to like mentally stimulating activities. 6
I enjoy competitive sports.	0I enjoy competitive sports. 0	1I enjoy competitive sports. 1	2I enjoy competitive sports. 2	3I enjoy competitive sports. 3	4I enjoy competitive sports. 4	5I enjoy competitive sports. 5	6I enjoy competitive sports. 6
I thrive on challenges, I enjoy overcoming obstacles, and I take pride in solving problems.	0I thrive on challenges, I enjoy overcoming obstacles, and I take pride in solving problems. 0	1I thrive on challenges, I enjoy overcoming obstacles, and I take pride in solving problems. 1	2I thrive on challenges, I enjoy overcoming obstacles, and I take pride in solving problems. 2	3I thrive on challenges, I enjoy overcoming obstacles, and I take pride in solving problems. 3	4I thrive on challenges, I enjoy overcoming obstacles, and I take pride in solving problems. 4	5I thrive on challenges, I enjoy overcoming obstacles, and I take pride in solving problems. 5	6I thrive on challenges, I enjoy overcoming obstacles, and I take pride in solving problems. 6
I am a good leader.	0I am a good leader. 0	1I am a good leader. 1	2I am a good leader. 2	3I am a good leader. 3	4I am a good leader. 4	5I am a good leader. 5	6I am a good leader. 6
In school, I liked science, math, or social sciences.	0In school, I liked science, math, or social sciences. 0	1In school, I liked science, math, or social sciences. 1	2In school, I liked science, math, or social sciences. 2	3In school, I liked science, math, or social sciences. 3	4In school, I liked science, math, or social sciences. 4	5In school, I liked science, math, or social sciences. 5	6In school, I liked science, math, or social sciences. 6
I am highly educated, with one or more university degrees.	0I am highly educated, with one or more university degrees. 0	1I am highly educated, with one or more university degrees. 1	2I am highly educated, with one or more university degrees. 2	3I am highly educated, with one or more university degrees. 3	4I am highly educated, with one or more university degrees. 4	5I am highly educated, with one or more university degrees. 5	6I am highly educated, with one or more university degrees. 6
I am particular about how I dress and I like to look attractive to the opposite sex.	0I am particular about how I dress and I like to look attractive to the opposite sex. 0	1I am particular about how I dress and I like to look attractive to the opposite sex. 1	2I am particular about how I dress and I like to look attractive to the opposite sex. 2	3I am particular about how I dress and I like to look attractive to the opposite sex. 3	4I am particular about how I dress and I like to look attractive to the opposite sex. 4	5I am particular about how I dress and I like to look attractive to the opposite sex. 5	6I am particular about how I dress and I like to look attractive to the opposite sex. 6
Emotional intimacy is sometimes challenging for me.	0Emotional intimacy is sometimes challenging for me. 0	1Emotional intimacy is sometimes challenging for me. 1	2Emotional intimacy is sometimes challenging for me. 2	3Emotional intimacy is sometimes challenging for me. 3	4Emotional intimacy is sometimes challenging for me. 4	5Emotional intimacy is sometimes challenging for me. 5	6Emotional intimacy is sometimes challenging for me. 6
I keep commitments to others most of the time, unless it is inconvenient.	0I keep commitments to others most of the time, unless it is inconvenient. 0	1I keep commitments to others most of the time, unless it is inconvenient. 1	2I keep commitments to others most of the time, unless it is inconvenient. 2	3I keep commitments to others most of the time, unless it is inconvenient. 3	4I keep commitments to others most of the time, unless it is inconvenient. 4	5I keep commitments to others most of the time, unless it is inconvenient. 5	6I keep commitments to others most of the time, unless it is inconvenient. 6
I can be intensely committed politically, professionally, or spiritually.	0I can be intensely committed politically, professionally, or spiritually. 0	1I can be intensely committed politically, professionally, or spiritually. 1	2I can be intensely committed politically, professionally, or spiritually. 2	3I can be intensely committed politically, professionally, or spiritually. 3	4I can be intensely committed politically, professionally, or spiritually. 4	5I can be intensely committed politically, professionally, or spiritually. 5	6I can be intensely committed politically, professionally, or spiritually. 6
I enjoy an adequate income	0I enjoy an adequate income 0	1I enjoy an adequate income 1	2I enjoy an adequate income 2	3I enjoy an adequate income 3	4I enjoy an adequate income 4	5I enjoy an adequate income 5	6I enjoy an adequate income 6

	0	1	2	3	4	5	6
My body stature is robust, with well-developed secondary sexual characteristics.	0My body stature is robust, with well-developed secondary sexual characteristics. 0	1My body stature is robust, with well-developed secondary sexual characteristics. 1	2My body stature is robust, with well-developed secondary sexual characteristics. 2	3My body stature is robust, with well-developed secondary sexual characteristics. 3	4My body stature is robust, with well-developed secondary sexual characteristics. 4	5My body stature is robust, with well-developed secondary sexual characteristics. 5	6My body stature is robust, with well-developed secondary sexual characteristics. 6
I am taller than average.	0I am taller than average. 0	1I am taller than average. 1	2I am taller than average. 2	3I am taller than average. 3	4I am taller than average. 4	5I am taller than average. 5	6I am taller than average. 6
Most of my life I have gained weight easily.	0Most of my life I have gained weight easily. 0	1Most of my life I have gained weight easily. 1	2Most of my life I have gained weight easily. 2	3Most of my life I have gained weight easily. 3	4Most of my life I have gained weight easily. 4	5Most of my life I have gained weight easily. 5	6Most of my life I have gained weight easily. 6
My skin is moist, and my body tends to retain water.	0My skin is moist, and my body tends to retain water. 0	1My skin is moist, and my body tends to retain water. 1	2My skin is moist, and my body tends to retain water. 2	3My skin is moist, and my body tends to retain water. 3	4My skin is moist, and my body tends to retain water. 4	5My skin is moist, and my body tends to retain water. 5	6My skin is moist, and my body tends to retain water. 6
My body has a tendency to produce excess mucous.	0My body has a tendency to produce excess mucous. 0	1My body has a tendency to produce excess mucous. 1	2My body has a tendency to produce excess mucous. 2	3My body has a tendency to produce excess mucous. 3	4My body has a tendency to produce excess mucous. 4	5My body has a tendency to produce excess mucous. 5	6My body has a tendency to produce excess mucous. 6
My complexion is whitish.	0My complexion is whitish. 0	1My complexion is whitish. 1	2My complexion is whitish. 2	3My complexion is whitish. 3	4My complexion is whitish. 4	5My complexion is whitish. 5	6My complexion is whitish. 6
I have large, attractive eyes.	0I have large, attractive eyes. 0	1I have large, attractive eyes. 1	2I have large, attractive eyes. 2	3I have large, attractive eyes. 3	4I have large, attractive eyes. 4	5I have large, attractive eyes. 5	6I have large, attractive eyes. 6
I have abundant body hair.	0I have abundant body hair. 0	1I have abundant body hair. 1	2I have abundant body hair. 2	3I have abundant body hair. 3	4I have abundant body hair. 4	5I have abundant body hair. 5	6I have abundant body hair. 6
My hair is thick and lustrous.	0My hair is thick and lustrous. 0	1My hair is thick and lustrous. 1	2My hair is thick and lustrous. 2	3My hair is thick and lustrous. 3	4My hair is thick and lustrous. 4	5My hair is thick and lustrous. 5	6My hair is thick and lustrous. 6
My hair is very dark or very pale, lacking reddish pigment.	0My hair is very dark or very pale, lacking reddish pigment. 0	1My hair is very dark or very pale, lacking reddish pigment. 1	2My hair is very dark or very pale, lacking reddish pigment. 2	3My hair is very dark or very pale, lacking reddish pigment. 3	4My hair is very dark or very pale, lacking reddish pigment. 4	5My hair is very dark or very pale, lacking reddish pigment. 5	6My hair is very dark or very pale, lacking reddish pigment. 6
My facial and body features are rounded.	0My facial and body features are rounded. 0	1My facial and body features are rounded. 1	2My facial and body features are rounded. 2	3My facial and body features are rounded. 3	4My facial and body features are rounded. 4	5My facial and body features are rounded. 5	6My facial and body features are rounded. 6
I usually walk slowly and gracefully.	0I usually walk slowly and gracefully. 0	1I usually walk slowly and gracefully. 1	2I usually walk slowly and gracefully. 2	3I usually walk slowly and gracefully. 3	4I usually walk slowly and gracefully. 4	5I usually walk slowly and gracefully. 5	6I usually walk slowly and gracefully. 6
My metabolism is slow.	0My metabolism is slow. 0	1My metabolism is slow. 1	2My metabolism is slow. 2	3My metabolism is slow. 3	4My metabolism is slow. 4	5My metabolism is slow. 5	6My metabolism is slow. 6
I sometimes find it difficult to motivate myself to take action, but once I start, I work slowly and steadily and complete assigned tasks.	0I sometimes find it difficult to motivate myself to take action, but once I start, I work slowly and steadily and complete assigned tasks. 0	1I sometimes find it difficult to motivate myself to take action, but once I start, I work slowly and steadily and complete assigned tasks. 1	2I sometimes find it difficult to motivate myself to take action, but once I start, I work slowly and steadily and complete assigned tasks. 2	3I sometimes find it difficult to motivate myself to take action, but once I start, I work slowly and steadily and complete assigned tasks. 3	4I sometimes find it difficult to motivate myself to take action, but once I start, I work slowly and steadily and complete assigned tasks. 4	5I sometimes find it difficult to motivate myself to take action, but once I start, I work slowly and steadily and complete assigned tasks. 5	6I sometimes find it difficult to motivate myself to take action, but once I start, I work slowly and steadily and complete assigned tasks. 6
I can bear hunger and thirst easily.	0I can bear hunger and thirst easily. 0	1I can bear hunger and thirst easily. 1	2I can bear hunger and thirst easily. 2	3I can bear hunger and thirst easily. 3	4I can bear hunger and thirst easily. 4	5I can bear hunger and thirst easily. 5	6I can bear hunger and thirst easily. 6
I am not particularly attracted to sweets, dairy products, cold food, fruits, oil, or heavy, bland foods.	0I am not particularly attracted to sweets, dairy products, cold food, fruits, oil, or heavy, bland foods. 0	1I am not particularly attracted to sweets, dairy products, cold food, fruits, oil, or heavy, bland foods. 1	2I am not particularly attracted to sweets, dairy products, cold food, fruits, oil, or heavy, bland foods. 2	3I am not particularly attracted to sweets, dairy products, cold food, fruits, oil, or heavy, bland foods. 3	4I am not particularly attracted to sweets, dairy products, cold food, fruits, oil, or heavy, bland foods. 4	5I am not particularly attracted to sweets, dairy products, cold food, fruits, oil, or heavy, bland foods. 5	6I am not particularly attracted to sweets, dairy products, cold food, fruits, oil, or heavy, bland foods. 6
I like spicy, warm foods.	0I like spicy, warm foods. 0	1I like spicy, warm foods. 1	2I like spicy, warm foods. 2	3I like spicy, warm foods. 3	4I like spicy, warm foods. 4	5I like spicy, warm foods. 5	6I like spicy, warm foods. 6
My digestion and evacuation tend to be slow; I usually evacuate once per day.	0My digestion and evacuation tend to be slow; I usually evacuate once per day. 0	1My digestion and evacuation tend to be slow; I usually evacuate once per day. 1	2My digestion and evacuation tend to be slow; I usually evacuate once per day. 2	3My digestion and evacuation tend to be slow; I usually evacuate once per day. 3	4My digestion and evacuation tend to be slow; I usually evacuate once per day. 4	5My digestion and evacuation tend to be slow; I usually evacuate once per day. 5	6My digestion and evacuation tend to be slow; I usually evacuate once per day. 6
Among my blood relatives, larger-than-average family sizes are common.	0Among my blood relatives, larger-than-average family sizes are common. 0	1Among my blood relatives, larger-than-average family sizes are common. 1	2Among my blood relatives, larger-than-average family sizes are common. 2	3Among my blood relatives, larger-than-average family sizes are common. 3	4Among my blood relatives, larger-than-average family sizes are common. 4	5Among my blood relatives, larger-than-average family sizes are common. 5	6Among my blood relatives, larger-than-average family sizes are common. 6
Among my older blood relatives, long lifespans are common.	0Among my older blood relatives, long lifespans are common. 0	1Among my older blood relatives, long lifespans are common. 1	2Among my older blood relatives, long lifespans are common. 2	3Among my older blood relatives, long lifespans are common. 3	4Among my older blood relatives, long lifespans are common. 4	5Among my older blood relatives, long lifespans are common. 5	6Among my older blood relatives, long lifespans are common. 6
I dislike cool, wet, cloudy weather.	0I dislike cool, wet, cloudy weather. 0	1I dislike cool, wet, cloudy weather. 1	2I dislike cool, wet, cloudy weather. 2	3I dislike cool, wet, cloudy weather. 3	4I dislike cool, wet, cloudy weather. 4	5I dislike cool, wet, cloudy weather. 5	6I dislike cool, wet, cloudy weather. 6
I feel best on warm, sunny, dry days.	0I feel best on warm, sunny, dry days. 0	1I feel best on warm, sunny, dry days. 1	2I feel best on warm, sunny, dry days. 2	3I feel best on warm, sunny, dry days. 3	4I feel best on warm, sunny, dry days. 4	5I feel best on warm, sunny, dry days. 5	6I feel best on warm, sunny, dry days. 6
I am usually early to bed and early to rise.	0I am usually early to bed and early to rise. 0	1I am usually early to bed and early to rise. 1	2I am usually early to bed and early to rise. 2	3I am usually early to bed and early to rise. 3	4I am usually early to bed and early to rise. 4	5I am usually early to bed and early to rise. 5	6I am usually early to bed and early to rise. 6
I tend to need a lot of sleep, and don’t feel good during the day if I get less than eight hours of sleep.	0I tend to need a lot of sleep, and don’t feel good during the day if I get less than eight hours of sleep. 0	1I tend to need a lot of sleep, and don’t feel good during the day if I get less than eight hours of sleep. 1	2I tend to need a lot of sleep, and don’t feel good during the day if I get less than eight hours of sleep. 2	3I tend to need a lot of sleep, and don’t feel good during the day if I get less than eight hours of sleep. 3	4I tend to need a lot of sleep, and don’t feel good during the day if I get less than eight hours of sleep. 4	5I tend to need a lot of sleep, and don’t feel good during the day if I get less than eight hours of sleep. 5	6I tend to need a lot of sleep, and don’t feel good during the day if I get less than eight hours of sleep. 6
I often dream of bodies of water.	0I often dream of bodies of water. 0	1I often dream of bodies of water. 1	2I often dream of bodies of water. 2	3I often dream of bodies of water. 3	4I often dream of bodies of water. 4	5I often dream of bodies of water. 5	6I often dream of bodies of water. 6
I am dignified in my speech and bearing.	0I am dignified in my speech and bearing. 0	1I am dignified in my speech and bearing. 1	2I am dignified in my speech and bearing. 2	3I am dignified in my speech and bearing. 3	4I am dignified in my speech and bearing. 4	5I am dignified in my speech and bearing. 5	6I am dignified in my speech and bearing. 6
I don’t show my emotions easily, and am uncomfortable with emotional displays.	0I don’t show my emotions easily, and am uncomfortable with emotional displays. 0	1I don’t show my emotions easily, and am uncomfortable with emotional displays. 1	2I don’t show my emotions easily, and am uncomfortable with emotional displays. 2	3I don’t show my emotions easily, and am uncomfortable with emotional displays. 3	4I don’t show my emotions easily, and am uncomfortable with emotional displays. 4	5I don’t show my emotions easily, and am uncomfortable with emotional displays. 5	6I don’t show my emotions easily, and am uncomfortable with emotional displays. 6
I am often not very talkative.	0I am often not very talkative. 0	1I am often not very talkative. 1	2I am often not very talkative. 2	3I am often not very talkative. 3	4I am often not very talkative. 4	5I am often not very talkative. 5	6I am often not very talkative. 6
I am often relaxed , calm, and humorous.	0I am often relaxed , calm, and humorous. 0	1I am often relaxed , calm, and humorous. 1	2I am often relaxed , calm, and humorous. 2	3I am often relaxed , calm, and humorous. 3	4I am often relaxed , calm, and humorous. 4	5I am often relaxed , calm, and humorous. 5	6I am often relaxed , calm, and humorous. 6
I am not easily thrown off balance emotionally, tending to be calm and unruffled in difficult situations.	0I am not easily thrown off balance emotionally, tending to be calm and unruffled in difficult situations. 0	1I am not easily thrown off balance emotionally, tending to be calm and unruffled in difficult situations. 1	2I am not easily thrown off balance emotionally, tending to be calm and unruffled in difficult situations. 2	3I am not easily thrown off balance emotionally, tending to be calm and unruffled in difficult situations. 3	4I am not easily thrown off balance emotionally, tending to be calm and unruffled in difficult situations. 4	5I am not easily thrown off balance emotionally, tending to be calm and unruffled in difficult situations. 5	6I am not easily thrown off balance emotionally, tending to be calm and unruffled in difficult situations. 6
I listen attentively to the arguments of others, but I keep my own counsel.	0I listen attentively to the arguments of others, but I keep my own counsel. 0	1I listen attentively to the arguments of others, but I keep my own counsel. 1	2I listen attentively to the arguments of others, but I keep my own counsel. 2	3I listen attentively to the arguments of others, but I keep my own counsel. 3	4I listen attentively to the arguments of others, but I keep my own counsel. 4	5I listen attentively to the arguments of others, but I keep my own counsel. 5	6I listen attentively to the arguments of others, but I keep my own counsel. 6
I enjoy doing volunteer work, and take satisfaction in helping others.	0I enjoy doing volunteer work, and take satisfaction in helping others. 0	1I enjoy doing volunteer work, and take satisfaction in helping others. 1	2I enjoy doing volunteer work, and take satisfaction in helping others. 2	3I enjoy doing volunteer work, and take satisfaction in helping others. 3	4I enjoy doing volunteer work, and take satisfaction in helping others. 4	5I enjoy doing volunteer work, and take satisfaction in helping others. 5	6I enjoy doing volunteer work, and take satisfaction in helping others. 6
I have an excellent memory, and I am organized and patient with details.	0I have an excellent memory, and I am organized and patient with details. 0	1I have an excellent memory, and I am organized and patient with details. 1	2I have an excellent memory, and I am organized and patient with details. 2	3I have an excellent memory, and I am organized and patient with details. 3	4I have an excellent memory, and I am organized and patient with details. 4	5I have an excellent memory, and I am organized and patient with details. 5	6I have an excellent memory, and I am organized and patient with details. 6
Physical activity often does not appeal to me, even though I know it is healthy.	0Physical activity often does not appeal to me, even though I know it is healthy. 0	1Physical activity often does not appeal to me, even though I know it is healthy. 1	2Physical activity often does not appeal to me, even though I know it is healthy. 2	3Physical activity often does not appeal to me, even though I know it is healthy. 3	4Physical activity often does not appeal to me, even though I know it is healthy. 4	5Physical activity often does not appeal to me, even though I know it is healthy. 5	6Physical activity often does not appeal to me, even though I know it is healthy. 6
I enjoy practical activities and working with my hands: activities such as engineering, farming, gardening, construction, decorating, architecture, cooking, and crafts appeal to me.	0I enjoy practical activities and working with my hands: activities such as engineering, farming, gardening, construction, decorating, architecture, cooking, and crafts appeal to me. 0	1I enjoy practical activities and working with my hands: activities such as engineering, farming, gardening, construction, decorating, architecture, cooking, and crafts appeal to me. 1	2I enjoy practical activities and working with my hands: activities such as engineering, farming, gardening, construction, decorating, architecture, cooking, and crafts appeal to me. 2	3I enjoy practical activities and working with my hands: activities such as engineering, farming, gardening, construction, decorating, architecture, cooking, and crafts appeal to me. 3	4I enjoy practical activities and working with my hands: activities such as engineering, farming, gardening, construction, decorating, architecture, cooking, and crafts appeal to me. 4	5I enjoy practical activities and working with my hands: activities such as engineering, farming, gardening, construction, decorating, architecture, cooking, and crafts appeal to me. 5	6I enjoy practical activities and working with my hands: activities such as engineering, farming, gardening, construction, decorating, architecture, cooking, and crafts appeal to me. 6
I am often accused of being overly complacent about life.	0I am often accused of being overly complacent about life. 0	1I am often accused of being overly complacent about life. 1	2I am often accused of being overly complacent about life. 2	3I am often accused of being overly complacent about life. 3	4I am often accused of being overly complacent about life. 4	5I am often accused of being overly complacent about life. 5	6I am often accused of being overly complacent about life. 6
I have a tendency to suppress my emotions; when emotionally imbalanced, I most often feel sadness, longing, or depression.	0I have a tendency to suppress my emotions; when emotionally imbalanced, I most often feel sadness, longing, or depression. 0	1I have a tendency to suppress my emotions; when emotionally imbalanced, I most often feel sadness, longing, or depression. 1	2I have a tendency to suppress my emotions; when emotionally imbalanced, I most often feel sadness, longing, or depression. 2	3I have a tendency to suppress my emotions; when emotionally imbalanced, I most often feel sadness, longing, or depression. 3	4I have a tendency to suppress my emotions; when emotionally imbalanced, I most often feel sadness, longing, or depression. 4	5I have a tendency to suppress my emotions; when emotionally imbalanced, I most often feel sadness, longing, or depression. 5	6I have a tendency to suppress my emotions; when emotionally imbalanced, I most often feel sadness, longing, or depression. 6
I have a stable and supportive family life.	0I have a stable and supportive family life. 0	1I have a stable and supportive family life. 1	2I have a stable and supportive family life. 2	3I have a stable and supportive family life. 3	4I have a stable and supportive family life. 4	5I have a stable and supportive family life. 5	6I have a stable and supportive family life. 6
I am sentimental, devoted to my family and teachers and loyal to my friends.	0I am sentimental, devoted to my family and teachers and loyal to my friends. 0	1I am sentimental, devoted to my family and teachers and loyal to my friends. 1	2I am sentimental, devoted to my family and teachers and loyal to my friends. 2	3I am sentimental, devoted to my family and teachers and loyal to my friends. 3	4I am sentimental, devoted to my family and teachers and loyal to my friends. 4	5I am sentimental, devoted to my family and teachers and loyal to my friends. 5	6I am sentimental, devoted to my family and teachers and loyal to my friends. 6
Material wealth seems to come easily to me.	0Material wealth seems to come easily to me. 0	1Material wealth seems to come easily to me. 1	2Material wealth seems to come easily to me. 2	3Material wealth seems to come easily to me. 3	4Material wealth seems to come easily to me. 4	5Material wealth seems to come easily to me. 5	6Material wealth seems to come easily to me. 6

19 Old Town Square - Suite 238
Fort Collins, Co 80524

Prakriti Chart

Please complete the prakriti form and submit prior to our consultation:

I. VATA Characteristics

Administrative Use Only

Totals

II. PITTA Characteristics

Administrative Use Only

Totals

III. KAPHA Characteristics

Administrative Use Only

Totals

Title

19 Old Town Square - Suite 238 Fort Collins, Co 80524

Prakriti Chart

Please complete the prakriti form and submit prior to our consultation:

I. VATA Characteristics

Administrative Use Only

Totals

II. PITTA Characteristics

Administrative Use Only

Totals

III. KAPHA Characteristics

Administrative Use Only

Totals

Title

19 Old Town Square - Suite 238
Fort Collins, Co 80524