Self questionnaire for Prakriti estimation

There are two parts of this questionnaire. Every question has three options; you have to choose only one after much consideration. Options are arranged in Vata, Pitta and Kapha sequence. You can take help of your family members or friends in getting answers about your habits. Please note you have to answer of your traits which are consistent for a decade or so, try to avoid most recent points. Calculate thePart-I&Part-II answer for Vata, Pitta and Kapha. If you have same numbers for any two, give preference to which have maximum points on part two? Example- if you have more than 24 points for Vata followed by 20 points for Kapha and 14 points for Pitta- your Prakriti is Vata pradhan kapha and so on. If you have total points for Vata and Pitta 20 each and Vata has more points in part II then consider Vata as prominent or pradhan. Still have any query feel free to contact me at- dr.surendra.chaudhary@gmail.com, 9810004259

Part-I

1. How you complete your work o o o With great energy and at a fast pace Normal with a medium pace o Very slowly o 2. Excitement/irritation level, because of any reason o o o Instant Yes- normal Takes time o Keep for some time For a longer time, may be forever Very short period 4. Memory- how long you remember the thing you learned

5. How is your Digestive power? Can you eat the same quality and quantity, you wish o Irregular, Sometimes yes otherwise no Very strong, yes always Slow, eat after certain considerations

3. How is your grasping power for any new topic? o o o Very fast Take time Very slow 1

o o

6. How is your appetite? Can you skip a meal easily? o o Irregular, can or cant Very much, I need food before starting anything Very low, can avert food any time

12. Evacuation- your defecation habit o o o Irregular Twice or more Regular once a day

13. How is your gut habit? o o o Usually constipated Usually soft stool Normal

7. How much food you can take o Sometimes a lot sometimes very small quantity Need ample quantity Need very less quantity

o o

14. How you perspire o o o Very rare Too much with foul smell Less with body odor

8. Which taste you like most? o o o Madhur, amla, lavan Madhur, tikt kashay Katu, kasiley

15. How is your sex desire? o o o Less sometimes thinks of it a lot Medium Medium to Strong

9. How is your thirst? o o o Normal Very thirsty Normal or even less

16. Sleep o Short, about six hours, easily disturbed Medium but sound sleeps without disturbance Love sleeping, 8-10 hours

10. Which food do you like most? o o o Hot Cold Hot o

17. Dreams o Horrifying, dreams of flying, running, climbing, fear of falling Anger, fire, fighting, violence, war, struggle, light source Water source, river, sea, birds, flower, clouds, and intimate love scenes

11. Which drink do you like most? o o o Hot Cold Hot

o 2

18. How you tackle your problems or worries? o Worried, stressed, uncertain, unable to execute any decision Analyses a lot and take a thoughtful decision Calm and quiet, handle very strongly after much consideration

21. What you speak Can speak any time on any subject Speaks well with ample depth of knowledge Speaks only when it is necessary

22. Your gait- how you walk o o o Very fast Medium Slow

19. Anger o Sometimes calm sometimes very angry, even without reason Remain always angry and keep himself angry for revenge Rarely angry, forgiveness is the key to keep anger away

23. During work activities o Engaged in moving hand, eye brows or neck Most of the time concentrated Calm un-disturbed

o o

20. Speaking habit o o o Very fast Medium but sharp Slow, clear and pleasant

24. How much children you have? o o o 1-2 2-3 >3

Dosha Part-I Vata Pitta Kapha

Part-II

Total

Part-II 1. Face o o Not attractive, 1 in 10 common faces Beautiful, Soft, pink, with wrinkles, 1 in 100 common faces Very attractive, charming, very fare, 1 in 100 common faces 7. Skin temperature o o o Cold extremities Hot and warm skin, Low temperature

8. Skin color o o o Blackish, dark Fare, Wheatish, attractive Very fare, gaura

2. Movement of the organs ( eyes, hands eyebrows etc) o o o Always moving Sharp and attractive Slow

9. Eyes-color o o o Blackish Brownish Whites, lively

3. Your weight ( as per height) o o o 2-5 kg less to the normal Normal 2-5 kg more to the normal

10. Eyes- shape o Small, deep seated or prominent, pupil dilated, may vary to another in size and shape Well built, penetrating gaze Large in size attractive, milky

4. Body structure o o o Lean, tall or short Medium built Strong, stout, o o

11. Eye- lashes o o o Smaller in size, dry and less hairs Brownish, white or copper tinge Long, beautiful well built

5. Body strength o o o Weak Medium Strong

12. Teeth o Too small or too large, fissures, dry, different in size Medium size, yellowish Strong, whitish, well placed

6. Skin o o o Dry, rough Soft, little oily having skin color mole Soft and oily 4

o o

13. Nails o o o Small, dry, lusterless, not healthy Dry to oily, coppery in color Long, soft, shinning, white, well placed

19. Veins o o o Prominent, net like appearance May or may not so prominent Deep seated, invisible

20. Tummy- Abdomen o o o Thin, small Medium Large and heavy

14. Lips o o o Dry with blackish appearance Coppery Oily and moist

21. Chest o o o Large, small in diameter, visible ribs Medium sized, ribs are not visible Heavy musculature

15. Hands o o o Short Medium Long, touch knees

22. Body odor o o o No odor Foul smell, perspiration odor No odor

16. Body hairs o o o Very less Medium with coppery color Plenty and dense

23. Foot prints- during walk o o o No foot prints Slight prints Clear and heavy prints

17. Head hairs o o Less, small, dry, lusterless Less, soft, brownish, early graying and baldness Large, thick, black, strong, lustrous, curly

24. Specialties o o Eyes are open during sleep Eyes become red very soon in anger or heat Feeling of satisfaction, calm and happiness

18. Joints o Loose, hard, unstable, noisy on movements Prominent Well built, well placed 5

o o