Dosha Prakriti Assessment

Date: Full Name: Age: Gender: Birth Date: Actual Birthplace: Height (cm): Weight (kg): Body Mass Index (BMI): Occupation: Address: Your E-mail:

	Vata	Pitta	Kapha
Character
Body Frame	Long	Medium	Large, plump, fleshy, fatty
Weight	Thin	Medium	Overweight
Body Mass Index	0-19	19-25	above 25
Speech
Speed	Fast	Fast	Slow
Clarity	Diffuse words	Clear	Clear
Character	Easily deviates from the point	Impressive speaker	Less talkative,likes to be reserved
Eyes
Colour- Sclera	Blackish	Reddish, brown	Milky white,Edges- reddish
Lips
Character	Cracked,shapeless	Smooth, soft, thin	Smooth, glossy,Proportionate
Colour	Blackish	Reddish	Pinkish
Teeth
Teeth	Protruded, big and crocked , gums emaciated, uneven black cavities.	Moderate in size, soft gums yellowish teeth	Strong gums and white teeth
Hair
Texture	Rough & Dry	Soft & Delicate	Soft & Shiny
Colour	Black	Gray/ Brown	Black
Thickness	Less	Medium	More
Skin
Character	Cracking, rough	Soft, oily, with moles, pimples, freckles	cool or damp to the touch, smooth
Colour	Blackish	Yellowish	Whitish
Temperature	Cold	Warm	Cold
Body odor	Absent	Present	Absent
Preffered Taste	Salty, Sour, Sweet	Sweet, Bitter, Astrigent	Pungent, Bitter, Astrigent
Appetite
Frequency of eating	More	More	less
Quantity at meal	Less	More	More
Habit - If meal is skipped/ meal timings are changed/ style of food is changed	Irregular Constipation	Profound Headache/vomiting	Not much Nothing special
Thirst	Irregular	More	Less
Stool
Stool	Irregular	Regular	Regular
Consistency	Hard	Semi-solid	Well-formed
Colour	Blackish	Yellowish	Sticky, pale
Sleep
Character	Interrupted, less	Uninterrupted, less	Sound, profound
Duration	6 hours	6-8 hours	8 hours or more than 8 hours
General
Excitement	Quickly, cools down quickly	Quickly, does not cool down quickly,	Rarely
Working style	Quickly	Medium	Slowly
Other movements	Fast, unnecessary	Fast, precise	Slow steady
Strength	Less, feel exhausted after doing some work	Medium, moderately gets tired	Good, do not feel tired
Style of tackling problem	Worrying continuously without expressing	Losing self control, becoming angry/irritated	With cool and stable mind
Control on desires	Hardly, doesn’t work hard for the same	Cannot, work hard, achieve it,	Can control easily
Concentration on work	Lack of concentration	Can concentrate on thing of interest	Can easily concentrate
Cognition Process
Grasping	Quick, poor	Quick, good	Delayed
Store	Poor	Average	Good
Memory	Less	Average	Good
Musculature	Thin	Fleshy	Bulky
Body weight	light	difficult to gain weight average	heavy, easy to gain weight
Skin Complexion	Dark or Brownish	Fair complexion or yellowish red	Pale or whitish complexion
Skin Sensitivity	Allergic to dry weather	Intolerant to hot weather	Intolerant to humidity
Cheeks - Structure	Sunken	Flattened	Rounded or Plump
Cheeks - feel on touch	Dry/ Rough	Smooth	Soft
Neck	Long	Medium	Short / stout
Chest	Flat or sunken	Moderate or well defined	Expanded / Rounded
Abdomen	Thin or sunken	Moderate or flat	Large / Bulging
Hips & Thighs	Thin and Slender	Moderate / fleshy	Heavy / Bulging
Joints Mobility	Cracking sounds	Free mobility	Slighty restricted mobility
Nails Thickness	Thin	Moderately thick	Strong and thick
Nails Texture	Rough or Brittle	Soft or Rubbery	Hard
Nails Color	Bluish / grayish colored	Pink colored	Pale colored
Nails Formation / symmetry	Marked ridges	Well formed	Symmetrical
Tolerance to fasting	Unpredictable	Poor, can not miss a meal	Good tolerance
Digestion	Irregular or undefined	Good	Low but regular
Liking to tastes	Sweet / Sour / Salty	Sweet / Bitter Astringent	Pungent / Bitter /Astringent
Menstrual Cycles (for women respondents only)	Irregular	Regular & advancing	Regular & delaying
Menstrual Cycles:Flow	Inconsistent or scanty flow	Consistent excessive flow	Consistent-scanty flow
Menstrual Cycles:Associated symptom	pain / anxiety	irritability & anger	No pain irritability or anxiety
Movements	Fast & unsteady	Fast & steady	Slow & steady
Weather tolerance	Intolerance to cold & dry	Intolerance to hot & humid	Intolerance to cold & Humid
Observation
Dosha	Vata	Pitta	Kapha
Total Acquired Points	0	0	0
Percentage	0%	0%	0%