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Short Form Questionnaire

Discover your true balance

Please click the button that MOST CLOSELY applies to you. Your answers to these questions are not monitored or recorded in any manner and are strictly confidential (click here in addition to see our Privacy Policy).

Question 1. Body frame?
Lean, thin
Moderate build
Rounded, tall, heavy

Question 2. Hair type?
Thin and dry hair
Medium colour tone with a tendency towards early thinning and/or early greying
Thick, wavy and tending towards a darker color

Question 3. Skin texture?
Dry
Reddish lustre
Generally oily, soft and smooth

Question 4. Speech?
Fast pace and talkative
Moderate pace and confident
A person of few but considered words

Question 5. Appetite and thirst?
Irregular appetite
Strong appetite and strong thirst
Normal appetite and thirst

Question 6. Bowel habits?
Tendency towards constipation
Tendency towards loose and liquid stools
Regular

Question 7. Sweating?
Dry body, little sweat
Tendency towards sweatiness
Tendency toward considerable sweatiness and oily skin

Question 8. Memory?
Quick to memorize, but tendency to forget quickly
Moderate
Slow to memorize, but good long term memory

Question 9. Sleep pattern?
Often experiences disturbed, short sleep
Moderate
Generally long, sound sleep

Question 10. Activities?
Generally a liking for music, dance, books and travelling
Generally a liking for discussions, politics and doing any sports
Generally liking for water sports

Question 11. Sensitivity towards:?
Dry, cold and windy conditions
Heat and sun
Wet and cold conditions

Question 12. General personality?
Creative, friendly, good imagination, quickly starts something but takes time to finish the task; often impatient
Ambitious, confident, fiery personality and strong, determined will
Well grounded, truthful, loyal, patient and satisfied in life


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