Name
*
First Name
Last Name
Email
*
Body frame
V - Slim, tall, or very short, protruding bones
P - Medium build
K - Heavier, big joints, medium to large frame
Body weight
V - Low
P - Can eat a lot, Medium
K - Gains weight easily
Jawline
V - Thin, squared, bony
P - Tapered, sharp
K - Round
Cheeks
V - Wrinkled sunken
P - Smooth, flat
K - Round
Eyes
V - Small, sunken, dry, active, black, brown, nervous
P - Sharp, bright, gray, green, yellow/red, sensitive to light
K - Big, beautiful, calm, loving
Nose
V - uneven shape, deviated septum
P - Long, pointed, red nose tip
K - Short, rounded, button nose
Lips
V - Dry, rough, cracked, black/brown tinge
P - Red, inflamed, yellowish
K - Smooth, oily, pale, whitish
Teeth
V - Big, roomy, thin gums
P - Medium, soft, tender gums
K - Healthy, white, strong gums
Skin
V - Thin, dry, cold, rough, dark
P - Smooth, oily, warm, rosy
K - Thick, oily, cool white, pale
Hair
V - Dry, brown, black, knotted, brittle, scarce
P - Straight, oily, blonde, gray, red, blad
K - Thick, curly, oily, wavy, luxuriant
Nails
V - Dry, rough, brittle, break easily
P - Sharp, flexible, pink, lustrous
K - Thick, oily, smooth, polished
Neck
V - Thin, tall
P - Medium
K - Bigger, wider
Chest
V - Flat, sunken
P - Moderate
K - Expanded, round
Joints
V - Cold, cracks easily, tight
P - Moderate
K - Large, lubrucated
Appetite
V - Irregular, scanty
P - Strong, unbearable, hangry
K - Slow but steady
Digestion
V - Irregular, forms gas
P - Quick, causes burning
K - Prolonged, forms mucous
Favorite Tastes
V - Sweet, sour, salty
P - Sweet, bitter, astringent
K - Bitter, pungent, astringent
Thirst
V - Changeable
P - Always thirsty
K - Rarely thirsty
Elimination
V - Constipation or changes throughout the day/week
P - Loose stools, burning, undigested food, quick
K - Dense, oily, slow
Energy Level
V - Hyperactive, spends energy at once and is often left depleted
P - Moderate, steady
K - Slow, reserves energy
Mental Activity
V - Hyperactive
P - Moderate
K - Slow, dull
Emotions
V - Anxiety, fear, uncertainty
P - Anger, hate, jealousy
K - Calm, greedy, attachment
Faith
V - Often needs convincing, changing
P - Believes in religion of birth
K - Skeptical
How do you respond to a question?
V - Repiles quickly but may give a faulty response, speaks before they think
P - Accurate response, thinks before they speak
K - Slow, exact response, often knows an answer but chooses not to respond
Memory
V - Recent good, remote poor
P - Distinct
K - Slow and sustained
Dreams
V -Quick, active, many, fearful
P - Fiery, war, violence
K - Soft; lakes, snow, romantic
Sleep
V - Light insomnia
P - Little but sound
K - Deep, sleeps a lot
Speech
V - Rapid, unclear
P - Sharp penetrating
K - Slow, monotonous
Relationship with Money
V - Spender of anything
P - Spends money on luxuries
K - Saves
Comments:
Add any additional changes you have recently noticed.