Free Ayurvedic Evaluation

According to Ayurveda, the key to health is in understanding our own personal body type. There are three basic constitutional types, "doshas" in Sanskrit: Vata (or V), the "air" type. Pitta (or P), the "fire" and Kapha (or K), the "water" type. Each of us has some of the characteristics of all three of these. Many of us are dominant in more than one dosha.

This evaluation questionnaire can help to determine your body type according to Ayurvedic principles. Here at Texas Herb Company, it will guide our therapists to choose the oils and/or herbs that are the most calming and balancing for you. If you do not wish to answer this questionnaire the therapist will choose oils and/or herbs based on their observations.

Please answer the following questions to the best of your ability. If you already know your doshic make up, please inform your therapist at the beginning of treatment.

The questionnaire is divided into three sections according to the doshas: vata, pitta and kapha. For each statement choose the number 1- 3 which is most appropriate to you and how you have tended to be throughout your life rather than just at this present moment.

1 = seldom applies to me
2 = applies to me sometimes
3 = applies to me most of the time

After completing the questionnaire, add up your score for each dosha; the highest score will indicate your predominant dosha. If you have two predominant doshas, this means that you are bi-doshic (vata-pitta, pitta-vata, vata-kapha, kapha-vata, pitta-kapha, kapha-pitta), and if you have basically equal scores for each dosha then you are tri-doshic

Questionnaire 1 – Vata

1. My body frame is light with prominent joints
2. I lose weight easily and find it hard to put it back on
3. My skin complexion is dull and varies in colour
4. I don’t have a lot of hair and it is dry and wavy
5. My circulation is poor and I often have cold hands and feet
6. I prefer warm climates and sweat little
7. My appetite varies and I like warm food
8. I find it hard to fall asleep but have many dreams when I do
9. I tend to have gas and constipation
10. I move quickly and try to do many things at once
11. I tend to be chatty and speak quickly
12. I have a good imagination but become distracted easily
13. I learn new things quickly but forget them easily
14. I tend to be nervy and worry about things
15. I find it hard to concentrate

VATA SCORE ______

Questionnaire 2 – Pitta

1. I have a medium size frame that is moderately developed
2. My weight is stable
3. My skin colour is yellowy, red or pink and warm in relation to other people of my race
4. My hair is thin, fine and light coloured in relation to other people of my race
5. My circulation is good and I generally feel warm
6. I enjoy cool climates and sweat profusely
7. I have a strong appetite and I like cool foods
8. I sleep well but not for long
9. I have regular bowel movements with a tendency to loose stools
10. I move calmly and am very focused
11. I am articulate, speaking clearly and precisely
12. I am able to focus easily and carry out plans fully
13. I learn quickly and have good mental retaining capacity
14. I become angry easily and can be critical
15. I have an intelligent and stable mind

PITTA SCORE ______

Questionnaire 3 – Kapha

1. I have a large and solid frame
2. I am heavy and gain weight easily
3. My skin is pale, smooth and soft
4. My hair is thick, soft and wavy
5. My circulation is slow and I tend to feel cool
6. I prefer warm climates and sweat moderately
7. I have low appetite and prefer warm food
8. I sleep deeply and enjoy sleeping for long periods but often feel lethargic when waking
9. I have slow bowel movements with solid and well formed stools
10. I move calmly and steadily
11. I speak slowly and methodically
12. I am slow to get started but have good mental stamina
13. I take time to learn but have good long term memory capacity
14. I can be possessive
15. I tend to be calm and content

KAPHA SCORE ______