1Contact Info2Body Type3When My Needs Are Not Met...4Eyes5Complexion6Hair7Memory & Learning8Sleep Pattern9Energy10Body Temperature11Speech12When Stressed... HiddenVata TotalHiddenPitta TotalHiddenKapha TotalThis free mind-body quiz will help you discover your ayurvedic body type, whether Vata, Pitta or Kapha. The questionnaire gathers information about your basic nature—the way you were as a child or the basic patterns that have been true most of your life. Your Prakruti is the doshic constitution you are born with. There is usually a mixture of doshas with one dosha dominating. This is your essential nature that will remain constant for life. It determines the distinctive qualities of your mind and body when you are in balance. Your dosha body type effects your physical constitution, psychology and way of thinking. Each body type tends to get imbalanced in unique ways as well. Knowing what your dosha is provides invaluable information that will help you get in touch with your body’s inner intelligence. Contact InfoName* First Last Email* HiddenBody Type Dosha TotalINSTRUCTIONS: (Please read carefully): Rank each characteristic with either 7, 4 or 1. For each question, use each number one time. (Each section should add up to 12) 7 = MOST ACCURATELY REPRESENTS ME 4 = SECONDARILY REPRESENTS ME 1 = RARELY REPRESENTS ME Body TypeBody Type - Vata*I am thin, lanky and slender and lose weight easily.Please choose...7 - Most Accurately Represents Me4 - Secondarily Represents Me1 - Rarely Represents MeBody Type - Pitta*I have a medium, symmetrical build with good muscle development.Please choose...7 - Most Accurately Represents Me4 - Secondarily Represents Me1 - Rarely Represents MeBody Type - Kapha*I have a large, round, broad, thick, or stocky build. I gain weight easily.Please choose...7 - Most Accurately Represents Me4 - Secondarily Represents Me1 - Rarely Represents Me HiddenNeeds Met Dosha TotalINSTRUCTIONS: (Please read carefully): Rank each characteristic with either 7, 4 or 1. For each question, use each number one time. (Each section should add up to 12) 7 = MOST ACCURATELY REPRESENTS ME 4 = SECONDARILY REPRESENTS ME 1 = RARELY REPRESENTS ME When My Needs Are Not Met...Needs Met - Vata*I look inward and often blame myself asking, “what have I done wrong?”Please choose...7 - Most Accurately Represents Me4 - Secondarily Represents Me1 - Rarely Represents MeNeeds Met - Pitta*I look outward and often blame others asking “what have you done wrong?”Please choose...7 - Most Accurately Represents Me4 - Secondarily Represents Me1 - Rarely Represents MeNeeds Met - Kapha*I often withdraw or say, “whatever.”Please choose...7 - Most Accurately Represents Me4 - Secondarily Represents Me1 - Rarely Represents Me HiddenEyes Dosha TotalINSTRUCTIONS: (Please read carefully): Rank each characteristic with either 7, 4 or 1. For each question, use each number one time. (Each section should add up to 12) 7 = MOST ACCURATELY REPRESENTS ME 4 = SECONDARILY REPRESENTS ME 1 = RARELY REPRESENTS ME EyesEyes - Vata*My eyes are small and active.Please choose...7 - Most Accurately Represents Me4 - Secondarily Represents Me1 - Rarely Represents MeEyes - Pitta*I have a penetrating gaze.Please choose...7 - Most Accurately Represents Me4 - Secondarily Represents Me1 - Rarely Represents MeEyes - Kapha*I have large pleasant eyes.Please choose...7 - Most Accurately Represents Me4 - Secondarily Represents Me1 - Rarely Represents Me HiddenComplexion Dosha TotalINSTRUCTIONS: (Please read carefully): Rank each characteristic with either 7, 4 or 1. For each question, use each number one time. (Each section should add up to 12) 7 = MOST ACCURATELY REPRESENTS ME 4 = SECONDARILY REPRESENTS ME 1 = RARELY REPRESENTS ME ComplexionComplexion - Vata*My skin is dry, rough or thin. I can see my veins.Please choose...7 - Most Accurately Represents Me4 - Secondarily Represents Me1 - Rarely Represents MeComplexion - Pitta*My skin is warm, reddish in color and prone to irritation.Please choose...7 - Most Accurately Represents Me4 - Secondarily Represents Me1 - Rarely Represents MeComplexion - Kapha*My skin is thick (emotionally & physically), moist and smooth.Please choose...7 - Most Accurately Represents Me4 - Secondarily Represents Me1 - Rarely Represents Me HiddenHair Dosha TotalINSTRUCTIONS: (Please read carefully): Rank each characteristic with either 7, 4 or 1. For each question, use each number one time. (Each section should add up to 12) 7 = MOST ACCURATELY REPRESENTS ME 4 = SECONDARILY REPRESENTS ME 1 = RARELY REPRESENTS ME HairHair - Vata*My hair is dry, brittle or frizzy.Please choose...7 - Most Accurately Represents Me4 - Secondarily Represents Me1 - Rarely Represents MeHair - Pitta*My hair is fine with a tendency towards early thinning or graying.Please choose...7 - Most Accurately Represents Me4 - Secondarily Represents Me1 - Rarely Represents MeHair - Kapha*I have abundant, thick and oily hair.Please choose...7 - Most Accurately Represents Me4 - Secondarily Represents Me1 - Rarely Represents Me HiddenMemory & Learning Dosha TotalINSTRUCTIONS: (Please read carefully): Rank each characteristic with either 7, 4 or 1. For each question, use each number one time. (Each section should add up to 12) 7 = MOST ACCURATELY REPRESENTS ME 4 = SECONDARILY REPRESENTS ME 1 = RARELY REPRESENTS ME Memory & LearningMemory & Learning - Vata*Quick to learn; quick to forget. I get lost in the details.Please choose...7 - Most Accurately Represents Me4 - Secondarily Represents Me1 - Rarely Represents MeMemory & Learning - PItta*I am focused and learn quickly. I retain what I need.Please choose...7 - Most Accurately Represents Me4 - Secondarily Represents Me1 - Rarely Represents MeMemory & Learning - Kapha*I need to be told the big picture A to Z in order to fully understand.Please choose...7 - Most Accurately Represents Me4 - Secondarily Represents Me1 - Rarely Represents Me HiddenSleep Dosha TotalINSTRUCTIONS: (Please read carefully): Rank each characteristic with either 7, 4 or 1. For each question, use each number one time. (Each section should add up to 12) 7 = MOST ACCURATELY REPRESENTS ME 4 = SECONDARILY REPRESENTS ME 1 = RARELY REPRESENTS ME SleepSleep - Vata*I am a light sleeper with a tendency to awaken easily.Please choose...7 - Most Accurately Represents Me4 - Secondarily Represents Me1 - Rarely Represents MeSleep - Pitta*I am a moderately sound sleeper, usually needing less than eight hours to feel rested.Please choose...7 - Most Accurately Represents Me4 - Secondarily Represents Me1 - Rarely Represents MeSleep - Kapha*My sleep is deep and long. I tend to awaken slowly in the morning.Please choose...7 - Most Accurately Represents Me4 - Secondarily Represents Me1 - Rarely Represents Me HiddenEnergy Dosha TotalINSTRUCTIONS: (Please read carefully): Rank each characteristic with either 7, 4 or 1. For each question, use each number one time. (Each section should add up to 12) 7 = MOST ACCURATELY REPRESENTS ME 4 = SECONDARILY REPRESENTS ME 1 = RARELY REPRESENTS ME EnergyEnergy - Vatta*Restless & sometimes fidgety.Please choose...7 - Most Accurately Represents Me4 - Secondarily Represents Me1 - Rarely Represents MeEnergy - Pitta*Intense & direct.Please choose...7 - Most Accurately Represents Me4 - Secondarily Represents Me1 - Rarely Represents MeEnergy - Kapha*Patient & relaxed.Please choose...7 - Most Accurately Represents Me4 - Secondarily Represents Me1 - Rarely Represents Me HiddenBody Temperature Dosha TotalINSTRUCTIONS: (Please read carefully): Rank each characteristic with either 7, 4 or 1. For each question, use each number one time. (Each section should add up to 12) 7 = MOST ACCURATELY REPRESENTS ME 4 = SECONDARILY REPRESENTS ME 1 = RARELY REPRESENTS ME Body TemperatureBody Temperature - Vata*My hands and feet are usually cold and I prefer warm environments.Please choose...7 - Most Accurately Represents Me4 - Secondarily Represents Me1 - Rarely Represents MeBody Temperature - PItta*I am usually warm, regardless of the season, and prefer cooler environments.Please choose...7 - Most Accurately Represents Me4 - Secondarily Represents Me1 - Rarely Represents MeBody Temperature - Kapha*My hands can get clammy I am adaptable to most temperatures.Please choose...7 - Most Accurately Represents Me4 - Secondarily Represents Me1 - Rarely Represents Me HiddenSpeech Dosha TotalINSTRUCTIONS: (Please read carefully): Rank each characteristic with either 7, 4 or 1. For each question, use each number one time. (Each section should add up to 12) 7 = MOST ACCURATELY REPRESENTS ME 4 = SECONDARILY REPRESENTS ME 1 = RARELY REPRESENTS ME SpeechSpeech - Vata*I like to talk.Please choose...7 - Most Accurately Represents Me4 - Secondarily Represents Me1 - Rarely Represents MeSpeech - Pitta*I like to convince. I am purposeful with my words.Please choose...7 - Most Accurately Represents Me4 - Secondarily Represents Me1 - Rarely Represents MeSpeech - Kapha*I don’t feel the need to speak. I am leisurely with my words.Please choose...7 - Most Accurately Represents Me4 - Secondarily Represents Me1 - Rarely Represents Me HiddenStress Dosha TotalINSTRUCTIONS: (Please read carefully): Rank each characteristic with either 7, 4 or 1. For each question, use each number one time. (Each section should add up to 12) 7 = MOST ACCURATELY REPRESENTS ME 4 = SECONDARILY REPRESENTS ME 1 = RARELY REPRESENTS ME StressStress - Vata*I become anxious or worried.Please choose...7 - Most Accurately Represents Me4 - Secondarily Represents Me1 - Rarely Represents MeStress - Pitta*I become irritable and/or aggressive.Please choose...7 - Most Accurately Represents Me4 - Secondarily Represents Me1 - Rarely Represents MeStress - Kapha*I become withdrawn and/or reclusive.Please choose...7 - Most Accurately Represents Me4 - Secondarily Represents Me1 - Rarely Represents Me
