| VATA | PITTA | KAPHA |
| 1. My hair texture tends to be | ___Dry, curly, wavy, shiny | ___Straight, fine | ___Thick, full of body |
| 2. My hair colour is | ___Medium or light brown | ___Blond or reddish tone, early grey | ___Dark brown, black |
| 3. My skin tends to be | ___On the dry side | ___Delicate, sensitive | ___Oily, smooth |
| 4. My complexion (when compared to others of my race) is | ___Darker | ___More reddish, freckled | ___Lighter |
| 5. Compared with others of my height, I have | ___Smaller bones | ___Average bone size | ___Larger bones |
| 6. My weight is | ___Thin: I don't gain easily | ___Average | ___Heavy: I gain easily |
| 7. My energy level | ___Tends to fluctuate, comes in waves | ___Is moderate or high; I can push myself to hard | ___Is steady |
| 8. Regarding temperature, I | ___Dislike cold, am comfortable in the heat | ___Dislike heat, persire easily, thrive in winter | ___Dislike damp cold, tolerate extremes well |
| 9. My typical hunger level | ___Can vary from excessive to no interest in food | ___ Is always intense, I need regular meals | ___ Is usually low but can be emotionally driven |
| 10. I prefer my food/drink | ___Warm, oily, moist | ___Cold | ___Warm, dry |
| 11. I generally eat | ___Quickly | ___Moderately fast | ___Slowly |
| 12. My sleep is most often | ___Interrupted, light | ___Sound, moderate | ___Deep. long; I am slow to waken |
| 13. My dreams often include | ___Flying, looking down at the ground, mountains, chase scenes | ___Fire, waterfalls, battles, fights | ___Oceans, clouds, romance |
| 14. My resting pulse rate (in beats per min) for women >> for men >> | ___80-100 ___70-90 | ___70-80 ___60-70 | ___60-70 ___50-60 |
| 15. My sextual interest is | ___Strong when romatically involved, low to moderate otherwise | ___Moderate to strong | ___Slow to waken but sustained, generally strong |
| 16. I am most sensitive to | ___Noise | ___Bright light | ___Strong odor |
| 17. My emotional moods | ___Change easily, I'm very responsive | ___Are intense; I am quick tempered | ___Are even; I am slow to anger |
| 18. My general reaction to stress is | ___Anxious; fearful | ___Irritated | ___Mostly calm |
| 19. With regard to money, I | ___ Am easy and impulsive | ___ Am careful, but I spend | ___Tend to save, accumulate |
| 20. My way of learning is to | ___ Learn quickly, enjoy more than one thing at a time; I can lose focus | ___ Focus sharply, discriminate, finish what I start | ___ Take my time, tend to be methodical |
| 21. I learn new material best by | ___Listening to a speaker | ___Reading or using visual aids | ___Associating it with another memory |
| 22. My memory is | ___Best in short term | ___Good overall | ___Best in long term |
| 23. My way of speaking is | ___Quick, often imaginative or excessive | ___Clear, precise, detailed, well-organized | ___Soothing, rich with moments of silence |
| 24. The one trait to best describe me, would be | ___Vivacious | ___Determined | ___Easygoing |
| 25. Regarding my relationships, I | ___Easily adapt to different kinds of people | ___Often choose friends on the basis of their values | ___Am slow to make new friends but am forever loyal |
| 26. My family and friends might prefer me to be more | ___Settled | ___Tolerant | ___Enthusiastic |
| 27. This evaluation made me | ___Indecisive | ___Annoyed | ___Sleepy |
| | VATA | PITTA | KAPHA |
| TOTALS: | ___ | ___ | ___ |