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Karuna DiLibero

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The Dosha Quiz

First Name

Last Name

Phone *

Email *

Physical Observations

Body Size

Slim

Medium

Large

Weight

Thin, hard to gain

Medium

Overweight, easy to gain

Chin

Thin, Angular

Tapering, heart shaped

Rounded, double

Cheeks

Wrinkled, sunken

Smooth, flat

Rounded, plump

Eyes

Small, sunken, dry, active, dark, nervous

Sharp, bright, light, gray, green

Bg, beautiful, blue, calm, loving

Sclera / White part of eye

Ash colored

Red or yellow light sensitive

White or glossy

Nose

Uneven shape, Deviated septum

Long pointed, red tipped

Short, rounded, button shaped

Teeth

Uneven, big, protruded, thin gums

Medium, yellowish, tender gums

White, strong teeth and gums

Lips

Dry, cracked

Pink, inflamed

Smooth, oily, pale, full

Skin

Dry, rough, thin, cold

Sooth, slightly oily, warm

Thick, oily, cool

Complexion

Darker

Rosy

Pale, white

Hair Color

Light Brown

Red, auburn, blond, gray, bald

Dark brown

Hair Texture

Coarse, kinky, curly

Thin, soft, fine, straight, slightly oily

Thick, wavy, luxurious, oily

Nails

Dry, rough, brittle, break easily

Flexible, oink, lustrous

Think, oily, strong, shiny

Speech

High pitch, rapid, scattered

Medium pitch, penetrating, clear

Low pitch, slow

Chest

Flat, sunken

Moderate

Expanded, Rounded

Belly Button

Small, irregular, herniated

Oval, superficia

Big, deep, stretched, round

Joints

Cold, cracking

Moderate

Large, lubricated

Belly

Thin, flat, sunken

Moderate

Big, pot bellied

Hips

Slender

Moderate

Heavy, big, rounded

Digestive Observations

Appetite

Irregular, scanty

Strong, sharp, need to eat

Slow, steady, can miss meals easily

Food & Drink

Prefers warm

Prefers cold

Prefers warm & dry

Thirst

Changeable

Frequently thirsty

Rarely thirsty

Taste

Prefers spicy, bitter, astringent

Prefers spicy, salty, sour

Prefers sweet, sour, salty

Elimination

dry, hard, constipation

Frequent, soft to average

Heavy, slow, regular

Mental Observations

Emotions

Anxiety, fear, uncertainty, worry

Angers easily, jealousy, envy

Calm, greedy, attached

Moods

Changes quickly

Changes slowly

Steady, unchanging

Faith

Variable

Extreme

Consistent

Dreams

Varied, active, fearful, flying, running

Fiery, violent, war, competition

Lakes, snow, romance, water

Sleep

Light, interrupted

Sound, medium length

Sound, heavy, deep, prolonged

Memory

Short term is best

Good general memory, distinct

Long term is best, sustained

Other Observations

Strength, Endurance

Low

Moderate

High, excellent

Sex Drive

Variable, irregular, low

Moderate

Strong

Financial

Low savings, spends easily

Moderate savings, spends on luxuries

Good savings

Weather

Aversion to cold

Aversion to hot

Aversion to damp, cool

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