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Prakriti Analysis Form
(Please enter the customer code that has been sent to you through email in the text box provided below "Customer Code")

* The fields are compulsory

* Name:

 Age:
(yrs)

 Sex:
Occupation:

 * Email:

 * Customer Code:

Deha Prakriti (Body Type)


Height:
(in meters)
Weight:
(in kgs)
Sleep pattern
Addiction:

Skin type

Dry Oily Normal
Rough Smooth

Hair Type

Rough Smooth
Scanty Thick Moderate

Eyes

Color

Tongue

Dry Moist
Fissured Not Fissured
Coated Not Coated
Color

Voice

stammering & weak commanding & sharp soft sweet, resonating

Nails

Thin Thick
Soft Brittle
Color

Urine

Yellowish Normal
Clear Turbid
Quantity more Quantity less

Stools

Constipated Not Constipated
Hard Semisolid
Quantity more Quantity less

Sweat

Sweats more Sweats less Moderate
Bad odour No bad odour

Appetite

More Less Moderate
Eats regularly Eats irregularly

Food Preferred

Taste Type
Hot Cold Hot & Cold

which climate bothers you?

Cold and Dry heat and sun Cold and damp

Manas Prakriti (Mental traits)

Poor Memory Good Memory Moderate Memory
Grasps quickly Grasps slowly Moderate grasping
Short tempered Not short tempered
Emotional Emotionless

Extra Information