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Home
About Kayakalpa
What is Kayakalpa?
about-us
FAQ
Kayakalpa Alchemy Foundation
Kayakalpa Apprenticeships
Documentary
Experience
Retreats
Rediscover what it means to live a healthy life
Book a Consultation
Donate
Blog
Products/Services
Contact Information
Name
*
First Name
Last Name
Phone
*
Country
(###)
###
####
Email
*
Basic Information
Body Type
*
Tall, thin, short or frail
Medium frame
Stout, well-developed
Weight
*
Slender, tends to be underweight
Medium, maintains the same weight
Heavy, tends to gain weight
Constitutional Analysis
Your skin is dry cracked, flaky or coarse.
*
Choose the answer that describes you most closely.
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
My hair tends to be dry.
*
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
My stamina and endurance tend to be low or unpredictable.
*
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
My eyes tend to be dry.
*
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
My nails are rough, coarse, and tend to crack easily.
*
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
My urine tends to be scanty / I don't pee very much when I use the restroom.
*
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
My appetite is irregular and highly variable.
*
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
I experience constipation regularly.
*
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
I experience diarrhea regularly.
*
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
My menstrual flow is irregular or scarce.
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
I don't sweat easily, and if I do it's in small amounts.
*
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
I become aroused easily and unaroused easily.
*
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
My sex drive is variable.
*
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
I am often restless and very active in my physical activity.
*
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
My pulse is shallow and fast.
*
Check your radial pulse by placing two fingers on the inside of your wrist or just under the jaw.
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
I am a light sleeper.
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
I experience insomnia often.
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
My dreams contain motifs of flying or moving.
*
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
I have nightmares often.
*
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
My memory is poor.
*
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
I forget and remember things easily.
*
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
I like to be theoretical, I am curious and inquisitive.
*
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
I tend to be indecisive.
*
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
I live with a lot of fear and anxiety.
*
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
I can be very unpredictable.
*
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
I make friends easily but friendships tend to be short-lived.
*
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
I like traveling often, and impulsively.
*
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
I like to be constantly stimulated.
*
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
I express myself best with sounds and words.
*
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
I tend to speak very quickly and am talkative.
*
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
I crave things that are sweet, sour, salty, oily or hot.
*
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
Thank you!