Wellness  Assessment -  Unlock Your Vitality
Know your body little better
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Name
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Mobile Number (WhatsApp)
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Email Id
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Do you?

1. Feel cold easily

2. Feel hot easily

3. Neither feel cold nor hot easily but generally prefer warm weather
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How hungry are you?

1. Irregular; I frequently skip meals

2. Good; but I skip meals sometimes

3. Strong; I cannot skip a meal
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How often do you feel thirsty?

1.Varies from day to day

2. Often

3. Rarely
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Your digestion is and bowel movements are

1. Not so good - I have irregular bowel movements

2. Good. I have regular and fast bowel movements

3. Average. I have regular but slow bowel movements
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How are your energy levels usually?

1. Great! I am very active

2. Moderate. I am somewhat active

3. Lethargic. I am not active.
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How often do you fall sick?

1. Rarely (once a year)

2. Somewhat often (2-3 times a year)

3. Very often (4+ times a year)
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When you wake up you are

1. Still tired

2. Somewhat rested

3. Well rested
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Your body structure is

1. Thin and wiry

2. Somewhat rested

3. Medium and muscular
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How do you gain/lose weight?

1. I have difficulty in gaining weight

2. I find it easy to gain or lose weight

3. I have difficulty in losing weight
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Your skin is

1. Dry, rough and chapped

2. Sensitive and gets sunburnt easily

3. Thick and soft
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Your hair is

1. Dry, rough and tends to break easily

2. Thinning

3. Thick, lustrous and oily
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Your eyes are

1. Black, brown

2. Grey, green, yellowish

3. Blue
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Generally you are

1. Cheerful and accommodating

2. Logical and assertive

3. Calm and serious
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Your most common negative feelings are

1. Fear, insecurity and anxiety

2. Frustration, irritability and jealousy

3. Deep attachment and grief
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How is your attention span and memory?

1. I have a short attention span and forget things easily

2. I have a moderate attention span and remember most details clearly.

3. I have a good attention span and excellent long term memory, I hardly ever forget things.
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When you make a decision

1. It feels difficult and problematic

2. It is very easy and quick

3. You take your time to think it through
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