Personal Health Assessment Step 1 of 3 33% Body/Mind Assessment Part 1Put a checkmark next to each statement that accurately describes you. Answer each statement as it pertains to you throughout your lifetime, not just temporarily. Mark all the responses that describe you in each category. I am cautious about spending money and like to save. I am often thirsty. I can eat almost anything since I think my metabolism is strong. I enjoy a spontaneous lifestyle. I feel overweight and heavy quite often. I had a medium, well- proportioned body as a child. I have a large frame with good muscular development. I have a strong appetite and need to eat regularly otherwise I get irritable. I have dry, cool, rough skin. I have easy and regular bowel movements and may have a tendency towards being soft, loose and oily. I have thick, smooth, moist skin. I prefer warm climates. I tend to be active, but lose stamina quickly. I tend to be imaginative and creative. I was thin as a child. It is difficult for me to gain weight. My digestion is weak, sometimes I feel bloated after eating. My eyes are large, brown and attractive with thick eyelashes. My hair is light, straight and fine and may be early greying or red. When ill, I am prone toward respiratory problems, mucus and water retention. Body/Mind Assessment Part 2Put a checkmark next to each statement that accurately describes you. Answer each statement as it pertains to you throughout your lifetime, not just temporarily. Mark all the responses that describe you in each category. I am creative, imaginative and flexible. I am stable and tolerant and lead a slow-paced lifestyle. I enjoy physical activity and competitive sports. I feel light and at times ungrounded. I gain and lose weight easily. I gain weight easily and it is difficult for me to lose weight. I have a slim and lanky frame without much muscular development. I have regular bowel movements, heavy, steady and thick. I tend to be assertive, efficient and a perfectionist. I tend to be lethargic, but have good endurance. I think that I have a slow metabolism. I was plump or stocky as a child. My digestion is strong and I have a large capacity for food. My eyes are small, and are dark brown, grey or black. My hair is thick, wavy and may be dark or light. My teeth are moderate in size and may have soft or bleeding gums. My teeth are uneven, protruded, spaces with emaciated gums. When challenged emotionally, I tend toward being angry, irritated and impatient. When ill, I am prone toward nervous conditions, pain or indigestion. Body/Mind Assessment Part 3 I am intelligent goal oriented and lead a busy life. I am prone to constipation and experience dry, hard stools. I gravitate toward high-protein foods like beans, eggs, fish and chicken. I have a medium frame with good muscular development. I have smooth, warm, moist skin with a red/yellow skin tone. I have tried dieting before and I find it very hard unless I exercise to keep my weight down. I like to snack and nibble and not really sit for a full meal. I love fatty foods, breads and starches. I love to eat and although I don't prefer to miss a meal, if so, I don't have ill effects. I prefer cool weather. I spend money moderately and am careful about purchases. My appetite is variable. I can get very hungry and eat more than I can handle. My digestion is slow but steady. My eyes are sharp, penetrating and lustrous. My hair is scanty, dry, course and dark. My teeth are strong, white and well formed. When challenged emotionally, I tend toward being greedy, attached and self-contented. When challenged, I tend toward being restless, fearful and anxious. When I have money it is easy for me to share it and spend it. When ill, I tend to get infections, fevers, rashes and inflammatory problems. Put a checkmark next to each statement that accurately describes you. Answer each statement as it pertains to you throughout your lifetime, not just temporarily. Mark all the responses that describe you in each category.Privacy* By using this form you agree with the storage and handling of your data by this website.
