Subject: ___________________________________________________________

CHARACTERISTIC
S $ 0
Frame Thin, irregular Moderate Thick
Bones Light Medium Heavy
Shoulders Narrow Medium Broad
Chest Thin, small Medium Broad
Weight 1 Low Moderate Heavy
Weight 2 Difficult to gain Hard to gain Gains Easily
Skin Dry, cold Oily, warm Oily, cool
Skin Tone Brownish Pink White
Head Narrow Medium Broad
Hair 1 Dry, dandruff Oily, thin Slightly oily
Hair 2 Kinky, curly Blonde, straight Thick, wavy
Hair 3 Dull Graying, bald Strong
Teeth Crooked Gums bleed easily Strong
Lips Thin, small, dry Medium, soft, red Full, smooth
Eyes 1 Small, active Sharp, penetrating Large
Eyes 2 Busy Intense, burning Attractive
Eyes 3 Dry Bloodshot Watery
Eyebrows Thin, dry, scaly Moderate Thick
Hands 1 Small, thin Moderate Large, thick
Hands 2 Dry, rough Pink, moist Oily, firm
Hands 3 Cold Warm Variable
Appetite Variable Excessive Moderate
Hunger Every... Two hours Four hours Six hours
Reaction Time Quick Moderate Slow
Thirst Variable Excessive Scanty
Stool 1 Dry, hard Soft Thick, oily
Stool 2 Constipated Loose Slow
Stool 3 Every 1-2 days 2-3 times daily 1 time a day
Urine 1 Scanty Profuse Moderate
Urine 2 Colorless Yellow, strong Milky
Sweat Rare Profuse Moderate
Menstruation Scanty, painful Moderate to heavy Regular
Activity Level Very busy Moderate Little
Endurance Low Moderate Lots
Sleep Restless Little but sound Deep, prolonged
Preferred Climate Warm, wet Cold Warm, dry
Mind 1
Restless, active, lively,
Curious
Intense Calm, slow
Mind 2 Easily influenced Influential Hard to influence
Emotions 1 Fearful Impatient, angry Indifferent
Emotions 2 Anxious J ealous Love, affection
Emotions 3 Cool Warm Steady
Subject: ___________________________________________________________

Beliefs Changeable Fanatical Steady
Memory 1 Recent, good Sharp Slow
Memory 2 Long term poor Selective Prolonged
Dreams 1 Flying Colorful, intense Watery
Dreams 2 Running away Passionate Romantic
Speech Quick, talkative Sharp, convincing Slow, definite
Money Poor Moderate Rich
Spends Money On Everything Quality Acquisitive
Career Inventive Engineer Manager
Sex Drive Mental Active Slow to arouse
Remembers Sound Sight Feeling
Reaction Anxiety, fear Anger Denial
TOTAL RESULT
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NOTES: