Name
*
First Name
Last Name
Email
*
FRAME**
*
WEIGHT**
*
EYES
*
NOSE
*
LIPS
*
TEETH
*
SKIN
*
HAIR
*
HIPS
*
THIRST
*
NECK
*
JOINTS
*
APPETITE**
*
DIGESTION**
*
ELIMINATION/POOPS**
*
PERIODS
PHYSICAL ENERGY**
*
CIRCULATION / SWEATING**
*
THOUGHTS**
*
LEARNING STYLE**
*
PERSONALITY TRAITS**
*
MOODS & IDEAS**
*
ATTITUDE TOWARDS ROUTINE**
*
FAITH (SPIRITUALITY)
*
REACTIONS TO STRESS**
*
MEMORY
*
DREAMS
*
SPEECH
*
Is there anything else you can share?
Were there any areas above, where you felt no answer represented you? Please describe those here.
(Note: The more details about your hormones, periods, gut, appetite, and digestive tendencies, the better!)
