Vrakruti Assessment Worksheet KARRI JINKINS, AYURVEDIC HEALTH COUNSELOR, YOGA TEACHER 9172157710 * www.karrijinkins.com Vrakruti Assessment Worksheet For each category, put a check in the box that most represents you. You may have characteristics of all three choices. Decide on the box that is the closest to the way you are feeling now, even if that is different from how you usually feel, or have felt for years. Ask advice of a friend or spouse, especially for negative characteristics, which can be difficult to self-assess. Current Body Weight: LowModerateHeavy, obese Recent Diseases: Pain, Nerve diseasesInflammation, Infection, Heat, FeverCongestion, Water, Mucus Skin: Dry, Rough, CrackedMoist, Oily, Warm, Acne, PinkOily, cool Complexion: Brown, Black, DullRed (ruddy, flushed), YellowPale, white Hair: Dry, CoarseSoft, Oily, Falling, Rapid grayingOily Joints: Crackling, UnstableLooseThick, move smoothly Teeth & Gums: Protruded, Cracked, Thin, Receding GumSoft, Bleeding gumsWet, Soggy Nails: Rough, brittle, breakFlexible, pinkThick, oily, smooth Eyes: Active, Unsteady, Sunken, DryPenetrating gaze, Red or yellow scleraThick, Oily, White sclera Elimination: Constipation, hard, dry, PainLoose, soft, oilyOily, Thick, Slow, Heavy Speech: Quick, chaotic, talkativeCutting, argumentativeSlow, melodious Activity: Active, Talkative, Nervous, Short burstsModerate, Mid-length, Purposeful, Goal settingLethargic, Stately Appetite: Variable, Erratic, LowExcessive, StrongSlow, Steady Thirst: VariableExcessiveSlight Sleep: Insomnia, Light. Dreams: Active, Flying, Fear, NightmaresShort and sound. Dreams: Angry, Passion, Color, Fire, ConflictHeavy, Deep, Long, Excessive, water dreams, romance, Few Mind: Restless, Curious, Short attentionAggressive, PerceptiveCalm, Slow, Steady Emotions: Anxiety, fearAnger, jealousyCalm, greedy, possessive Memory: PoorModerate, clearGood retention Name: Date: Email:
