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12
Questions
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1
Which of these do you tend to get?
Constipated
Diarrhoea
Both (50:50)
None of these
Sinking stool
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2
V-bowel-tendency
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3
P-bowel-tendency
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4
normal-bowel-tendency
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5
K-bowel-tendency
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6
Which best describes your stool consistency?
Dry, hard, small or frothy with mucous
Pretty normal - brown, formed + without food pieces
Yellow, spreading, surface dwelling with undigested food
Heavy, splits into pieces + has copious phlegm or mucous
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7
normal-consistency
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8
V-consistency
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9
P-consistency
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10
K-consistency
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11
Which best describes your burps?
Taste bitter
Inoffensive or rare
Taste sweet
Foul or acidic
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12
normal-burps
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13
V-burps
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14
P-burps
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15
K-burps
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16
How are you hunger + thirst?
Insatiable + unquenchable
Low hunger but super thirsty
No appetite or thirst
Normal
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17
V-hunger+thirst
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18
P-hunger+thirst
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19
K-hunger+thirst
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20
normal-hunger+thirst
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21
How would you describe your saliva?
Dry AF or bubbly or foamy
Normal
Excessive or sticky
Like acid
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22
normal-saliva
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23
V-saliva
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24
P-saliva
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25
K-saliva
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26
Which of these other gut symptoms do you get?
Heavy + sluggish with a sense of fullness or need to vomit
Bloated, constricted, sawing pain in my abdomen or pain in my neck + sides
Burning sensations + sharp pain
None of these
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27
V-gut-symptoms
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28
P-gut-symptoms
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29
K-gut-symptoms
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30
How is your weight?
Stable
Low or lower than normal, and I cannot gain
High or higher than normal, and climbing
My normal
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31
V-weight
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32
P-weight
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33
K-weight
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34
normal-weight
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35
How do you feel after eating?
I get acid reflux
My symptoms get worse
Temporarily better
Fine
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36
normal-after-food
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37
V-after-food
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38
P-after-food
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39
K-after-food
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40
Which of these best applies to you?
I eat more at night
I eat more during the day
I restrict calories or ignore hunger cues
I eat emotionally
None of these
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41
V-food-habits
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42
P-food-habits
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43
K-food-habits
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44
normal-food-habits
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45
Which of these best describes you diet?
Full of the good stuff - greens, ACV, kombucha, saukaut, keffir, pollen, reishi.... you name it
Generally wholefoods, flexible + contains variety
Hit + miss; love my carbs, love my take-away, love my snacks, love my pantry.... just L-O-V-E food
Spruced up with all things spice-y (eg. chilli, garlic, onion, balsamic, coffee, coffee, coffee + booze)
I'm not a big foody - I take whatever is easy
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46
V-diet
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47
P-diet
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48
K-diet
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49
normal-diet
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50
How are your activity levels?
High, high, high
Variable
I make an effort to work out
Low, low, low
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51
V-activity
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52
P-activity
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53
K-activity
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54
Sounds like you have...
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55
1
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56
2
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57
Vata
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58
3
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59
Pitta
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60
Normal
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61
Kapha
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62
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