Dosha Quiz

WELCOME TO PEACE & BALANCE HOLISTIC CENTER!

Please answer each question based on how you've been recently.

There are no right or wrong answers—just insight into what your system may need today.

Please complete all sections. In SECTION 2 – Dosha Quiz: If no answer feels like an obvious fit, try using the process of elimination. Simply remove the two options that feel least like you, and choose the one that remains.
- Date
- Are you a new or returning client?
  
  NewReturning
- Full Name
  
  First NameLast Name
- City, State, Country
- E-mail
- Phone Number/Text
  Format: (000) 000-0000.
- Have you taken a Dosha Quiz before?
  
  YesNo
- Lifelong Tendencies – Select what best describes you over time
  
  These are qualities and patterns that have stayed consistent throughout your life, not just how you feel today.
- My body frame feels…(Select the option that best describes your build - this doesn't fluctuate with time.)
  
  Thin, narrow, or delicate with lean frameMedium build, with balanced muscle tone and proportionBroad, solid, or stocky with a heavier frame
- VataMyFrame
- PittaMyFrame
- KaphaMyFrame
- When I am balanced, my mind naturally…(Select the option that best describes you when you are feeling your best)
  
  Thinks quickly, stays curious and imaginative, with bursts of inspired insightStays sharp, clear, and purposeful, with strong focus and passionate driveFeels grounded, thoughtful, and compassionate, with steady emotional presence
- VataMyFrame
- PittaMyFrame
- KaphaMyFrame
- My weight tends to… (Answer based on how your weight has been behaving recently.)
  
  Drop easily or fluctuate. I sometimes forget to eat.Stay stable unless I focus on it.Increase easily and is hard to lose
- VataMyWeight
- PittaMyWeight
- KaphaMyWeight
- Lately, my skin has been…(Consider texture, tone, and common issues.)
  
  Dry, rough, thin.Warm, reddish, or prone to breakoutsThick, smooth, or oily
- VataMySkin
- PittaMySkin
- KaphaMySkin
- Recently, my hair has felt…(Consider how it’s been most often, not ideally.)
  
  Dry, brittle, frizzy, or easily breakingFine, thinning, or graying earlyThick, abundant, or oily
- VataMyHair
- PittaMyHair
- KaphaMyHair
- My joints tend to feel…(Choose the one that’s been most noticeable lately.)
  
  Thin or cracking/poppingFlexible or unstablePadded, heavy, or stiff
- VataMyJoints
- PittaMyJoints
- KaphaMyJoints
- Lately, my sleep has been…(Consider how your body has been sleeping recently.)
  
  Light and easily disturbedModerate, needing less than 8 hoursDeep and long; I wake up slowly
- VataMySleep
- PittaMySleep
- KaphaMySleep
- Your Current State – How you’ve been feeling recently
  
  These answers reflect how your body, energy, and mood have been behaving over the past few days or weeks—not your usual patterns.
- My energy level lately has been:
  
  Changeable or unpredictable—high bursts followed by a need to restMedium to high—I often push myselfSlow and steady—great endurance, but can feel lazy when unmotivated
- VataMyEnergy
- PittaMyEnergy
- KaphaMyEnergy
- When I face stress or challenges, I tend to:
  
  Worry, overthink, or replay the situation in my mindWithdraw or isolate—sometimes I sleep or eat to copeGet frustrated or irritable—my words can be sharp
- VataMyStress
- PittaMyStress
- KaphaMyStress
- My mood lately feels:
  
  Changeable—emotional ups and downsStrong—quick to frustration or angerSteady—though I sometimes suffer in silence
- VataMyMood
- PittaMyMood
- KaphaMyMood
- When I speak, I tend to:
  
  Talk quickly, sometimes lose track of what I’m sayingSpeak clearly and precisely—my tone can be intenseSpeak slowly and steadily—my voice is often calming
- VataMySpeech
- PittaMySpeech
- KaphaMySpeech
- Others often see me as:
  
  A multitasker who adapts quickly and enjoys varietyFocused, intense, and a natural leader or organizerEasygoing, supportive, and good at following direction
- VataMyPerceived
- PittaMyPerceived
- KaphaMyPerceived
- My memory is:
  
  Quick—I learn fast but forget just as quicklySolid—I retain practical or physical details easilySentimental—I remember meaningful moments well
- VataMyMemory
- PittaMyMemory
- KaphaMyMemory
- When it comes to temperature, I:
  
  Crave warmth and sunshine—cold, dry, or windy weather drains mePrefer cooler temperatures—I often feel warmTolerate most climates—but I dislike cold and damp
- VataMyTemp
- PittaMyTemp
- KaphaMyTemp
- My overall disposition is:
  
  Enthusiastic, lively, and drawn to changeDriven, passionate, and focusedCalm, patient, and even-tempered
- VataMyDisposition
- PittaMyDisposition
- KaphaMyDisposition
- My appetite tends to be:
  
  Inconsistent—I sometimes forget to eat or skip mealsStrong—I don’t like missing meals or I get irritable or "hangry"Steady—I eat regularly but don’t feel very hungry.
- VataMyHunger
- PittaMyHunger
- KaphaMyHunger
- My digestion lately feels:
  
  Unpredictable—sometimes it’s fine, other times I feel bloated or constipatedStrong—I digest quickly, though I sometimes get acid reflux or burningSlow—I feel full for hours or tired after meals, and I gain weight easily
- VataMyDigestion
- PittaMyDigestion
- KaphaMyDigestion
- My walking style is:
  
  Fast and light—I move quickly and sometimes erraticallyMedium pace—deliberate and precise.Slow and steady—my steps feel heavy or grounded
- VataMyWalking
- PittaMyWalking
- KaphaMyWalking
- Vata Score
- Pitta Score
- Kapha Score
- Additional information you would like to share?
- I would like more information regarding:
  
  Private Consultation (in person or zoom)Private Yoga/Meditation Sessions (in person or zoom)Ayurvedic TreatmentsAyurvedic Lifestyle Workshops & Classes21-Days to a New You: Mind-Body-Spirit ResetAyurvedic Yoga Retreats (India, Regional, Local and abroad)Nothing TodayOther
- Type a question
- Should be Empty:

Lifelong Tendencies – Select what best describes you over time

Your Current State – How you’ve been feeling recently