Coordinated by NCISM

Desh ka Prakriti Technical Support and Content

Parikshan: creation by Ayurgenomics Unit,
Overview of the CSIR-IGIB
Abhiyaan and Training An Initiative by Ministry of AYUSH
and the Prakriti
Questionnaire Presentation by

Dr. Bhavana Prasher, CSIR-IGIB

12th November 2024
Delhi
About the Abhiyaan: “Desh ka Prakriti Parikshan”
Prakriti reading from
texts with contexts
 Prakriti in Ayurveda
Relevance for clinical P5 medicine :
Personalised lifestyle & nutrition
Personalised Medicine For remaining healthy and in harmony with
nature, charaka, swasthya chatushka
Integral part of patient examination
Dashavidha rogi-rog pariksha
Charaka Vimana sthan

Predictive medicine Prakriti

Response to environment,
physio-
In predisposition, diagnosis & prognosis And diet, drugs, therapies
Charaka Viman, Indriya clinical
contexts

Promotive health Developmental & genetic basis

Susruta& Ashtanga_ sharira
Swasthya , shodhana and rasayana
Charaka- Swastha-Rasayana Participatory approach
Charaka-Desha pariksha
 Prakriti in Ayurveda
Relevance for clinical P5 medicine :
Personalised lifestyle & nutrition
Personalised Medicine For remaining healthy and in harmony with
nature, charaka, swasthya chatushka
Integral part of patient examination
Dashavidha rogi-rog pariksha
Charaka Vimana sthan

Predictive medicine Prakriti

Response to environment,
physio-
In predisposition, diagnosis & prognosis And diet, drugs, therapies
Charaka Viman, Indriya clinical
contexts

Promotive health Developmental & genetic basis

Susruta& Ashtanga_ sharira
Swasthya , shodhana and rasayana
Charaka- Swastha-Rasayana Participatory approach
Charaka-Desha pariksha
 Prakriti Features & their Assessment Method

Converted to

Clinically measurable features into questionnaire

Old Age Wisdom

Ayurgenomics approach for Systemic understanding and Predictive Medicine
Prakriti Differences in Response to Stress
 Prakriti Determination

Clinical Examination and History Taking Format

For Capturing Prakriti Features

Machine Learning
Questionnaire Algorithm

Prakriti Card and

Examinable traits in Ayurveda Text Lifestyle
Descriptions Recommendations
Vayanupatini and Kalanupatini Components of Dosha Prakriti: Basis for
Lifestyle Recommendations for Dynamic Health

नगर$ नगर%येव रथ%येव रथी यथा|

%वशर$र%य मेधावी कृ2ये3वव4हतो
भवेत ्||
- Ch. Su. 5/103

माधव:थमे मा<स नभ%य:थमे

पन
ु ः|
सह%य:थमे चैव
हारयेCदोषसFचयम ्||

- Ch. Su. 7/46

 Desh
Kaala
(Context)
01 03 For
Persona
lised
Health &
Lifestyle Wellness
Recommendations
02 Abhyasa
Satmya
Prakriti
Vaya (Lifestyle
(Questionnaire) Questionnaire)
In a dynamic way
In this Abhiyan, two most important things to take care of:

A. Manage Biases effectively: B. Accurate assessment of

No bias / No unnecessary prakriti features through
extrapolation of prakriti appropriate crisp
features questions and clinical
observations
Towards this some frequently
asked questions re provided
with shastra and research
based answers
Snapshots of the App: Prakriti Questionnaire
 Snapshots of the App: Prakriti Questionnaire

More than 85 Lakshanas each of Vata, Pitta and Kapha are mapped to the questionnaire options.
7 Gunas of Vata, 6 Gunas of Pitta, and 7 Guna of Kapha are covered across Sharir Rachna-Kriya, Manasik
Bhava and Satmya/Asatmya mapped to options of each Question.
About the Questionnaire: “Comprehensive Prakriti Analysis”
Activity, Speech, Memory, Body Structure, Skin features, Hair
Social interactions, features, Nails, Lips, Palm, Palate,
Emotional Response and Soles, etc.
Behavioural Patterns
Question Number 1 to 11.
Question Number 17 to 22.

Sensitivity to weather, Digestion, Metabolism, Sleep,

Seasonal changes, Bowel, Food Preferences, Strength
Temperature (Physical, mental, immunity)
preferences
Question Number 12 to 15.
Question Number 16

Basic details: Contact info, Height,

Weight, Vitals, etc.

Health background: Disease history,

Medications, Surgeries, etc.
 Prakriti Parikshan App

• Citizen
• Ayurveda Volunteer

• Register using your Mobile number

• Provide personal details

• Approve consent for voluntary information sharing

• Make a commitment to an Ayurveda-based lifestyle

• Volunteer scans the QR code and fills the questionnaire

• Records the video saying the Slogan
• Prakruti certificate is sent to Citizen’s app.
• Citizen gets lifestyle recommendations acc to Prakruti

• Volunteer captures photo of citizen with Prakruti

Certificate
• Video, Prakruti Certificate and Photo contribute to
national records.

For Details on using App, Refer to Guide Video Provided

Prakruti Prediction: Using Machine Learning Approach
 Standard Operating Procedure

Introduce National program Understand your App: Download, log in, Referral to nearby
yourself, by MoA/NCISM to unique body type give consent Digital certificate, hospital/doctor if
show promote Preventive for personalized Assessment: Scan QR for personalized health needed
ID/NCISM personalised health Prakriti assessment, advise, seasonal
letter Prakriti-based record pledge video guidance
lifestyle Photo: Take picture with
Prakriti certificate
Refer to the “SOP for volunteers to initiate Prakriti Analysis of Citizen” Document Shared with you
 Standard Operating Procedure (SOP)
for Volunteer to Initiate the Prakriti Analysis of Citizen
Self-Introduce yourself;
When performing the Prakriti analysis of the Citizen or Person, the volunteer should introduce themselves as an Ayurvedic
practitioner/instructor/student/medical officer representing the Desh Ka Prakriti Parikshan Campaign on behalf of NCISM and the
Ministry of Ayush.
Provide Information about Campaign:
The Desh ka Prakriti Parikshan Campaign is a Nationwide campaign envisioned by Hon'ble Minister of Ayush (Independent Charge),
Shri. Prataprao Jadhav ji. This Campaign was launched by Hon’ble Prime Minister of India, Shri. Narendra Modi ji, on the auspicious
occasion of Ayurveda Day, celebrated on October 29, 2024.
Individuals whose Prakriti will be analysed, shall get health advice on a regular basis for promotion of positive health.
Brief about what is Prakriti? and its importance for personalized health and wellness
Prakriti refers to an individual's unique constitution or inherent nature, which is determined by the balance of the three doshas: Vata,
Pitta, and Kapha. These doshas govern all the physical, mental, and emotional functions in the body, and their balance influences a
person's health, behaviour. Prakriti helps in creating personalized diet, lifestyle, and treatment plans to remain healthy.
Each person has a distinct combination of these doshas, and understanding this constitution helps in tailoring personalized approaches to
diet, lifestyle, and treatments that maintain health and prevent disease.
 Explain the Process of Assessment of Prakriti
Download the Prakriti Parikshan application through play store which is completely free and Approved by Govt.
(Available on IOS & Android)

Then after Citizen should select Citizen tab

Log- in with your Mobile number

(Mobile Number and Other information will not be share with anyone and incompliance to the Data Protection Act necessary work will be done)

Verify with an OTP

Citizen should provide basic details and give your consent to participate.

Explain to Citizen that I’ll use my app to help you complete the Prakriti assessment, which includes examining features like your body, habits, and other
health details.
(Make aware that Prakriti Parikshan will be done through Mobile application Question Answer mode only, No blood sample or other tests will be done)
You will also record a video pledge, saying a simple sentence,
(म"ने %कया है संक-प /वा/1य का, िजसका है आधार आयव
ु 8द का)
We will take a photo of you with your Prakriti certificate.
Explain Benefits of Prakriti Analysis
• By learning about your Prakriti, you will get advice for a healthier lifestyle
that are specific to your body type.
• Once you complete the process, you’ll receive a digital Prakriti certificate
on the application.
• You will get personalized lifestyle recommendations, including daily and
seasonal practices to stay well round the year.
Explain other benefits: Referral to a Nearby Hospital or Doctor if
Needed: –
If any health concerns come up during the assessment, you can be directed
to a nearby Ayurveda hospital or doctor for guidance. So, it’s a great way to
look after your health, with support if needed.
Instructions for Filling up the Questionnaire Important for deriving
accurate responses
Clearly explain to participants that we are here to
understand their baseline/normal patterns and
responses —not temporary, ore recent outcomes
of changeable conditions. Such as new place or
new lifestyle

Reiterate the importance of recalling normal

trends at each point and avoid reporting the
effect of Vikriti especially if any medical condition

•Eliminate leading questions, judgmental tones,

or suggestions that could influence responses.
•Avoid influencing answers by offering extreme
options first; use middle-range answers only if
necessary.

Analyse the subjective options in questionnaire

such as high medium low or tall short medium
with reference to geographical location, ethnicity,
age, and environment to contextualize responses.

Always note the influences of lifestyle and other

factors such as cosmetics, deformations, and
injuries that could affect the responses.
Point by Point Questionnaire
Administration for Prakruti
Analysis
There are indicative questions given for each question and their options to guide
you to come to correct conclusions easily and in stipulated time, as there is a limited
scope for observing the participants during the questionnaire administration. These
pages with questions are highlighted in light blue background.
Ques 1. Body Frame Breadth Akriti-Vistara Pramana

1. Overall 2. Shoulder 3. Chest 4. Forehead

a. Thin/Narrow, a. Thin/Narrow, a. Thin/Narrow, a. Thin/Narrow,

b. Medium, b. Medium, b. Medium, b. Medium,
c. Broad c. Broad c. Broad c. Broad

वात %कृ(त - !" गण

ु - !" अप*चत अ-प / कृश अ-प/ तनु !" 3त4ध अ-प अंग / अ-पांग/ अ-प !" कृशो 3यात ्
!प# %कृ(त – सक
ु ु मारम;ू त=/ सक
ु ु मार गा@ाः

कफ %कृ(त - ग!
ु एवं =व>जल गण
ु - पथ
ृ प
ु ीन व0/ महा ललाट उB बाहु/ =वशाल दFघH सJु यKत
Shoulder breadth is anthropometrically measured as the bi-acromion breadth, hence the same needs to be checked visually.
But to assign it broad, narrow or medium it should be observed with respect to the trunk breadths, i.e., chest, waist and hip.
 Check Overall Breadth by observing areas of bony prominence like Elbow and Wrist :

Narrow Medium Wide

Mahalalaat can be observed through both length and breadth of the forehead. Hence, both
need to be assessed together to arrive at a conclusion.
Forehead Length: Angula Pramana (4 Angula)

Broad > 4 Medium = 4 Narrow < 4

Confounders and Clinical Differentiators:

• Forehead length- receding hair line due to baldness.
 Ques 2. Body Frame Length
Akriti-Ayama Pramana
वात %कृ(त - (!" गुण)- अ-प अंग / दFघH आकृतयः

1. Overall 2. Forehead चल गण
ु - सQ
ू म

a. Long, a. Long, कफ %कृ(त - =व>जल एवं गु! गुण - महाललाटा/

b. Medium, b. Medium,
c. Too Short/Too Long c. Too Short/Too Long महाललाट उB बाहु

!प# %कृ(त – सक
ु ु मारम;ू त=/ सक
ु ु मार गा@ाः

Intention is to visually assess the height/length and infer whether overall it is appearing to
be long or short or medium or too short/too long considering the age, gender and
population averages. Although the body height will also be measured in centimetres or
inches.
Confounders and Clinical Differentiators for Breadth:
• Any kind of inflammation, deformity, over growth, or even muscle wasting or
bony deformations should be checked for and ruled out before coming to an
inference.

Confounders and Clinical Differentiators for Length:

• The body frame height should always be relative to the population which
the individual belongs to.
• Endocrine abnormalities like hypothyroidism, hyperpituitarism,
gigantism, dwarfism, etc and also conditions like Marfan’s syndrome,
rickets, hydrocephalus, etc that affect the length of the body frame as
well as of the individual parts should be identified and ruled out.
Ques 3. Size & Development Upachaya-Praman- Sharira/ Sandhi/ Avayava

1 Body Build 2 Face 3 Eye

a. Weakly Developed, a. Weakly Developed, a. Weakly Developed,
b. Moderately Developed, b. Moderately Developed, b. Moderately Developed,
c. Well Developed c. Well Developed c. Well Developed

Eyelash Joints 6 Lips 7 Nails

4 5
a. Small, a. Small,
a. Small, a. Weakly Developed,
b. Medium, b. Medium,
b. Medium, b. Moderately Developed,
c. Large c. Large
c. Large c. Well Developed

वात %कृ(त - !" गुण - !" अप*चत अ-प शरFराः / तनु अ-प अंग, =वशद एवं !" गुण - सतत श4द गाUमनVच सिXध /
3त4धांगाः, तनु !" रोम नेZ/ पBष गुण - व\
ृ ा]न ने6ा7ण
9प: %कृ(त - ;व<वाि>छ@थलमद
ृ स
ु िCधमांसाः उ^ण गुण - मद
ृ ु अ-प Vम_ु लोम केश/ अ-प रोमा/ अलोमकः/ तनु अ-प पQम
कफ %कृ(त - सां` गुण- उप*चत पaरपण
ू H सवाbगाः/ सार गुण - सार संहत ि3थर शरFराः, =व>जल गुण- सिु Vल^ट सार सिXध बXध /
सां` गुण - ि3नdध िGलHट सिCध अिJथ मांस, अeछ एवं मद
ृ ु गुण - gसXन आनन/ gसXन आयत =वशाल दFघH
सKु यMत पNमला0/ hि^ट सख
ु / gसXन दशHन
Intention: To assess the size/ bulk/ musculature of whole body as well as certain body parts /
features. The sites to be examined are selected on the basis of the descriptions in Prakriti
Lakshanas.

Method of assessment – Visual observation

1. The bulk and build of the whole body is to be assessed keeping in mind the height and
breadth.
2. For specific regions such as joints: the size of the joint is to be assessed on the basis of the
bulk of the structures around it. For eg: If the joints like knee, wrist, elbow, inter-
phalangeal joints are appearing small or large or medium relatively
3. Size of the eye ball including the ocular and levator muscles surrounding the eyeball. This
can be seen with respect to the portion of the pupil covered by the eyelids.
4. For eyebrows and eye lashes always keep in mind and rule out the lifestyle changes that
they are susceptible to.
 Lip Size

Thin Lips Medium Lips Broad/ Large Lips

Nails Size

Small Nails Medium Nails Long/ Large Nails

Length shorter than Breadth Length equal to Breadth Length more than Breadth
 Eye Size

Large Eyes Medium Eyes Small Eyes

Depending on how much total area is visible of the white sclera part of the eyeball around the iris, it
should be assessed whether the eye size is small, medium or large.

Eyelashes Size

Small Eyelashes Medium Eyelashes Large Eyelashes

Confounders and Clinical Differentiators for size/bulk:
• Extra bulk of fat due to obesity and other lifestyle disorders,
inflammation, ascites, pregnancy like conditions should also be
ruled out properly.
• This point needs to be carefully assessed to find the patterns of
any sudden, gradual or natural change with age.
• Disfigured joints or other nodular growths due to arthritis, gout,
bursitis and other similar infectious or non infectious diseases.
• Any kind of disease modifying or drug induced change (eg,
hormonal supplements or chemotherapy, inflammation, injury,
alopecia, fungal infection, etc.) in the recent years should be
ruled out while making an inference.
Ques 4. Body Build Musculature
Upachaya: Dravata-Dridhata
c. Smooth and Firmly
a. Thin b. Soft and Loosely
Knitted
Describes a lean and slender
Knitted
Suggests a well-defined and
Indicates a less toned and more
physique. toned muscular build.
relaxed muscle structure.
वात %कृ(त - *+ गुण - *+ अप1चत कफ %कृ(त - सां= गण
ु - उप1चत
;प< %कृ(त - =व गुण - >श1थलांगाः/
अ3प शर6राः / तनु अ3प अंग पIरपण
ू K सवाLगाः/ सार गुण - सार संहत
>श1थल मद
ृ ु सिEध मांसाः
िNथर शर6राः
Ques 5. Skin Features (Varna)

1 Appearance 2 Nature 3 Texture 4 Color

a. Cracked, e. Pimples, a. Dry, a. Rough, a. Fair Reddish,
b. Lustrous, f. Freckles, b. Oily, b. Smooth, b. Fair Pale Yellow,
c. Moles, g. Wrinkles, c. Normal, c. Coarse c. Fair Pink,
d. Marks, h. Prominent Veins, d. Seasonal/Variable d. Wheatish,
i. Clear e. Dark,
f. Dusky

5 Type वात %कृ(त - !" गण

ु - !" अंग/ !" शरFरा, पBष गण
ु - पBष वदन पाjण पादाः,

a. Thick, =वशद गण
ु - 3फुlटत अंग अवयवाः, बहु गण
ु - बहु कmडरा Uसरा gतानाः/ धम]न संतत गाZाः
b. Thin 9प: %कृ(त - उ^ण गण
ु - gभत
ू =वpलु Jयंग ]तल =पqड़काः, s"g वलF,
उ^ण एवं `व गण
ु - तनु मद
ृ ु सक
ु ु मार गाZाः/ gभत
ू 3वेद
कफ %कृ(त - मद
ृ ु गण
ु - सक
ु ु मार गाZ, ि3नdध एवं VलQण गण
ु - ि3नdध VलQण अंग
ि3नdध एवं अeछ गण
ु - gसXन ि3नdध वणH, मद
ृ ु गण
ु - सौuय मद
ृ ु अंग,
ि3नdध गण
ु - ि3नdध छ=व
 Varna
वात %कृ(त – धस
ू र गा( / कृ-ण वण0 – Dark and Dusky complexions
)प+ %कृ(त - उ-ण गुण – अवदात गा( / गौर गा( / ता7 वण0 /
पीत :श<थल अंग – Fair Complexion with reddish tinge and pale yellow
कफ %कृ(त - मद
ृ ु एवं अBछ गण
ु - अवदात गा( / दव
ू ा0 इंदFवर शरकांड /
HIयंगु दव
ू ा0 शK( गोरोचन पOम सव
ु ण0 वण0 – Fair, Fresh colour, pink,
golden or Wheatish complexion
Confounders and Clinical Differentiators:
Any change in complexion due to LS factors, diseases like jaundice, anemia
or any other condition like sunburn, tan, etc should be properly ruled out
and then assessed.
 Ques 5.1 What to assess?
1. Appearance (Select all that apply):
Based on the skin of the subject observed under natural light, please mark all the features you
notice from the list below. Observe the skin on the face and forearm carefully for the following
characteristics:
a) Cracked skin: Are there any visible breaks or linear fissures on the skin? Or ask if it happens
often?
b)Lustrous skin: Does the skin have a healthy glow or sheen (not excessive oiliness)?
c) Moles: Are there any melanin pigmented spots on the skin?
d)Marks: Are there any visible traces like spots, post-inflammatory pigmentation, or scars?
e) Pimples: Are there red or raised spots on the skin, indicative of excess oil trapping?
f) Freckles: Are there light brown patches or spots, more pronounced with sun exposure?
g) Wrinkled skin: Are there visible fine lines or creases on the skin? More pronounces relative to
the age of the participant.
h)Prominently visible veins and tendons: Are veins or tendons noticeably visible on the forearm,
back of palms, or feet?
i) Clear skin: Is the skin free of the above features, with or without lustre?
 Ques 5.2 What questions to ask?
Skin Nature: Dry / oily / normal / seasonal or variable (!"/ ि&न(ध)
To understand the natural condition of your skin and how it responds to
different seasons, please tell what best describes your skin:
a)Dry Skin: Does your skin often feel dry, tight, or irritable, easily get white on
scratching?
a.Do you notice flaky or rough areas, especially in winter?
b.Do you need to apply moisturizers year-round, regardless of the season?
b)Oily Skin: Does your skin frequently feel oily or sticky, particularly during
summer?
a.Does your skin rarely feel dry, even in winter?
c)Seasonal/Variable Skin: Does your skin experiences stark changes with the
seasons—for example, feeling very dry in winter but too oily in summer?
d)Normal Skin: Is your skin generally balanced—not too dry, not too oily—
 Ques 5.3 How to assess?
Skin Texture: Smooth/ rough/ coarse (!वक $%णता/ )*ता एवं खरता)
Observe or feel the participants skin on the face, forehead, volar
forearm, and backside of the hand to assess its texture. Ask permission
before touching. Identify the option that best describes the texture:
a)Smooth Skin: Does the skin appear even, lustrous, and glowing,
without any visible roughness?
b)Rough Skin: Does the skin feel uneven, with areas not smooth to
touch?
c)Coarse Skin: Does the skin have a higher level of roughness, with
visible breaks or unevenness?

Share your observations based on both visual and tactile examination.

Lustrous Dry Skin Clear Skin

Moles Wrinkles Freckles

Confounders and Clinical Differentiators related to skin:
• All the skin features should be observed keeping same environment as much as
possible.the factors like temperature, humidity, natural light conditions, etc should be
considered before arriving to a conclusion.
• Also, the use of moisturisers, creams, oil, or any such kind of product that can alter the
natural skin texture should be ruled out at the time of examination.
• Injuries resulting in scars, dermal fibrosis, keloids, etc such as burns, any skin disorders
like dermatitis, eczema, psoriasis, ichthyosis, etc and all other such conditions which
can affect the skin texture, appearance and type should be properly ruled out.
• Skin lesions, eruptions, rashes or any other kind of appearances on the skin due to
deficiencies, infections, injuries, allergic reactions, etc should not be misunderstood for
pimples, cracked skin or any other natural appearance changes.
• Wrinkles should always be considered keeping in mind the age of the subject. Only
early appearance of wrinkles according to age should be considered.
 Skin Colour
Method of Assessment:
The complexion should be visually assessed in bright natural
white light.
Fair could be pink, pale yellow, reddish or golden.
Fresh color means fresh radiance of skin. It can be present in
dark skin.
Confounders and Clinical Differentiators:
Any change in complexion due to diseases like jaundice,
anemia or any other condition like sunburn, tan, etc should
be properly ruled out and then assessed.
Ques 6. Hair Features (Kesha)

1 Nature 2 Color 3 Type 4 Prone to

a. Dry, a. Black, a. Thick, a. Graying, d. Split at ends,
b. Oily, b. Dark Brown, b. Thin b. Falling, e. None
c. Normal, c. Dusky, c. Breaking,
d. Seasonal/Variable d. Light Brown

वात %कृ(त - प"ष गण

ु - प"ष केश ,म.ु रोम, 12 गण
ु - कृश अ+प -. केश ,म.,ु धस
ू र केश
1प2 %कृ(त - उ8ण गुण- मद
ृ ु अ;प ,म.ु लोम केश/ >2? वलA पBलत खाBलFय दोषाः/ वल4 प5लत
खा5ल7य ज;ु टो/ अ;प रोमा/ मद
ृ ु केश रोमा/ अलोमकं/ Jवरल मद
ृ ु केश रोमा
1पंग केश रोमा / करभ क1पल केश रोमा
कफ %कृ(त - JवKजल एवं गु1 गुण- घन नील केशः/ िRथर कुTटल आBल नील केशो/ ,याम सक
ु े शो,
नील केश / Eयाम केश
Black Dusky Dark Brown Light Brown
Method of hair examination:
Visual and tactile examination- Hair can be assessed visually or can be
touched and felt for dry or oily; thick or thin, split ends, graying, etc.
Questions: The tendency of hair breakage, falling, graying, etc and the
age at which it started can be asked through questions.
Confounders and Clinical Differentiators:
• For correct assessment of hair texture ensure that no chemical product or treatment has
been used to either alter the natural texture, or nothing like serum, oil, cream, etc has
been applied.
• For hair nature, it is necessary to differentiate between hair falling and breaking, and
also take into consideration the age of the subject while assessing graying of hair. If the
subject is of old age, then one may ask about the age of onset of graying.
• Ask for any possible medication, treatment, conditions, etc that may cause changes in
the hair nature and growth/bulk. (For eg, Chemotherapy, radiations, steroidal therapies,
dermatitis, fungal infection, alopecia, hormonal imbalances, malnutrition, etc.)
 Hair Colour:
This section focusses on the pigmentation level of the scalp hair as well as
body hair. The different hair colours are elicited by different levels of
eumelanin and pheomelanin in hair follicles.
Method of Assessment:
Visual : Scalp hair observation should be done preferably under natural
white light.
Confounders and Clinical Differentiators:
• Always take into consideration usage of any kind of hair
dye/colour, oil, or any other such product on hair.
• If the reason for hair dye/ colour is graying of hair, then the age
of appearance of grey hair should be confirmed to identify
prematurity.
Nakha, Dashan, Vadana, Oshtha, Paani, Paada
(Nail, Teeth, Palate, Lips, Palms, Soles)
वात %कृ(त - प"ष गुण- प"ष नख दशन वदन पा/ण पादाः / धस
ू र गा6ाः – Rough Palms, soles, lips,
nails, and dark coloured palms, soles, lips and palate.
78 गण
ु – तनु 78 :त;ध अ=प अंग नख ने6 आAद सB
ू म अDत दं तो वा – small nails,
teeth, too small or too large teeth
Fवशद गण
ु – :फुAटत अंग अवयवाः / :फुAटत कर चरणो – Cracked palms, soles lips.
*प, %कृ(त - उMण एवं Oव गण
ु - सक
ु ु मार अवदात गा6ाः / ताP नख नयन तालु िजTवा ओMठ पा/ण
पादतलो / ताP ह:तांDX वY6/ पीत [श\थलांग – yellowish in colour
कफ %कृ(त – मद
ृ ु गुण – सक
ु ु मार अवदात गा6ाः / सौ`य मद
ृ ु अंग/ गोरोचन पaम सव
ु णb/
cयYत [सत dसeन अंग अवयव – Regular, Even, large, lustrous, milky white teeth.
मद
ृ ु ि:नfध एवं gलBण गण
ु – मद
ृ ु ि:नfध gलBण अंग अवयव – Lustrous teeth
सांO गण
ु – उप\चत पhरपण
ू b सवाiग – large (well developed) teeth
Ques 7. Nail Features (Nakha)
1 Color
a. Dark,
b. Reddish,
c. Pale Yellow,
d. Pink

2 Texture
Rough Nails Smooth Nails Brittle/Cracked Nails
a. Smooth,
b. Soft,
c. Rough

3 Nature
a. Firm,
b. Brittle/ Cracked
 Soft Nails
(Nails that can
bend easily)

Pale Yellow Nails Reddish Nails

Firm and
Smooth Nails
(Would not
bend easily
And also
Pink Nails without any
Cracks or ridges)
Ques 8. Teeth & Palate Features (Danta- Talu)

1 Teeth Color 2 Teeth Shape 3 Teeth Size 4 Palate Color

a. Dull/Blackish, a. Even, a. Large, a. Dark,
b. Milky White, b. Uneven b. Medium, b. Reddish,
c. Yellowish c. Too Small, c. Pale Yellow,
d. Too Large d. Pink
 Teeth & Palate (Danta- Talu)
वात %कृ(त - प"ष एवं 78 गण
ु - प"ष दशन / तनु 78 :त;ध अ=प दeत – Brittle, small,
dull/blackish teeth
चल गुण – सB
ू म अDत दं तो वा / अनवि:थत सिeध आAद – too small or too large,
irregular, uneven teeth.
प"ष गण
ु – धस
ू र अंग अवयव - Blackish Teeth
Fवशद गण
ु – :फुAटत अंग अवयवाः – Brittle / cracked teeth.
*प, %कृ(त - उMण गण
ु - दeत FवशMु क वणj / पीत Fपंग अंग अवयव – yellowish in colour
Oव गुण – [श\थल सिeध मांस – loose teeth.
कफ %कृ(त – अkछ गुण – cयYत [सत dसeन अंग अवयवाः – Regular, Even, large, lustrous,
milky white teeth.
मद
ृ ु ि:नfध एवं gलBण गण
ु – मद
ृ ु ि:नfध gलBण अंग अवयव – Lustrous teeth
सांO गण
ु – उप\चत पhरपण
ू b सवाiग – large (well developed) teeth
Teeth Shape Teeth Size

Even Teeth Large Medium

Too Large Too Small

Uneven Teeth
Pale Yellow Palate Reddish Palate
 Teeth Examination:
Method of Assessment:
Visual : It should be done preferably under natural white light.
Although this section is relevant to the teeth, proper examination of the
gums should be done and any conditions like deficiencies or infections
found should be reported and referred to.

Confounders and Clinical Differentiators Related to Teeth:

• Differentiate between natural and diseased conditions of the teeth, by proper evaluation and
history taking.
• Rule out all the teeth ailments including cavities, discolouration due to plaque, calculus, like
conditions or staining due to any habit/ addiction or bad/improper dental hygiene. There can
be some condition which can be prevalent in the populations, eg., fluorosis and should be
noted down.
• Also, rule out the possibility of any cosmetic procedure undergone to proper alignment,
altering the size of teeth, etc.
Ques 9. Lips Features Ques 10. Palm Features Ques 11. Sole Features

Oshtha, Vadana Pani Pada

1. Color 1. Color 1. Color

a. Dark, a. Dark, a. Dark,

b. reddish, b. reddish, b. reddish,
c. pale yellow, c. pale yellow, c. pale yellow,
d. pink d. pink d. pink

2. Tendency 2. Tendency 2. Tendency

a. Firm, a. Firm, a. Firm,

b. Cracked, b. Cracked, b. Cracked,
c. Wrinkled c. Wrinkled c. Wrinkled
Dark Reddish Pale Yellow Pink

Cracked Lips Cracked Soles Cracked Palms

Dark Lips Reddish Lips

Pink Lips
 Wrinkled

Lips Palms Soles

 Palate, Lips, Palms and Soles
This section deals with examination of the peripheral parts of the body. They reflect the
nutritional status and health of the vascular system. The features to be assessed are color
& nature of nails and palms, soles, lips & palate. Ayurveda describes manifestation of
Dosha features at these peripheral anatomical sites in diseased conditions also.
Method of Assessment:
1. Visual Assessment - carefully observe the appendages for colour, cracks, wrinkles and
shape। While assessing the palate, the health and hygiene of the overall cavity should
be examined, especially tongue. For dark colour of nails, they are neither yellowish,
nor red but a faded dark colour.
2. Palpation/ Tactile observation - Palms and soles can be touched and felt for features
like, softness or firmness, roughness or smoothness, etc.
3. History / questioning -
• History of physical labour/ work/overwork which could have changed the nature of
palm and soles and nails
• Habit of wearing shoes, for how much duration?
• Habit of lip care and nail care
Confounders and Clinical Differentiators for Palate, Lips, Palms and Soles:
• Carefully assess and rule out the possibility of altered texture and nature by any
kind of cosmetic products used either to enhance texture or nature or colour of
the skin and surface of appendages.
• Presence of wrinkles should always be assessed by relating to the age of the
subject.
• Nature of work (eg, labour and field work, exposure to harsh conditions, etc.),
habit of wearing shoes, proper and regular care of the appendages and nails can
lead to wrong observations, hence these points are to be ruled out by proper
history taking.
Ques 12. Food Behavior
Bhakti-Abhilasha-Abhyavarana Shakti-Jarana Shakti

1 Taste Preference 2 Food/Beverage

a. Sweet d. Bitter a. Cold c. Any
b. Sour e. Pungent b. Warm d. None
c. Salty f. Astringent

3 Appetite Frequency 4 Appetite Amount

a. Regular a. Low c. High
b. Irregular b. Medium d. Variable

5 Digestive Amount
a. Low c. High
b. Medium d. Variable
 Ques 12.1 and 12.2
1. Taste Preference (Check all that apply):
a) Sweet (e.g., desserts, fruits like mango, banana add things like cereals and legumes etc where cereals are considered sweet)
b) Sour (e.g., citrus fruits, yogurt, tamarind, pickles)
c) Salty (e.g., added salt, salted snacks)
d) Bitter (e.g., bitter gourd, neem, tea/coffee without sugar)
e) Pungent (e.g., chili, pepper, ginger, spices, etc)
f) Astringent (e.g., raw banana, pomegranate, unripe mango, pulses and legumes which have a Kashaya component too)
Questions to be asked:
• Which taste do you prefer most in your food? (Sweet, Sour, Salty, Bitter, Pungent, Astringent)
• Which taste do you usually avoid or dislike in your food? Or anything that causes discomfort or health problems?
Bhakti and Satmya both to be considered here.

2. Preferred Temperature of Food/Beverages (Check all that apply)

a) Cold
b) Warm
c) Any (no preference)
d) None (avoiding extreme temperatures)
Questions to be asked:
• Are you more inclined to drink hot food and beverages (tea, coffee) or cold food and beverages (cold drinks, iced tea)?
• Even amongst the food items that are generally consumed hot, do you prefer them to be consumed hot, warm, or cooled
significantly?

Confounder: Make sure it is not because of tooth sensitivity or any other such issue.
 Ques 12.3 and 12.4

3. Appetite Frequency: To determine the regularity of hunger frequency and amount.

a)Regular: Hunger is felt at regular intervals, regardless of external factors. Does your
hunger follow a regular pattern each day, and you feel hungry at consistent intervals
each day regardless of external factors (like routine, time or stress)?
b)Irregular: Hunger is unpredictable or irregular with respect to timings.

4. Appetite Amount: To evaluate how much food you naturally consume when hungry.
a)Low: You can eat only small portions even when you feel hungry.
b)Medium: You can eat a moderate portion of food in proportion to age, season, etc.
c) High: You can consume large portions of food when hungry.
d)Variable: The amount you eat is not consistent and varies irrespective of any particular
reason.
 Ques 12.5
5. Digestive Amount: We are assessing your digestive power to understand how efficiently
your body processes food, based on the amount you eat, the type of food, and how often you
feel hungry or experience digestive discomfort.
Question: Are you able to digest the amount of food which you generally consume?
a)Low Digestive Power (Mandagni)
• Always with difficulty, hence I have to be very careful about the nature of food, amount of
food and timing of food.
a)Medium Digestive Power (Sama Agni)
• Usually yes. It creates indigestion and problems when higher amount than usual or heavy
food is consumed.
a)High Digestive Power (Teekshnagni)
• Always yes, even if higher amount or heavier foods are consumed.
a)Variable Digestive Power (Vishama Agni)
Cannot say

How does one decide whether digestion is proper or not?? Presence of Jeerna Aahar
Lakshana and absence of Ajeerna Aahar Lakshana.
 Appetite Frequency and Amount
Here the intention is to to assess the Kshudha (Abhyavaharana Shakti including Upyoga
Vidhi) especially about the hunger pattern including the amount of food & regularity
associated with the intake timings and frequency.
Method of Assessment: By questioning.
The sequence of questions should be to find out about frequency first and then amount
and then about the regularity of both.
Confounders and Clinical Differentiators:
•Kshudha and Trishna are mainly indicative of Agni, but Agni can be influenced by few other factors like stress.
Therefore, the prakrit nature of the agni is to be carefully assessed through regularly observed patterns.
•There is also influence of season and environmental conditions on appetite and thirst. In such cases, it is
necessary to analyse them on the basis of population averages.
•Agnimandya is the first thing to occur in any disease pathology therefore phenotypes or Lakshana related to
Agni assessment are subjected to variations very frequently.
•Many diseases that can cause changes in appetite should be properly ruled out and also the medications that
can interfere should be well investigated and noted. Especially recent changes in the amount, frequency and
regularity of the appetite should be noted.
•Feeling of physiological need for food vs psychological craving must be properly differentiated as the latter
might lead to metabolic and lifestyle disorders.
•Therefore very carefully history is to be taken in order to find out the basic (Prakrit) pattern.
 Food behavior and Digestive Power
वात $कृ'त- चल गुण, लघु गुण- चपल आहार /अ0त बहुभक ु ् - 6वषमि;न
The digestive power can be high sometimes and low at times, hence considered variable which
can also be directly referred from the description of Vishamagni in Charaka Samhita. Vishamagni
digests the food properly at times and not so at other times. It is influenced by Vata dosha and
hence unpredictable.
समल>ण6वपर?तल>ण@तु 6वषम इ0त - Ch.Vi. 6/12
कदाCचD6वषमोऽपचाराद6प न 6वGHयते, कदाCचD6वGHयते - Ayurved Deepika Teeka
)प+ $कृ'त- तीLण गुण- तीLण अि;नः, सवाNपचार सह - High amount of digestion.
कफ $कृ'त - मOद गण ु - मOद आहार- मंदाि;न Slow digestion
Method of observation-
•Assessing the amount of food should comprise the cumulative of all items in the meal
•Samyak Jeerna Lakshana like Kshut Moksha (appetite), Vega Moksha (urge of bowel habit),
Laghuta (lightness feeling), Visuddhi (no eructations) should be enquired about to properly confirm
good digestive power.
•Ajeerna lakshana: The general signs and symptoms of Ajeerna that are Vishtambha (abdominal
distension), Sadan (general malaise), Shirso-ruk (headache), Murccha (fainting), Bhrama
(giddiness), Prusht-Kati-grah (stiffness in back and waist), Jrambha (yawning), Angamarda (body
ache), Jwara (fever), Chhardi (vomiting), Pravahana (indigestion), Aruchi (anorexia) should also be
assessed.
 Food Taste Preference
Intention is to assess the Bhakti and Satmya of the person which could be a reflection of his
physiological characteristics. Here preference & suitability for taste and food are to be examined.
Food preference is to be captured as per the taste (Rasa), temperature (Sheetoshna) and
composition (Snigdh-Ruksha), such as if food items are either from the six taste domains, hot or cold
and whether they are dry or oily.
Method of Assessment-
Questioning about the preference of food and whether the food they like/dislike also has any other
related aspect of Suitability too.
Note: Sometimes people don’t recognise the name of the tastes, but they can identify with the items. For eg,
Astringent or Kashaya: Jamun, Amla, Raw banana, Betel nut, etc.
Katu or pungent: Like in chillies.
Tikta or Bitter: Like Neem, Bitter gourd, Black Coffee without sugar, etc.
Salty: as in they prefer to take extra from what is regularly being added in cooking, or like to add extra to salads,
etc.
Amla or Sour: Like lemons, citrus fruits, prefer having sour curd or buttermilk without any sugar or salt, etc.
Madhur or Sweet: Liking and preference for sweet products may be identified by the fact that they like having
sweet dishes or desserts like cakes, kheer, payasam, or naturally sweet tasting fruits and vegetables, sweet
potatoes, usually if having oats or curd or buttermilk then prefer to have sugar or any sweet condiment in it.

•Also enquire, if these are to be taken regularly or in high amounts then does it cause any discomfort?
Confounders and Clinical Differentiators for digestive power:
• Low digestive power could be due to underlying pathology like GI disturbances,
diarrhea, constipation, Irritable Bowel Syndrome (IBS), heart burn or psychological
conditions like stress, fear, anxiety etc. The conditions described here are due to
Agnimandya which leads to pathological conditions, these are to be differentiated
from Mandagni which is physiological.
• Increased digestive power or hunger can be observed in conditions like diabetes,
hyperthyroidism, stress, anxiety and depression etc. These are the conditions
which have a pathological basis and are to be differentiated from Teekshnagni
which is physiological.
• The digestive power of a person should be analysed on overall tendency/pattern of
his/her digestive power and not on the basis of immediate/recent changes which
the person has gone through.
 Ques 13. Other Physiological Functions
A. Ushma- Sweda- Shariragandha B. Nidra- Tushti- Pushti-Upachaya

1. Body Temperature: a) Low, b) medium, c) high, d) variable 1. Sleep Amount: a) Low, b) medium, c) high, d) variable
2. Perspiration: a) Low, b) medium, c) high, d) variable 2. Sleep Quality: a) Deep, b) sound, c) shallow
3. Body Odour: a) Mild, b) strong, c) very less 3. Body Weight Changes: a) Gain and lose easily,
b) difficulty in gaining,
c) gain easily lose with difficulty,
d) stable.

वात %कृ(त - !" गुण - !" अंग/ !" शरFरा, सpु तः w3य]त xथ]त खाद]त दXतान ् / =वय]त च गeछ]त संyमेण सpु त,
!" गुण - जाग!क/ gजागBकः, अप*चत अ-प शरFरः/ कृश/ अ-पांग
9प: %कृ(त - gभत
ू 3वेद, उ^ण अंगाः, क"ा आ3य Uशरः शरFर gभत
ू प]ू त गंधाः / 3वेदनो प]ू तगंधो
कफ %कृ(त - अ-प 3वेद, गुB गुण- ]न`ालःु , उप*चत पaरपण
ू H सवाbगाः
 Ques 13.1
Body Temperature:
a)Low
Question: Do you generally feel colder than the people around you, even when the weather is
warm or during regular activities? Have you ever noticed that your limbs or hands feel
consistently colder than others?
c)High
Question: Do you often feel warmer than others around you, even when the temperature is cool
or during everyday activities? Have people ever pointed out that your hands, feet, or body are
consistently warmer than theirs?
b)Medium
Question: Do you typically feel comfortable, neither too warm nor too cold, in normal weather
conditions? Do you experience average body temperature compared to others, regardless of the
environment or activity?
d)Variable
Question: Does your body temperature fluctuate frequently, sometimes feeling warmer and at
other times cooler? Have you noticed that your temperature tends to vary depending on the time
of day, activity level, or environmental conditions?
 Ques 13.2
Perspiration: We aim to understand your natural perspiration pattern, including how much
you sweat normally and in response to external factors like heat, exertion, or stress.

• High: Do you sweat excessively, even in normal or cool conditions, or does your sweat
frequently soak your clothes? Have you noticed excessive perspiration in certain areas, like
palms, underarms, or the face, regardless of the weather or activity level?
• Low: If you rarely sweat, even in hot or humid conditions or after physical activity, have
you noticed dryness of your skin or body, and do your clothes show little or no signs of
dampness from sweat?
• Medium: Do you perspire moderately, specially in response to physical activity, heat, or
humid weather, and does it feel appropriate for those conditions? Is your sweating pattern
consistent with what most people experience in similar situations?
• Variable: Does your perspiration vary significantly, sometimes being excessive and other
times minimal, even under the same weather or activity conditions? If yes, then is your
perspiration pattern influenced by stress, specific activities, or certain seasons, making it
inconsistent?
 Ques 13.3

Body Odour: The goal is to assess natural body odour in an unbiased way, ensuring that the
respondent feels comfortable and not feel embarassed. Questions should gently guide them
to reflect on their natural tendencies without discomfort.
a)Strong: Do you ever notice that you need to refresh, like taking a bath or changing clothes
or using anti-perspirants or deodarants, more often than others around you? Have you
observed that certain activities, like being in the heat or exercising, cause noticeable odour
that makes you want to freshen up quickly and you can’t repeat clothing?
b)Very Less: Is it so that you rarely notice any kind of odour from your body, even after
activities like a long day or exercise? Have you found that your clothes often remain fresh
even after wearing them for long, and you can repeat clothing comfortably if need be?
c)Mild: Do you usually feel fresh throughout the day without needing to refresh or change
your clothes often? After regular activities like work or exercise, do you find that your
body remains odour-free most of the time?

• More appropriate questions can be asked for people of different age, living in different settings
and environmental conditions.
 Ques 13.4
Body Weight Changes: To assess an individual’s tendency for body weight changes in
response to various factors like diet, lifestyle, age, hormonal changes, and life events. This
helps identify metabolic patterns and tendencies influenced by prakriti (body constitution).

1. Difficulty in Gaining Weight: Do you find it hard to gain weight, no matter how much you eat
or how high-calorie your diet is? Have you tried to put on weight in the past, and was it
challenging or ineffective despite consistent efforts?
2. Gain Easily, Lose with Difficulty: Do you notice that you gain weight quickly, even with minor
changes in diet or reduced physical activity? Have you found losing weight to be slow and
difficult, even when making significant lifestyle changes like dieting or exercising?
3. Gain and Lose Easily: Do you frequently notice your clothes becoming tighter or looser within
short periods, even with small changes in your eating habits or activity levels? When you
attempt to lose or gain weight, does it happen quickly and with minimal effort?
4. Stable Weight: Has your weight remained consistent over the years, regardless of changes in
diet, activity, or major life events like stress or relocation? Do you feel that maintaining your
current weight comes naturally, without needing to make conscious efforts like dieting or
excessive exercise?
Confounders and Clinical Differentiators for Sleep patterns:
• Alcohol and other substances suppress REM sleep so when you stop using them, it can
lead to unusually vivid, intense dreams. Certain drugs can cause vivid dreams too. Stress
can trigger intense dreams as can traumatic events.
• Excessive day time sleep is observed in conditions like obstructive sleep apnea, bipolar
disorder, post traumatic stress disorder, general anxiety, ADHD, Autism spectrum disease
and conditions like malnutrition, jet lag and sleeping problems in shift workers.
• Reduced sleep can be seen in shift workers, people suffering from chronic pain,
depression, schizophrenia, bruxism etc.
• People usually have less or disturbed sleep because of occupational routine or shifts of
their work therefore, it should be ruled out .
• Conditions like plaque deposition, caries, infections, etc in the oral cavity can cause foul
odour and hence should be differentiated from Prakriti.
• Recent changes due to some diet and lifestyle changes, or due to some medications that
the subject has been taking are to be ruled out properly.
Confounders and Clinical Differentiators related to Weight change:
• Pattern or Causes of weight changes are to be judged with respect to presence or
absence of any physical stress/ work or any mental stress.
• People putting weight may be due to relaxed mind and good sleep patterns, seasonal
factors, etc.
• Conditions like obesity, metabolic disorders, diabetes, hyper and hypo thyroidism or
any other such conditions which may lead to body weight changes are to be ruled out
through proper history taking.
• Although these factors in a combined way produce weight changes but it would be
interesting to see differential response to these factors.
• If there is a weight gain it will be with respect to the bulk increase in muscle and fat
deposition and not in the body frame. Hence, the weight changes should always be
differentiated from good body frame build. Some bone breadths like epicondylar
breadth, Phalangeal breadth, etc can be measured and easily differentiated from the
abnormal weight gain changes due to child birth or hormonal changes, etc.
• Also the different areas of fat deposition for different people would be important to
note.
 Ques 14. Bowel Patterns
(Koshtha- Mala Pravritti)
Hard

1 Bowel Habit 2 Bowel Tendency

a. Regular a. Constipation
b. Irregular b. Loose motion
Formed
c. Variable c. None (Medium)

3 Stool Consistency
a. Hard
b. Loose/soft/semisolid Loose/
Soft/
c. Formed (medium) Semisolid

वात %कृ(त - वातात मले hढ़ता श^ु कता चा=प जायते/ xूर को^ठ
9प: %कृ(त - gभत
ू स^ृ ट 3वेदमZ
ू परु FषाVच/ मद
ृ ु को^ठ
कफ %कृ(त - मंद एवं शीत गुण, म}यम को^ठ
 Ques 14.1 and 14.3
1. Bowel Habits: Tell us about the regular bowel habits?
Regular: Do you get to pass stools every day at regular and usually fixed timings?
Variable: How often do you pass stools? Every day but not at fixed timings? If small
interventions like taking warm milk at bedtime, or warm water early in the morning, etc.
help in the process of clearing the bowel?
Irregular: Not every day, either alternate days or it can be with a gap of two or more
days also?

3. Bowel Consistency: What is the regular and usual consistency of

your stool?
a) Hard: Is it hard or lumpy or had with cracks?
b) Loose/ Soft/ Semisolid: Is it soft, semisolid and runny and not properly formed?
c) Formed/medium: Properly formed sausage like but neither hard nor too soft or runny.

Make sure that the responses are of natural tendencies and have not recently changed
due to diet, lifestyle, disease related factors.
 Ques 14.2
1.Bowel Habits:
To assess the subject’s bowel tendency in response to changes in diet, lifestyle,
place or environmental factors, one needs to ask whether in case of any changes in
the bowel subject to any of the above external factors what is most likely to
happen, towards what does the bowel tendency changes more often:
Constipation
Loose stools, or
None.

For tendency towards constipation, or loose motions or none, always ask

with respect to the changes in diet, lifestyle, environmental conditions,
place, etc. What is the natural and usual consistency of stool more likely to
change towards in case of changes in any of the above conditions?
Confounders and Clinical Differentiators:
• Any changes in the bowel habits due to recent medications, diseases
or other such causes should be clarified beforehand.
• Conditions leading to loose stools like parasitic infections,
diverticulitis, inflammatory bowel syndrome, Crohn’s disease, celiac
disease, lactose intolerance etc. should properly be ruled out.
• Conditions causing constipation like hypothyroidism, diabetes,
irritable bowel syndrome, multiple sclerosis, intestinal obstruction,
pregnancy etc. should also be ruled out.
Ques 15. Strength
Bala: Sharira-Satva-Vyadhipratibandhaktva-Vyadhibalavirodhitva

Bala a. Grade1 b. Grade2 c. Grade3

1. Physical Power Get Tired Easily On doing heavy work Not even after heavy work

Get Stressed Easily cannot

be counselled easily/ Stressed Easily but Get stressed with difficulty
2. Mental Power
sometimes overcome by overcome on its own and can overcome on own
counselling

Fall ill Easily and Fall ill

3. Resistance Power Fall ill Rarely
frequently Occasionally/Moderately

Takes time and effort to Moderate intervention and Resolves on its own, no
4. Healing Power
recover from illness some rest is enough efforts needed.
Ques 16. Environmental Response
Shitoshna Sahishnuta-Ritu Satmyata

1 Health Problems in Particular Season

a. Late Winter (Shishir) e. Rainy (Varsha)
b. Spring (Vasant) f. Autumn (Sharad)
c. Summer (Greeshma) g. Early Winter (Hemant)
d. Seasonal transition h. None

2 Health Problem in any Particular Weather

a. Cold d. None
b. Warm e. Stable
c. Both

वात %कृ(त - शैयात ् शीत असlह^णवः gतत शीतक उÄवेपक 3तuभाः

9प: %कृ(त - औ^mयात ् भविXत उ^ण असहा उ^णमख
ु ाः सक
ु ु मार अवदात गाZाः
कफ %कृ(त – अ-प संताप 3वेद दोष / शाXताः/ सlह^ण/ु Kलेश"मो
 Ques 16.1 and 16.2
For "Health Problems in Any Particular Season"
1.Have you noticed that certain health problems, like cough, colds, skin issues, joint
pains or digestive troubles, occur more frequently during a particular season? If yes,
which season do you feel these issues happen the most?
Provide options: Summer, Early Winter, Late Winter, Rainy, Autumn, Spring, Seasonal
Transition, None
2. During which season do you feel the least comfortable or experience more physical
challenges, such as tiredness, headaches, or skin dryness?

For "Health Problems in Any Particular Weather"

1.Do you tend to feel physically uncomfortable or notice health issues like joint pain,
dry skin, or fatigue in extreme cold or warm weather? If yes, which type of weather
affects you more?
1.(Provide options: Cold, Warm, Both, None, Stable)
2.Are there specific weather conditions, such as high heat, or extreme cold, that make
you feel unwell or trigger health problems?
Ques 17. Speech and Voice
Vak Pravritti, Bhashan, Swara

1 Speaking Speed 2 Speaking Amount 3 Content of Speech

a. Slow a. High/Excessive a. Convincing
b. Quick b. Less b. Argumentative
c. Medium c. Moderate c. Sweet and Pleasing to Ears
d. Variable d. Avoid Confrontations
e. Deviated from Topic
f. Irrelevant in Between

4 Voice Clarity 5 Voice Quality

a. Clear a. Rough
b. Non-clear b. Deep
c. Sharp
 Speaking Speed and Amount
Speaking amount can vary due to occupation, or social surroundings, occasions or
inherent tendency, so it should be observed carefully.
a. Speed or tempo of speech (Chala or Nischita)
Our intention is to assess the speed of speech of the subject.
Tempo of speech is the relative speed or slowness of utterance which is measured by
the rate of syllable succession and the number and duration of pauses in a sentence.
While interacting with the subject it is to be assessed that whether his/her speed can
be inferred as quick/fast/brisk or variable or slow or medium.
b. Amount of speech (Alpa or Bahu)
Our intention is to assess the amount of speech of the subject
Amount of speech can be considered as talking more often and/or using too many
words and sentences for communication, for ex; some may be very talkative (content
may vary), some may speak once in a while or some may speak often but with less
number of words.
Method of examination- By Listening, Observation and Questioning.
 Ques 17.1
1. Speaking Speed (Slow/Quick/Medium/Variable)
Observation Points for Volunteers
• Observe the rate at which the participant speaks during a normal conversation.
• Note whether there are consistent pauses or if the sentences are rapid and
continuous.
• Look for signs of nervousness or hesitation, as these can affect speed.

Questions to ask the Participants:

• How do people generally describe the pace of your speech? Do they often say you
speak very fast or very slow, and often ask you to either slow down or speak a
little faster, or is it average and you never noticed any such observations by
anyone?
• Or is it so that there have been instances where the speed of your speaking
varies, without any significant reasons like stress, anxiety, etc?
 Ques 17.2
2. Speaking Amount (Excessive/Less/Moderate)
Observation Points for Volunteers
•Assess the amount of speech during interaction:
• Does the participant answer succinctly or provide lengthy explanations?
• Does the participant talk excessively without prompts or stay quiet unless
asked?
•Pay attention to whether the participant interrupts or dominates the conversation.
•Note if they actively engage in the conversation or appear reserved.

Questions for Participants (if needed):

•Do you enjoy talking in detail about topics, or do you prefer sticking to brief
answers?
•Has anyone ever mentioned that you talk a lot or very little compared to others?
 Content of Speech

Convincing (स"म$तषु द$ु न*वारवीय*), Argumentative (ती2णो /

कलह9:य/ 9व;<य व=ता) , Sweet and pleasing to ears (:स>न
?वर), Avoid confrontations (वद$त न $न@ठुरं ), Deviated from
main topic (न Cढ़ाः), or Irrelevant in between (:लापी): This
should be assessed in relation to general conversations. More than
one option can be selected from these, but with careful observation
and assessment. Due to being Kalah Priya, Vata may also be
argumentative and Pitta is so because of Teekshna Guna and being
Vigrahya Vakta. Hence, being argumentative is being differentiated
between Vata and Pitta on the basis of speech being convincing or
irrelevant in between
 Ques 17.3
3. Content of Speech
Observation Points for Volunteers
•Convincing: Does the participant explain things clearly, logically, and in a way that persuades
others to agree? Do their explanations make you want to agree with them? You can ask: If they
often feel confident in making their point and find it easy to explain ideas in a way that makes
others agree with them?
•Argumentative or Sharp: Does the participant frequently challenge or object points of the
questionnaire or anything you say during the discussion? Do they use a sharp or critical tone?
You can ask: If they enjoy debating?
•Sweet and Pleasing to Ears: Does the participant’s tone sound gentle, calm, and enjoyable to
listen to?
•Avoid Confrontations: Does the participant tend to agree quickly or deflect when there’s a
disagreement? Do they avoid debating contentious topics?
•Deviated from Topic: Does the participant often stray from the main subject, introducing
unrelated ideas or anecdotes?
•Irrelevant in Between: Do they frequently include unnecessary or irrelevant details in their
responses?
Ques 18. Movements at Rest
(Gati/Cheshta)

1. Hands a. High b. Less c. Moderate

Movements
वात %कृ(त - चल ग]त/ अनवि3थत सिXध अs"
2. Legs a. High b. Less c. Moderate yू हनु ओ^ठ िजÉवा Uशरः 3कXध पाjण
Movements
पादाः
9प: %कृ(त - चला]न पQमाjण
3. Eyebrows a. High b. Less c. Moderate
कफ %कृ(त - ि3थर शरFराः/ मXद चे^टाः Jयाहाराः
Movements

4. Shoulders a. High b. Less c. Moderate

Movements
 Movements at Rest
Intention is to observe the amount of voluntary and involuntary movements (due to
inherent chalatva/ Manda chestatva) of body parts of the subject if it is less or high
or moderate.
Here the movements can be physical and mental, external and internal, observable at
organism level or molecular level. Excessive voluntary movements thus, could be
because of excessive mental/ psychological activity and small attention span.
Method of examination- By Observation and Questioning
Observation: Observe carefully the hand movements of the subject while he is
immersed in the conversation.
Also assess the movements of the facial parts (eyeball, eyelids, eyebrows, tongue,
jaw, etc.) and hands, fingers, feet and shoulders from the time he enters the
examination room.
Excessive voluntary movements can also be a result of restlessness, inattentiveness,
excessive thinking or stress.
Ques 19. Walking (Gati/Cheshta)
1. Amount 2. Speed 3. Style वात %कृ(त - लघु गुण - लघु चपल ग]त
9प: %कृ(त - तीQण
a. High/Excessive a. Quick/Fast/Brisk a. Firm/Steady
कफ %कृ(त - गु! गुण - सार अ*धि^ठत
b. Less b. Medium b. Sharp/Accurate अवि3थत गतयः,

c. Moderate मXद गुण- मXद चे^टा Jयाहार /

c. Slow c. Unsteady / Wavering
अ-प Jयाहार
d. Variable

Walking Style: Gait

 Walking Amount, Speed and Style
Method of examination- By Observation and Questioning
Observation- The person and his/her natural movement style/pattern should be
observed right from the beginning when he/she enters the room/centre of
examination.
Postures of the subject along with his/her gestures are also to be taken into
account and categorized as per the options in the questionnaire.
Questioning- In case of Prakriti examinations which are part of a tele-
consultation, where observation might not be very much feasible for the
examiner, it is necessary to have clear understanding of the features as well as
the methods by which one can come to correct conclusion using only
questioning as a tool of assessment.
 Ques 19.1 and 19.2
Walking Amount:
1. Excessive: Do you enjoy walking around frequently, even without a specific reason? Do you
find it hard to stay in one place for too long without feeling the need to get up and move?
2. Less: Do you generally prefer sitting in one place, or do you feel the need to move around
often? When you have free time, do you tend to stay seated or relax in one spot?
3. Moderate: Would you say you take walks or move around only occasionally or when needed?

Walking Speed:
1. Quick: Do you usually find yourself walking faster than others when in a group? Have people
ever mentioned that it’s hard to keep up with your walking speed?
2. Slow: Have you ever noticed that others often walk faster than you when you’re in a group?
Do you prefer to take your time and walk at a slower pace?
3. Medium: Would you say your walking pace is similar to most people around you? Have you
ever noticed whether your pace is faster or slower than others, or does it feel average?
4. Variable: Have you noticed whether you walk faster or slower at different times without a
specific reason? Or do you feel your walking speed changes depending on your mood or
situation?
 Ques 19.3
Walking Style:
1. Unsteady: Do you sometimes trip or feel off-balance while walking? Have you noticed
that you occasionally bump into objects or stumble? When you’re walking, do you feel
distracted or find it hard to stay focused?
2. Firm/Steady: Do you feel steady and balanced when you walk, even on uneven surfaces?
3. Sharp/Accurate: Do you walk with purpose, focusing on where you’re going? Would you
say your movements are deliberate and precise, and focused on exactly where you’re
headed?

Confounders and Clinical Differentiators for walking related questions:

• Rule out the possibility of any kind of locomotory, nervous, musculoskeletal
disorder or conditions like polio, paralysis, cerebral palsy, etc that may affect
the gait.
• Also, injury or painful conditions can result in slowing down the speed or
unsteady style of walking.
Ques 20. Memory
(Smriti, grahana shakti, dharana shakti)
1 Memorising Speed
a) Quick, b) Slow, c) Moderate, d) Variable
वात %कृ(त - _त
ु Ñाlहणो अ-प3मत
ृ यVच/ चल 3म]ृ त बÄ
ु *ध
शीÖ आरuभ "ोभ Ñहण =व3मरण/ शीÖ राग =वरागाः/ xोधी
2 Forgetfulness Speed
9प: %कृ(त - म}य Üान =वÜान/ मेधावी/ पिmडताः/ =वभव साहस बÄ
ु *ध
a) Quick, b) Slow, c) Moderate, d) Variable
s"g कोप gसादो/ Kलेशासlह^णवो / तीQणो अ]तकोपः
"णभंगरु Vच Zासी
3 Retention Power
कफ %कृ(त - =वÄयावXतः/ *चरÑाlह/ hढ़ शा3Z म]तः/ बÄ
ु धया यK
ु तः/
a) Good, b) Medium, c) Poor, d) Variable
3म]ृ तमान/ ध]ृ तमान

4 Olfactory Memory
a) Good, b) Poor
 Ques 20.1 and 20.2
Memorising Speed:
1. Quick: Do you find it easy to memorize things, places, people, names, stories, songs, or faces after encountering
them just once? For example, can you recall the name of someone you’ve just met or repeat something you just
heard for the first time?
2. Slow: Does it usually take you several repetitions or more time to learn things? Do you need frequent exposure
to something before you feel you’ve fully memorized it?
3. Moderate: Would you say your ability to memorize is somewhere in between—neither very quick nor very
slow? For example, do you need a few reminders or moderate effort to memorise any new information?
4. Variable: Is your ability to memorize information unpredictable? For instance, are there times you memorize
things instantly while at other times it takes much longer? Or it changes due to some reason like maybe based on
the type of content or your interest in it?
Forgetfulness Speed:
1. Quick: Do you often forget information soon after memorizing it? For example, do you quickly forget a person’s
name, a song lyrics, something someone told you, or a road route you just learned unless you use it again
immediately?
2. Slow: Do you find that once you’ve memorized something, you remember it for a long time, even if you don’t
think about it regularly?
3. Moderate: Would you say you remember information for a reasonable time, like a few days, but it starts fading
after that? For example, can you recall details for as long as you need them but not for much longer afterward?
4. Variable: Do you sometimes forget things quickly while at other times you retain them for longer periods? Or
 Ques 20.3 and 20.4
Retention Power:
1. Good: Are you able to retain detailed information about events, names, places, or stories for a long time
without much effort? Do you often recall even small details about something you learned weeks or months
ago without revisiting that again?
2. Poor: Do you find it difficult to retain information for long, even after putting in effort to learn it? For instance,
do you often forget key details of maybe events, stories or names soon after learning them?
3. Medium: Would you say you remember the general outlines of events or names but not all the finer details?
4. Variable: Is your retention ability inconsistent, sometimes strong and sometimes weak, depending on the
context? For example, do you retain some information effortlessly while struggling to keep other details in
memory?

Olfactory Memory:
1. Good: Are you capable of identifying and distinguishing between different smells easily? For example, can you
recognize what’s cooking by the smell of it alone, or identify fragrances like people’s perfume, clothes, plants,
fruits, flower scents, even without seeing them? Or you associate memories with smell? Can you recall the
palce where you had earlier got he same pdor
2. Poor: Do you find it challenging to recognize or remember specific smells, even if they’re familiar? For
example, do you often mix up or struggle to identify the scent of regular food items also?
Ques 21. Execution of Activity (Karma- Cheshta- Samarambha- Kshobha)
Working Quality
a) Sharp/Accurate/Spontaneous, b) Wavering/Easily Deviated, c) Well thought of

Working Speed
a) Quick/Fast/Brisk, b) Medium, c) Slow, d) Variable

Working Style
a) Firm/Steady, b) Sharp/Accurate, c) Unsteady
वात %कृ(त - अJयवि3थत म]तः/ अनवि3थत आमा/ अ-प3मत
ृ यVच/
Planning Quality
a) Good, b) Medium, c) Poor लघु चपल चे^टा Jयाहार/ शीÖ समारuभ/ चल ध]ृ त म]त 3म]ृ त
बÄ
ु *ध चे^टा सौहादH / अhढ़ सौáदः/ न hढ़ा न िजतà l`या/
Initiation Speed
a) Quick, b) Slow, c) Moderate, d) Variable 9प: %कृ(त - तीQण पराxमाः/ Kलेशासlह^णवो/ म}य Üान =वÜान =व\
उपकरण/ मेधावी/ (नपण
ु म(तः/ तेज3वी/ साXवन दानB*चः/
Execution Quality कफ %कृ(त - =वÄयावXतः/ *चरÑाlह/ hढ़ शा3Z म]तः/ बÄ
ु धया यK
ु तः/
a) Good, b) Medium, c) Poor
3म]ृ तमान/ ध]ृ तमान / Jथल
ू ल0
Achieving Ends / Finishing Tasks
a) High, b) Medium, c) Low
 Working Speed and Quality
Intention is to assess the inherent features manifesting Chalatva/Avasthitatva in
the individual which can be assessed in his/ her working pattern. A careful
discriminative approach is required to eliminate the influence of the work
environment and/or work load and meeting target ends.
Method of examination- By Observation and Questioning
Observation: The person should be observed while he /she is carrying out the
instructions given to him/her prior to the visit for examination and also during
the examination.
Questioning: First information should be gathered regarding the type, nature
and schedule of work the person does.
Other than routine work what other assignments does he/she likes to work
with.
Then it could be assessed that at which pace does he performs his/her
assignments
Initiation, Planning, Execution and Achieving Ends
Intention is to assess the Chala or Stimita, manda or teekshna Guna related
attributes like Sheegra/ Asheeghra Samarambhatva, Vyvasthitatva, etc at
personal level.

Method of assessment : By questioning for overall nature.

Initiation: About the tendency to initiate any new activity or work or event or
participation in a new program. Enquire about whether he/she seeks any novelty
in either procedural or organizational setups at workplace or at home. Or that
the subject tends to experiment with their daily routine, food, cooking methods,
dressing, routes, transport routes, etc. If the subject is a home maker, then
whether they like to experiment with the recipes, or home decor, appliances,
etc, like changing them, seek something new every now and then.
Initiation, Planning, Execution and Achieving Ends
Planning and execution: Enquire about the tendency of a person, how he/she plans and
executes the tasks that he/she undertakes. Relate it to the tendency of the individual to
initiate tasks. For eg, If a person is very quick to initiate tasks then, he might not be able to
plan the whole working protocol and work on the basis of as and when requirement. So
the execution of the task may change accordingly. Or if a person plans out each and every
step of the work process beforehand, then he/she may initiate the task slower than
others. Most of the times, with good planning, he/she may be able to execute it in a
much better way. However that may not be the case always, hence next question is asked.
Achieving ends: The points explained in the work style/accuracy should be kept in mind
while assessing this tendency of achieving ends. As the nature of achieving ends may be
related to the behaviour of multitasking, inattentiveness, fear or anxiety that may cause
mistakes and abandoning tasks midway. Also, connect it with other tendencies of
initiation, planning and execution. For eg, a person who has planned a bit of the work
beforehand, not too quick, neither too slow to initiate a task, may stumble upon a detail
which was not worked out in planning and because of that might achieve ends moderately.
 Ques 21.1 and 21.2
1.Working Quality:
a)Wavering/Easily Deviated: While working on a task, do you often get distracted or shift focus to other tasks or ideas
that you keep getting anew? How often do you feel that you need to be reminded to remain on the task and not get
distracted? Do you sometimes leave tasks unfinished or change your mind about the approach mid-task?
b)Well Thought of: Do you usually spend time analyzing and planning before starting any task? How important is it for
you to understand every detail of a task before beginning? Do you prefer sticking to a planned course of action rather
than making impromptu changes?
c)Sharp/Accurate/Spontaneous: When you receive a new task, do you prefer to start it right away without much
delay? Do you prefer to work under challenging conditions- such as deadlines and limited resources? Do you find it
easy to adapt to changes while working on a task?

2. Working Speed:
a) Quick/Fast/Brisk: Do you feel that you often complete tasks faster than those around you? Are you comfortable with
fast-paced work environments? Do you tend to feel restless if tasks take longer than expected?
b) Slow: Do you take your time to carefully analyze each step while working on a task? Have you ever received
feedback about your pace being slower than others? Do you prioritize precision over speed, even if it means taking
longer?
c) Medium: How would you describe your pace of work—neither too fast nor too slow? Do you find it easy to match
the pace of your colleagues or peers? Are you able to maintain a consistent speed throughout your tasks?
d) Variable: Does your work speed change depending on the type or nature of the task? Are you faster when tasks are
interesting or easier for you? Do external factors like deadlines, stress, or interruptions affect your speed?
 Ques 21.3 and 21.4
3. Working Style
a) Unsteady: How often do you require to redo things and end up breaking or wasting things or prone accidents and
injuries in workplace? Have you ever found yourself leaving tasks incomplete or frequently redoing parts of them?
Do you find it challenging to maintain consistency in your workflow?
b) Firm/Steady: Do you prefer sticking to a consistent work style and routine? How comfortable are you with following
detailed protocols step by step? Do you find it easy to maintain focus and persistence until a task is fully completed?
c) Sharp/Accurate: How much attention do you pay to the accuracy and details of your work? Do you enjoy tasks that
require precision and a sharp eye for detail? Are you often recognized for delivering novel tasks in an error-free
manner?

4. Planning Quality
a) Poor: Do you tend to start tasks without much prior planning? How often do you find yourself rethinking or redoing
parts of a task after beginning? Do you feel that spending time on planning slows down your ability to start?
b) Good: Do you usually plan every step of a task before starting it? How confident are you in your ability to anticipate
potential challenges in advance? Do you find that thorough planning helps you achieve better outcomes?
c) Medium: Do you prefer having a general idea of what needs to be done rather than a detailed plan? Are you flexible
about adjusting your plan as the task progresses? How often do you rely on improvisation rather than detailed
preparation?
 Ques 21.5, 21.6 and 21.7
5. Initiation Speed
a) Quick: Do you feel excited and eager to take up any new tasks or activities or adapt and explore to new things, work and environment? Do
you readily tend to initiate tasks before fully understanding their scope? Do you prefer to try out new things very fast, make changes in routine
quite often?
b) Slow: Do you usually wait until you feel fully prepared before starting a task? Do you tend to follow a particular routine, style of living,
functioning and dealing with things? Do you find it difficult to begin tasks when there are too many uncertainties?
c) Moderate: Do you prefer taking a balanced approach, starting tasks only after considering the basic details? How comfortable are you with
beginning tasks without rushing or delaying? Do you feel your pace of starting tasks is generally appropriate to the situation?
d) Variable: Does your speed of starting tasks depend on factors like interest, urgency, or complexity? Are there tasks you feel enthusiastic to
start quickly while delaying others? Do external pressures or mood influence you very much to initiate a given task?

6. Execution Quality
a) Good: Do you frequently review your work to ensure high standards of perfection? How confident are you in completing tasks as planned
with minimal errors? Are you often appreciated for the thoroughness and precision of your work?
b) Poor: Do you often need to redo tasks or make corrections after completion? How frequently do you find yourself struggling to meet expected
standards? Do you feel that errors in execution are due to lack of preparation or focus?
c) Medium: Do you find it easy to strike a balance between speed and accuracy while working? How often do you deliver acceptable results,
even if they’re not perfect? Are there instances where you compromise on details to meet deadlines?

7. Achieving Ends / Finishing Tasks:

a) Low: Do you find it difficult to finish tasks as planned or expected? How often do you abandon tasks midway due to challenges or lack of
interest? Do you feel external pressures or internal distractions limit your ability to achieve ends?
b) High: Do you ensure that tasks are fully completed before moving on to the next one? How confident are you in delivering expected results
consistently? Are you satisfied with your ability to meet deadlines and achieve objectives?
c) Medium: Do you sometimes achieve satisfactory results but feel there’s room for improvement? How often do external factors or unforeseen
challenges affect your outcomes? Are you generally able to achieve results, even if they’re slightly delayed?
Nipun mati

Ques 22. Social and Behavioral Profile:

(Samarambha/ Kshobha/ Trasa/ Raga- Viraga/ Mati- Maitri- Manyata)
1. How quickly do you tend to 2. How often/fast do you 3. How often/fast do you
make new friends and tend to get irritated tend to get angry
acquaintances
a. Quickly a. Quickly a. Quickly
b. Slowly b. Slowly b. Slowly
c. Moderately c. Moderately c. Moderately
d. Variably d. Variably d. Variably

4. How well are you able to 5. Can you describe your ability
maintain friends and to have faith and belief in
acquaintances for the long term things, ideas, or words of
veterans/venerable people
a. High a. High
b. Medium b. Medium
c. Low c. Low
 Anger and Irritability
Intention is to assess the tendency of the individual to get perturbed by Kshobha
(irritation) and Krodha (anger).
Method of assessment : By history and questioning.
Irritability and anger:
Irritability is a mood characterised by a proneness to experiencing negative affective
states, such as annoyance, and frustration, upon little provocation, and may or may not be
outwardly expressed in the form of aggressive behaviour. Irritability is assessed on the
basis of speed of getting irritated (annoyed or perturbed).
Anger and irritability must be differentiated from each other on the basis of rage. Anger is
a much more stronger emotion than irritation. Anger is assessed on the basis of speed of
initiation as well as the intensity (quality) and coming back to normal (resolution). Krodha
arises due to the Ushna Guna of Pitta and can also be manifested due to some attributes of
Pitta Prakriti like not being able to take counter opinions or arguments.
Intention is to assess the Kshipra Kopa Prasada or Sheeghra Trasa like attributes of the
Prakriti. This can be understood in two ways, speed of getting irritated and speed of getting
angry.
 Speed of Making Friends
Intention is to assess the Chala or Stimita related attributes at social
level.
Method of assessment : By history and questioning.

Making New Friends: How quick one is to make new friends?

Whether he/she likes to explore and meet new people. What is the
speed of initiation in communication when one meets new people’s
in new surroundings, etc.

Retaining Friends (A combined outcome of Novelty seeking,

memory and forgiveness): How long are the friendships and
relationships retained for.
 Faith and Beliefs
Intention is to assess the tendency of an individual 1.) to give up, donate and 2.)
regarding his convictions, beliefs and faith on some principles, thoughts, or on
himself or others.

Method of assessment : By history and questioning.

Faith and belief:

Faith and belief is not regarding religious faiths and beliefs. But the general belief
and faiths of an individual on any aspect. This is to assess how strong a person
may remain adhered to an idea. Or how easily they are capable of accepting new
ideas and moving on.
 Ques 22.1 and 22.2
1. How quickly do you tend to make new friends and acquaintances?
a) Quick: Do you feel at ease striking up conversations with strangers or new people? How often do you find yourself
making new friends in social settings or group activities? Are you generally open to new connections without hesitation?
b) Slow: Do you find it challenging to build rapport with new people? Does it take you a long time to feel comfortable
enough to consider someone a friend? Do you prefer observing people for some time before forming friendships?
c) Moderate: Do you approach building new friendships cautiously but without much hesitation? How often do you balance
between quickly connecting with others and taking your time to understand them? Do you find yourself forming
acquaintances more easily than close friendships?
d) Variable: Does your pace of forming new friendships depend on factors like mood, environment, or the people involved?
Are you quick to connect in some situations but hesitant in others? How often does your level of comfort with new people
fluctuate based on the setting?

2. How often/fast do you tend to get irritated?

a) Quickly: How frequently do you feel like reacting immediately to situations that usually don’t go your way? Are you
aware of feeling irritated without any reason? Do small annoyances or interruptions often irritate you quickly?
b) Slowly: Do you tend to remain calm and composed in situations that might irritate others? Does it takes a lot to reach the
point of irritation? Is it difficult to get you irritated or perturbed?
c) Moderately: Neither quickly, nor slowly. Do you notice yourself getting irritated only sometimes but not excessively
often?
d) Variably: Does your tendency to get irritated change depending on the time, mood, or external pressures? How often do
you find irritation creeping in inconsistently, without a fixed pattern? Are there days or environments where you notice
yourself more prone to irritation?
 Ques 22.3 and 22.4
3. How often/fast do you tend to get angry?
a) Quickly: Is it very easy to make you lose your temper? Do you find yourself reacting strongly and quickly very
often? How often do you experience a sudden outburst of anger in response to a triggering situation? Are you aware
of becoming angry even before you’ve fully thought through the situation?
b) Slowly: Do you rarely feel angry, even in situations where anger might be expected? Do you consider yourself patient
and tolerant even in frustrating circumstances? How often do you find yourself consciously suppressing or avoiding
anger? How well do you balance between being assertive and remaining calm in situations of conflict?
c) Moderately: Do you find yourself expressing anger occasionally but not frequently? Get angry in particular
scenarios?
d) Variably: Does your tendency to get angry vary with circumstances, mood, or individuals involved? How often do
external stressors influence whether you feel angry? Are there moments when you quickly move from calmness to
anger and back?

4. How well are you able to maintain friends and acquaintances for the long term?
a) High: Can you recall how many and how old friends and acquaintances you are still in touch with? – too many/ too
old although few. Do you like to keep in touch with people, even after long periods of not meeting? Do you actively
make efforts to nurture and maintain friendships over time? How often do your friends or acquaintances reach out to
you for support or interaction?
b) Low: You mostly remain in touch with current friends and acquaintances. Do you struggle to keep in touch with
friends or acquaintances over time? Often find it difficult to maintain long term contacts
c) Medium: Do you find it manageable to maintain some friendships but not all? Neither too many and too old friends
 Ques 22.5
5. Can you describe your ability to have faith and belief in things, ideas, or words of veterans/venerable
people?

a) High (Tend to believe in words of elderly, teachers / firm belief in authentic texts, literature, prevailing
knowledge)
o Do you find yourself naturally drawn to wisdom passed down by elders or experts?
o How strongly do you feel inspired by / believe in the words or teachings of venerable people?
o Tend to go with time tested knowledge and ideas

b) Low (Do not care much or remain stuck on any existing idea or knowledge as tend to accept the change
quite fast, also since the memory and thoughts are very fast moving)
o How frequently do you prefer finding and exploring new ideas and experiences over established wisdom?
o Do you feel traditional or venerable ideas often need to be updated in modern contexts?

c) Medium (Tend to challenge the prevailing knowledge or examine it)

o Do you often tend to question or analyze existing knowledge, theories or advice or teachings from veterans or
experienced people?
o Do you prefer to analyze the ideas or words of venerable people before accepting them?
o You tend to valuing the advice but forming your own opinion only with analysis and logic ?
Confounders and Clinical Differentiators:

• Properly examine the subject and enquire about history of

illnesses, medication history, etc to rule out the possibility
of diseases like dementia, Alzheimer’s, Parkinson’s etc.
that impact the memory and cognitive function of a
person.
• Also, rule out the mental health issues like anxiety,
depression, any kind of mood disorders, or substance
abuse, that may affect social and personal behaviour of an
individual.
Remarks:

Any striking observation that can not be justified in any of the

questionnaire points

Any illness/ Condition that was not known before- but need to be
advised to connect with physician
Training Material Content developed, Designed and Created by:
Dr. Bhavana Prasher (MD Ayu.) Dr. Deep Shikha Punera
Sr. Principal Scientist, Project Associate II
CSIR-IGIB, CSIR-IGIB,
Professor, AcSIR Ph.D Scholar, AcSIR
New Delhi. New Delhi