Please take the time before our session to answer these questions. Because these questions may include things you don't normally consider, and are difficult to answer on the spot, so it's helpful to give yourself a few days to notice your habits.
INSTRUCTIONS: Simply cut & paste these questions into your own document to print and answer. You can bring this with you to our in-person consult. If we are meeting over the phone, copy and paste these into an email and then answer the questions and email them to me one day before your session.
1) Describe the primary health, balance, habits, etc. you would like to address with Ayurveda
2) Describe your daily routine/schedule:(If the times vary, than you can put "varies" or put the time range
3) Describe your eating habits:
- Favorite foods or tastes or cravings:
- Allergic reaction to foods:
- I feel hungry for breakfast (y/n):
- I feel hungry for lunch (y/n):
- I feel hungry for dinner (y/n):
- I eat the following items for snacks:
- I drink the following beverages throughout the day:
4) Elimination
- Number of bowel movements per day:
- Consistency (loose, formed, soft, hard, etc.):
- Color (eg. yellowish, whitish, light brown, dark brown etc.):
5) Birth Info (if available)
- Birth location (city or town)
6) (Phone Clients Only):
- Please email me a recent photo of yourself along with these questions.
Thank you!
- Kaya