My Permanent Body ConstitutionWhat’s the shape of your body when you are/were healthy?

Ether Air Fire Water EarthTall Small Angular Soft SolidDelicate Short Triangular Rounded RectangularSlender Light Muscular Curvaceous Heavy bones

Elements In Universe and LifeEther Air Fire Water EarthWisdom Mobility Transformation Attraction IntegrityBliss, stillness Rhythm Heat Fluidity StabilityTranquility Cycles Intensity Bond SolidityCalmness Lightness Precision Flexibility Gravity

What is your constitution?

My current Physical ExcessEther Air Fire Water EarthDepletion Irregular Over heated Sluggish RigidityLoss Improper, twists Acidity Mucusy ClotThinning Aches, pain Redness Weight gain GrowthWaning Dehydrated Burning Excess fluid Spur

My current Psychological ExcessEther Air Fire Water Earth

Absence Fluctuating, shifty Irritable Clingy StubbornnessLoss Mental blockage Easily angered Sluggish InflexibilityIrrational Confusion, worry Easily impatient Greedy OverpoweringAnxiety Insecurity, fear Frustration Procrastination Rigidity

Ayurveda ElementsCourses & Consultation in Sydney, Canberra and Melbourne

Phone/fax: 02 9904 7754 17 Orchard Rd Chatswood Sydney 2067

info@ayurvedaelements.comwww.ayurvedaelements.com

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Elements and lifeCategories Ether Air Fire Water Earth

Exercise Meditation Aligning Cardio Stretch Toning

Awareness Breathing Sprinting Yoga (asana) Weights

Nutrition Philosophy Fiber Digestives Carbs, fats Protein

Fasting Freshness Metabolic Essential fats Minerals

Room Spacious, uncluttered

Everything, everywhere

Efficiently organised Convenient, accessible

Brick walls, timber floors

Tools, furniture

Minimal All shapes, sizes, variety

Most efficient, fastest, latest

Comfort items, food, cushions

Lasting, reliable, strong

Vacation Meditation retreat Surprise me, unpredictable

Competitive, challenging

Water side, food, friends, cushions

Physical, getting hands dirty

Silent, wilderness Something totally outrageous

Mountain biking, white water rafting

Pampering, yoga retreat

Outback, gardening, renovation

Olympic High jumpers Marathoners Sprinters Gymnasts Weight lifters

Based on the body shape, when I am healthy:My permanent body type is predominant in …………… …………… ……………My current work is …………… …………… ……………My current lifestyle is …………… …………… ……………My current relationship is …………… …………… ……………I know using non constitutional elements need to done carefullyI need to introduce more (diet) …………… …………… ……………I need to introduce more (exercise) …………… …………… ……………I need to introduce more (lifestyle) …………… …………… ……………

I am designed to ...Ether Air Fire Water EarthCreative Adaptable Analytic Listener StructuredMeditator Multitasking Driven Carer MethodicalOpen Easy going Challenging Gentle Hands onCharitable Communicator Competitive Tolerant Routine loverPhilosopher Dancer Result oriented Nurturer SupervisorScientist Teacher Precise Parental AdministratorThinker Musician Sharp, intense Chef ManagerDreamer Performer Marketer Nurse Coach/ Trainer

Which vehicle is the best?

Ayurvedic Tongue Analysis | Ayurveda Elements | 02 9904 7754

Name ……………………………………… Date ………………… Location ……………………………

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Copyrighted to Ayurveda Elements 2005

My current health status after being on the ayurvedic program for a month is as follows. Fill in the blanks if applicable.

1. The easiest part of the program is

2. The most difficult part of the program is

3. The most satisfying part of the program is

4. I need more clarifications on

5. I couldn’t do this

6. I followed the new nutrition program about ……% perfectly

7. I followed the new cleansing about ……% regularly

8. I followed the new practices about ……% perfectly

9. My exercise was ……% regular/perfect

10. I took the medicines about ……% regularity

11. The amount of medicines yet to be finished is ……% in quantity

12. Overall I followed the advise about ……% perfectly

13. My energy feels better by ……%

14. Being on the program, I wake up refreshed by ……%

15. Being on the program, my mental clarity is better by ……%

16. Overall I am better by ……%

17. I feel definite the improvement in the following area

18. The problems still to be improved is/are

19. New problems are

Here is how I am going to do My Ayurvedic health program… It will be planned and systematic.

Program My order Week/day Time

• Herbs Daily As directed

• Shopping Week Day

• Low impact cardio Weekly 1-2-3 times … hours weekly

• Cooking Frequency Time

• Yoga Weekly 1-2-3 times … hours weekly

• Meditation Daily At bedtime

• Cleansing First one Second one

Once they are scheduled,

I know it is easy to do them. Total health is my goal.

…………………………………………………………………………

Here is my signature. And this is my promise to myself.