Body Constitution Quiz for Women

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Before we begin, what’s your email and age?
Discomfort or pain in your body
Face Complexion
Skin
Eye
Limbs, Muscles and Joints
Heart and Chest
Stomach and Intestines
Mental Condition
Tongue - (Hand mirror ready)
Mouth and Throat
Sleep
Sweating
Urination
Stools
Health intolerance
Menstruation
Vaginal discharge
Are you pregnant or breastfeeding?
Result
Complete your Kampo care

Before we begin, what’s your email and age?

Email Address

First Name

Last Name

How old are you?*

Age

Why we ask: We’ll use this in order to start saving your answers and personalize your experience. Your answers help us determine the herbal ingredients, diet, and lifestyle recommendations that are right for your unique needs. This is important because, depending on your stage of life, you may require different lifestyle choices.

Discomfort or pain in your body

Please select all that apply*

Head

Eye

Ear, Nose, Throat

Neck

Shoulder

Arm

Elbow

Wrist, Hand, Fingers

Chest

Epigastrium, Stomach

Abdomen

Genitalia

Upper Back

Lower Back

Buttock

Thigh

Knee

Leg, Calf

Foot, Ankle, Toes

Any specific health concerns you'd like to share? The more you share, the better we can help.*

Yes

Write here

Face Complexion

1/17*

Please select all that apply

Pale

Dull

Dark or purplish

Yellowish

Red cheeks

Lustrous Healthy skin

Skin

2/17*

Dry

Rough

Age spots or Hyper-pigmentation

Oily

Eczema

Acne

Rashes

Edema (puffy face)

Do not have any skin problems

Not applicable

Eye

3/17*

Red eye

Eye fatigue

Dry eye

Worsening eyesight

Blurred vision

Dark circles under eyes

Watery eye

Floaters

Do not have any eye problems

Not applicable

Limbs, Muscles and Joints

4/17*

Cold limbs

Cold fingers and toes

Numbness or tingling

Severe or stabbing pain in muscles or/and joints

Joints pain with redness or/and swelling

Sweaty hands

Weak limbs

Edema

Do not have any problems

Not applicable

Heart and Chest

5/17*

Feeling oppression in the chest

Chest pain (sudden, sharp, stabbing)

Palpitations

Do no have any Heart or Chest problems

Not applicable

Stomach and Intestines

6/17*

Poor appetite

Abdominal heaviness or distension

Abdominal pain

Excessive belching or flatulence

Epigastic pain

Nausea or Vomiting

Do not have any problems

Mental Condition

7/17*

Depression

Anxiety

Sadness

Moodiness

Irritability, short temper, easily angered

Poor memory

Restlessness

Forgetfulness

Feeling heaviness of the head

Lack of motivation

Calm and stable mind, good concentration

Tongue - (Hand mirror ready)

8/17*

B = Base (color + condition), C = Coating (color + condition)

B: Pink, Slightly moist, C: Thin-white

B: Pale, Teeth-marks, C: Thin-white

B: Pale, Swollen, C: Thick-white

B: Pale, C: Little/no coat

B: Red, Cracks, C: Little/no coat

B: Red tip, C: Thin-white

B: Purple, Black spots

B: Red, C: Yellow-greasy

Mouth and Throat

9/17*

Weak voice

Frequent sighing

Sticky yellow phlegm

Sticky white phlegm

Coughing up with profuse phlegm

Desire cold drinks but small amount

Desire warm drinks

Dry throat or/and no thirst

Do not have any problems

Sleep

10/17*

Difficulty in falling asleep

Waking up frequently during night

Excessive dreaming

Sleep well & wake up full of energy

Sweating

11/17*

Excessive sweating

Sweat easily

Sticky yellow sweats

Night sweats while sleeping

Not applicable

Urination

12/17*

Pain after urination

Pain before urination

Pain during urination

Frequent urination

Scanty or/and dark urine

Normal (Between 6 - 7 per day, no pain and normal color)

Stools

13/17*

Loose stools

Chronic diarrhea

Chronic constipation

Alternating constipation and diarrhea

Small, dry, bitty stools like goat’s stools

Dark blood in stool

Black or very dark stools

Normal (Bowel movement 3 times a day to every other day)

Health intolerance

14/17*

catch a cold easily

heavy and hot feeling in the body

heat feeling on the face

have constant low-grade temperature

have low-grade fever worse in the afternoon

get allergic easily (food, drug, weather, season)

robust health (very strong or healthy)

Menstruation

15/17*

Periods always early

Periods always late

Irregular periods (Sometime too late or too early)

Heavy periods

Scanty periods

Blood with dark clots in periods

Watery period blood

Perimenopause / Menopause

Normal (every 21 - 35 days, bright to slightly dark red color)

Vaginal discharge

16/17*

Sticky and yellow

Watery and white

Smelly

Normal (clear or milky)

Not applicable

Are you pregnant or breastfeeding?

17/17*

Pregnant

Breastfeeding

Neither

Result

Your current Body Constitution

Qi Deficiency

Qi Stagnation

Blood Deficiency

Blood Stasis

Damp-Heat

Damp-Phlegm

Yin Deficiency

Yang Deficiency

Healthy Constitution

click "NEXT" to complete the last page.

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