Consultation Clinic Printout

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Consultation Clinic Printout

  1. 1. What is your constitution? Elements In Universe and Life Attributes and geometrical shapes of elements are permanent. It is important to understanding the ‘type’ and engaging it wisely. Ether Air Fire Water Earth Wisdom Mobility Transformation Attraction Integrity Bliss, stillness Rhythm Heat Fluidity Stability Tranquility Cycles Intensity Bond Solidity Calmness Lightness Precision Flexibility Gravity My Permanent Body Constitution What’s the shape of your body when you are/were healthy? Ether Air Fire Water Earth Tall Small Angular Soft Solid Delicate Short Triangular Rounded Rectangular Slender Light Muscular Curvaceous Heavy bones Ayurveda Elements Courses & Consultation in Sydney, Canberra and Melbourne Phone/fax: 02 9904 7754 17 Orchard Rd Chatswood Sydney 2067 info@ayurvedaelements.com www.ayurvedaelements.com My current Physical Excess imbalance can occur to any body type. use or abuse of “elements of life”. Any Most imbalances are due to overuse, under Ether Air Fire Water Earth Depletion Irregular Over heated Sluggish Rigidity Loss Improper, twists Acidity Mucusy Clot Thinning Aches, pain Redness Weight gain Growth Waning Dehydrated Burning Excess fluid Spur My current Psychological Excess Ether Air Fire Water Earth Absence Fluctuating, shifty Irritable Clingy Stubbornness Loss Mental blockage Easily angered Sluggish Inflexibility Irrational Confusion, worry Easily impatient Greedy Overpowering Anxiety Insecurity, fear Frustration Procrastination Rigidity
  2. 2. I am designed to ... Ether Air Fire Water Earth Creative Adaptable Analytic Listener Structured Meditator Multitasking Driven Carer Methodical Open Easy going Challenging Gentle Hands on Charitable Communicator Competitive Tolerant Routine lover Philosopher Dancer Result oriented Nurturer Supervisor Scientist Teacher Precise Parental Administrator Thinker Musician Sharp, intense Chef Manager Dreamer Performer Marketer Nurse Coach/ Trainer 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 carefully I need to introduce more (diet) …………… …………… …………… I need to introduce more (exercise) …………… …………… …………… I need to introduce more (lifestyle) …………… …………… …………… Elements and life Categories 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, Everything, Efficiently organised Convenient, Brick walls, uncluttered everywhere accessible timber floors Tools, Minimal All shapes, sizes, Most efficient, Comfort items, food, Lasting, reliable, furniture variety fastest, latest cushions strong Vacation Meditation retreat Surprise me, Competitive, Water side, food, Physical, getting unpredictable challenging friends, cushions hands dirty Silent, wilderness Something totally Mountain biking, Pampering, yoga Outback, gardening, outrageous white water rafting retreat renovation Olympic High jumpers Marathoners Sprinters Gymnasts Weight lifters Which vehicle is the best?
  3. 3. Ayurvedic Tongue Analysis | Ayurveda Elements | 02 9904 7754 Name ……………………………………… Date ………………… Location …………………………… …………………………………………… ……………………………………………………………………………………………………… …………………………………………… ……………………………………………………………………………………………………… …………………………………………… ……………………………………………………………………………………………………… …………………………………………… ……………………………………………………………………………………………………… …………………………………………… ……………………………………………………………………………………………………… …………………………………………… ……………………………………………………………………………………………………… Copyrighted to Ayurveda Elements 2005
  4. 4. 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
  5. 5. 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.

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