Vikriti questionnaire

Please tick (

) the correct sentences.

Vata
1. I have been feeling nervous, fearful, panic, anxious or frantic.
2. When I fall asleep my body makes sudden twitches, I am restless,
or I fidget during the day
3. My skin is dry and chaps easily and can be flaky.
4. My weight goes up and down by more than 10 pounds during the year.
5. My bowels are not regular with daily evacuations. The stool can be
irregular in shape, hard and dry.
6. My sleep is light, irregular, restless or interrupted.
7. I feel more scattered or spacey and sometimes have poor memory
retention/recall.
8. My daily routine; walking, eating meals, sleep, has been inconsistent
day to day.
9. My hands and feet are often cooler than the rest of my body.
10. I have a hard time tolerating loud noises and/or sudden movements.

Pitta
1. I get acid reflux, heartburn, acid indigestion or gastric or peptic ulcer.
Sometimes I might describe that I have a burning feeling in my stomach
or digestive tract.
2. I wake up a little nauseated or I feel uncomfortable or nausea when
I skip a meal.

Pitta
3. I have been feeling uncomfortably warm, where others seem to be just
fine.
4. I can be easily judgmental or self critical, impatient and intolerant with
myself/ others.
5. I tend to have inflammation issues; joints, fevers, red eyes, acne.
6. I expect perfection of myself and/or others; or I can be a little compulsive.
7. I get cold sores, fever blisters or other mystery skin rashes.
8. Sometimes I have loose stools, or move my bowels more than twice a day.
9. I get hot easily, or I have been having hot flashes or low grade fevers.
10.

I am told that I am too passionate or intense.

Kapha
1. I feel I am overweight and it takes time for me to really lose weight.
2. I have a thick white coat on my tongue when I wake up.
3. I tend to have excess mucous in my lungs and body. When sick I am
usually congested.
4. I seem to have more clutter in my life and have to let go of things, people,
or relationships even when they no longer support me.
5. I have a hard time getting up in the morning. I like to take a mid day nap.
6. I am prone to excessive emotional eating.
7. I like the sweet taste: honey, sugary foods, sweet drinks and fruits.
8. My bowel movements tend to be slow, heavy, move sluggishly, feel
incomplete.
9. I dont like conflict and would rather just withdraw than engage.
10. I am slow to change: I feel complacent, stubborn and resistant to change.

Prakriti Questionnaire - mind type

Please tick (
DETAILS

) the answer that best fits you

1. Diet

Vegetarian - fresh

Some meat,
processed foods
or comfort foods

Excess meat,
processed foods
or comfort foods

2. Drinking or drugs

Never

Some

Frequent

3. Sleep

Little

Moderate

Lots

4. Sex drive

Low

Medium

High

5. Control of senses

Good

Moderate

Weak

6. Speech

Calm - soft

Agitated

Dull

7. Cleanliness

High

Moderate

Low

8. Work

Selfless

Personal

Lazy

9. Anger

Rare

Some

Frequent

10. Desire

Little

Some

Much

11. Pride

Modest

Ego

Vain

12. Depression

Never

Some

Frequent

13. Love

Gives

Takes

Needs

14. Violent

Never

Sometimes

Frequently

15. Attached to money

No

Somewhat

Very

16. Contentment

Yes

Sometimes

Never

17. Forgiveness

Easily

With effort

Holds grudge

18. Concentration

Good

Moderate

Poor

19. Memory

Good

Moderate

Poor

20. Willpower

Strong

Variable

Weak

21. Service

Frequent

Some

Rare

22. Honesty

Always

Mostly

Rare

23. Peace of mind

Yes

Occasional

Rare

24. Spiritual study

Daily

Occasional

Rare

25. Meditation

Daily

Occasional

Rare

26. Expresses joy

Always

Sometimes

Rarely

Prakriti Questionnaire - body type

Please tick (

) the answer that best fits you

1. What is your body size?

8. What is your natural hair colour?

Slim

Dull, black, brown

Medium

Red, light brown, yellow

Large

Brown, black

2. What is your body weight?

9. What is the appearance of your hair?

Low, has difficulty in putting on weight

Dry, black knotted, brittle

Medium, can gain & lose weight easily

Straight, oily

Overweight, difficult tto lose weight

Thick, curly

3. What is your height?

Tall or short
Average
Thin & sturdy / short & stocky
4. What is your bone structure?
Light, small bones, prominent joints
Medium
Large, broad shoulders, heavy bone
structure
5. What is your complexion?
Dark complexion, tans easily
Fair skin, sunburns easily
White or pale, tans evenly
6. How does your skin feel?
Dry, cool
Smooth, oily, T-zone
Oily, cold

10. What is the shape of your face?

Long, angular, thin
Heart-shaped, pointed chin
Large, round, full
11. What is the shape of your eyes?
Small, active, darting, black eyes
Medium sized, penetrating, light
sensitive eyes
Big, round, beautiful glowing eyes
12. How would you describe your eyelashes?
Scanty
Moderate
Thick or fused
13. How do you blink your eyes?
Excessively
Moderately
More or less stable

7. What is the texture of your skin?

Dry with pigmentation, aging

14. How would you describe your cheeks?

Freckles, many moles, redness,

rashes and acne

Wrinkled, sunken

Soft, glowing and youthful

Rounded, plump

Smooth, flat

15. How would you describe your nose?

23. What is your stool type?

Crooked, narrow, small

Dull, black, brown

Pointed, average

Red, light brown, yellow

Rounded, large, open nostrils

Brown, black

16. How would you describe your teeth & gums?

24. How do you sleep?

Irregular, protruding teeth, receding gums

Scantily, broken, sleepless

Medium sized teeth, reddish gums

Sound, regular hours

Big, white, strong teeth, hearty gums

Deeply, heavily, prolonged

17. How would you describe your lips?

25. How is your speech?

Tight, thin, dry lips which chaps easily

Fast & unclear

Soft, medium sized

Precise & clear

Large, soft, pink & full

Slow, gentle, long, monotonous

18. How would you describe your nails?

26. What is your level of physical activity?

Dry, rough, brittle, break easily

Hyperactive

Sharp, flexible, pink, lustrous

Moderate

Thick, oily, smooth, polished

Slow

19. How is your appetite?

27. What is your level of mental activity?

Irregular, scanty

Hyperactive

Strong, unbearable

Moderate

Slow but steady

Slow, dull

20. What are your taste preferences?

28. What are your emotions normally?

Sweet/Sour/Salty

Anxious, fearful, uncertain

Sweet/Bitter/Astringent

Angry, ambitious, practical

Pungent/Bitter/Astringent

Calm, peaceful, solicitous

21. How often do you feel thirsty?

29. How is your memory?

High & non-persistent

Quick to remember and forget

High & persistent

Average, clear, distinct

Scanty

Slow to remember and forget

22. How is your digestive system

30. How is your faith?

Irregular, forms gas

Variable

Quick, causing burning

Extremist

Prolonged, forming mucous

Consistent

31. How would you describe your anger?

Quick & unstable

19. How would you describe your way of thinking?

Quick & sustained

Creative, many projects at a time

seldom completed

Always cool

Organised, one project at a time

32. How is your sexual drive?

Fantasises, romantic, quick to release
Strong, burning desire, active & intense
Slow, long enduring, passionate & tender
33. What is your preference to temperature
and weather?
Dislike cold, windy, dry weather, likes
warmth
Dislike hot weather, prefer cool well
ventilated places
Dislike cool and damp weather, can
tolerate different climates
34. How would you describe the orientation of
your life?
Fashion-oriented
Business-oriented
Family-oriented

Follows a plan or idea, dislikes change

23. How do you normally respond to a problem?
Worried, confused, often gives wrong
solution
Agitated, gives right and firm solution
Calm and slow but gives right solution
24. What kind of job would you prefer?
Creative, travelling
Challenging, aggresive
Routine, sedentary
25. What kind of fashion do you prefer?
Trendy and versatile
Executive wear or sporty
Casual, comfortable, loose clothing
26. How good do you concentrate?
Good
Moderate
Poor

diet and lifestyle guidelines for

QUALITY

Pitta

Luke warm - cold

TASTE
Eat herbs and food that contain more of these three tastes: sweet, bitter, astringent
Minimize the consumption of Hot, Sour, Pungent, Oily, Fried, Salty, Fermented Foods,
Alcohol These contribute to Pitta imbalance
DAIRY PRODUCTS
Butter (unsalted), Cheese (soft, not aged, unsalted), Cottage cheese, Cows milk,
Goats cheese (soft, unsalted), Ice cream, Yoghurt (freshly made and diluted), Goat Milk
Minimize Sour Yogurt, Sour Cream
GRAINS
Amaranth, Barley, Couscous, Durham flour, Granola, Oat bran, Oats (Cooked), Rice, Rice cakes,
Sago, Seitan (wheat meat), Spelt, Sprouted wheat bread (Essene), Tapioca, Wheat, Wheat bran
SWEETENERS
Unrefined Sugar, Barley Malt Syrup, Brown Rice Syrup, Maple Syrup,
Fruit Juice Concentrates, Whole Cane Sugar, Sugar Cane Juice, Palm sugar
OIL
Olive, Sunflower, Coconut, Canola, Flaxseed, Ghee, Primrose, Soy , Walnut
FRUITS
Generally most sweet fruits, avoid sour
Apples (sweet), Applesauce , Apricots (sweet) , Avocado, Berries (sweet), Cherries (sweet),
Coconut, Dates, Durian (in season in small amounts), Figs, Grapes (red and purple), Guava,
Longan (seasonal), Lychees, Mangoes (ripe), Melons, Papaya (sweet), Oranges (sweet),
Pears, Persimmon, Pineapple (sweet), Plums (sweet), Pomegranate, Prunes,
Quince (sweet), Raisins, Rambutan (seasonal)
PULSES
Green Mung Beans, Adzuki beans, Black beans, Black-eyed peas,
Chickpeas (garbanzo beans), Kidney beans, Lima beans, Navy beans, Peas (dried), Pinto beans,
Soybeans, Soy cheese, Soy milk, Split peas, Tempeh, Tofu, White beans
NUTS
Flaxseed, Popcorn (no salt, buttered), Psyllium, Pumpkin seeds, Sunflower
seeds, Almonds (soaked and peeled), Charoli Nut, Coconut

SALADS/VEGETABLES
Cucumber, Cabbage, Potato, Sweet Potato, Zucchini, Radish, Leafy Greens, Pumpkin,
Bottle Gourd, Ridge Gourd, Bitter Gourd, Yam, Artichoke, Beets (cooked), Bitter melon, Broccoli,
Brussels sprouts, Carrots, Cauliflower, Celery, Cilantro, Dandelion greens, Green beans,
Jerusalem artichoke, Kale, Leafy greens, Leeks (cooked), Lettuce, Okra, Olives (black),
Onions (cooked), Parsley, Parsnips, Peas, Peppers (sweet)
SPICES
Fennel, Turmeric, Basil (fresh), Cardamom, Cinnamon, Coriander, Cumin, Curry leaves, Dill,
Fennel, Ginger (fresh and young), Mint (all mints), Parsley, Saffron, Wintergreen
TEA
Fennel, Licorice, Spearmint, Alfalfa, Barley, Blackberry, Borage, Burdock, Catnip, Chamomile,
Chicory, Comfrey, Dandelion, Ginger (fresh and young), Green Tea, Hibiscus, Hops, Jasmine, Lavender,
Lemon balm, Lemon grass, Marshmallow, Nettle, Oat straw, Passion flower, Peppermint, Raspberry,
Red clover, Sarsaparilla, Spearmint, Strawberry, Violet Oat straw, Passion flower, Peppermint,
Raspberry, Red clover, Sarsaparilla, Spearmint, Strawberry, Violet
AVOID
Excess of Pungent Spices, Mustard, White Flour (Maida), Junk Food, Cheese, Aerated Drinks
Excess of Tomatoes, Red Chili, Garlic, Ginger , Sour Fruits and Vegetables, Beef,
Sea Food, Egg Yolk will bring Pitta imbalance
LIFE STYLE ADVICES
Get plenty of fresh air and fresh fruits, vegetables, milk and whole grains
Take a brisk walk of 100 steps after each meal
Sit in Vajrasana yoga posture after food
Keep cool physically and mentally
Apply an attitude of moderation in all things
Avoid situations of excessive heat, steam, or humidity
Drink a glass of warm water early in the morning after brushing your teeth
Try to avoid over indulgence of sense organs
Avoid sleeping late in the night
In hot climates or seasons take cool baths, stay out of the sun in the hottest
part of the day, wear loose light colored cotton clothing (especially white and
pastel shades like pale blue), take enough fluids, wear a hat
Be considerate and patient with others
Engage in quiet and contemplative activities
Avoid situations of potential conflict
Choose cooler times of day to take part in physical activities
Avoid sedentary life
Fill positivity in mind with yoga, meditation, nature walk, music etc.
Meditate 30 minutes everyday

diet and lifestyle guidelines for

QUALITY

Kapha

Warm, light, dry, slightly unctuous, low-fat diet

TASTE
Pungent, Bitter, Astringent tastes
Excessive consumption of Sweet and Salty taste contribute to Kapha imbalance
DAIRY PRODUCTS
Consume less dairy products
If you have to consume dairy products, consider the following: Goats Milk, Buttermilk,
Cottage Cheese (Skimmed or Goats Milk), Goats Cheese (unsalted and not aged, in moderation),
Ghee (in moderation), Yoghurt (Goat milk)
GRAINS
Barley, Corn, Millet, Buck Wheat, Rye, Old Rice, Ragi, Wheat Bran, Couscous, Durham Flour, Granola,
Muesli, Oat Bran, Oats (dry), Polenta, Rice (Basmati, Wild), Rye, Sago, Sprouted Wheat Bread (Essene)
SWEETENERS
Raw honey
OIL
All Oils should be taken in moderation. If you have to consume oil, consider the following:
Almond, Canola, Corn, Ghee, Mustard Seed, Olive, Safflower, Sesame, Sunflower
FRUITS
Generally, most astringent or dry fruits
Apple, Pear, Pomegranate, Lemon, Apricot, Pineapple, Custard Apple, Guava, Papaya, Fig, Berries,
Cherries, Cranberries, Peaches, Persimmons, Prunes, Raisins, Strawberries
Moderate use of Banana, Mango, Lychee, Water Melon
PULSES
Most legumes are good
Adzuki Beans, Black Beans, Black eyed Peas, Garbanzo Beans (Chick Peas), Lentils (Red & Brown),
Lima Beans, Mung Beans/Dhal, Tur Dhal, Peas (Dried), Pinto Beans, Soy Sausages, White Bean
NUTS
Sun Flower Seeds, Flax Seeds, Pumpkin Seeds, Chia, Popcorn (no Salt or Butter)
Other nuts in moderation

SALADS/VEGETABLES
Eggplant, Beet Root, Potato, Bottle Gourd, Snake Gourd, Ridge Gourd, Bitter Gourd,
Cucumber, Carrot, Radish, Green Peas, Celery, Okra, Yam, Zucchini, Asparagus, Lettuce,
Artichoke, Beets, Bitter melon, Broccoli, Brussel sprouts, Burdock root, Cabbage, Cauliflower,
Cilantro, Corn, Daikon radish, Dandelion greens, Green beans, Green chilies, Horseradish,
Jerusalem artichoke, Kale, Kohlrabi, Leafy greens, Leeks, Lettuce, Mustard greens, Onions,
Mushrooms, Rutabaga, Spinach Sprouts, Tomatoes (yellowish and cooked),
Turnip Greens, Watercress, Wheatgrass, Sprouts
SPICES
Ajwain, Almond Extract, Anise, Asafoetida, Basil, Bay Leaf, Black Pepper, Caraway,
Cardamom, Cayenne, Cloves, Cinnamon, Coriander, Cumin, Curry Leaves, Dill, Fenugreek,
Garlic, Ginger, Mace, Marjoram, Mint, Mustard Seeds, Neem Leaves, Nutmeg, Orange Peel,
Oregano, Paprika, Parsley, Peppermint, Pippali, Poppy Seeds, Rosemary, Saffron, Sage, Savory,
Spearmint, Star Anise, Tarragon, Thyme, Turmeric, Wintergreen
TEA
Cinnamon, Fenugreek, Peppermint, Raspberry
AVOID
Excess salt and sweet
Excess of white flour (Maida), junk food, cheese, yogurt, banana, oils, aerated drinks,
beef, pork, seafood
Water should be taken hot and in reduced amount
Reduce sweet foods (including rice, noodle and bread) and use only minimum amount of oil or butter
LIFE STYLE ADVICES
Reduce your fat intake and avoid fast and fried foods
Avoid iced drinks and sweets
Take a brisk walk of 100 steps after each meal
Sit in Vajrasana yoga posture after food
Reduce intake of water to 1- 2 liters
Drink warm water
Wake early (before dawn), sleep less and avoid sleeping in the day
Get plenty of physical exercise everyday
Perform activities that stimulate and energize the body and mind and build
physical and mental heat
Allow for excitement and challenge and variety in life to break away from
stagnation and clinging to old ways of thinking and behaving
Keep warm and dry
Avoid sedentary life
Fill positivity in mind with yoga, meditation, nature walk, music etc.
Meditate 30 minutes every day

diet and lifestyle guidelines for

QUALITY

Vata

Unctuous, warm, moderately heavy, moist, soothing and nourishing

TASTE
Sweet, sour, salty can be taken in more quantity
Excessive consumption of bitter, astringent and spicy tastes contributes to vata imbalance
DAIRY PRODUCTS
All dairy products in moderate quantity
Butter, Buttermilk, Cheese (hard), Cheese (soft), Cottage cheese, Cows milk, Ghee, Goats
cheese, Goats milk, Sour cream, Yoghurt (diluted and spiced)
GRAINS
R ice & Wheat, Oats (cooked), Quinoa, Seitan (wheat meat), Millet, Amaranth, Durham flour
SWEETENERS
Molasses, Barley malt, Cane sugar (raw or unrefined), fruit juice concentrates,
honey - raw and unprocessed
OIL
All oils especially Sesame, Corn, Peanut, Mustard, Olive, Coconut, Avocado
Choose cold pressed oils
FRUITS
Grapes, Cherries, Melons, Peaches, Avocado, Coconut, Banana, Orange, Pineapple,
Plums, Berries, Mango, Papaya, Apples, Applesauce, Apricots, Berries, Cherries, Dates (fresh),
Figs (fresh), Grapefruit , Kiwifruit, Lemons, Limes, Prunes (cooked), Raisins (soaked),
Rambutan (seasonal), Rhubarb, Strawberries
PULSES
Adzuki Beans, Mung dal (split and skinless), Urud dal (Black-eyed lentils)
Green Mung Beans in more quantity
Other pulses can be taken in moderation well spiced
NUTS
Chia Seeds, Flax Seeds, Pumpkin, Sesame, Sunflower
Nuts should be taken in moderation - Almonds, Black walnuts, Brazil nuts, Cashews, Charole,
Coconut, Filberts, Hazelnuts, Macadamia nuts, Peanuts, Pecans, Pine nuts, Pistachios

SALADS/VEGETABLES
Broccoli, Celery, Zucchini, Asparagus, Beets, Cabbage, Carrots, Cauliflower, Cilantro,
Cucumber, Daikon radish, Green beans, Green chilies, Jerusalem artichoke, Leafy greens, Leeks,
Okra, Olives, Onions (cooked), Parsley, Parsnip, Peas (cooked), Pumpkin, Radishes (cooked),
Rutabaga, Spaghetti squash, Spinach (cooked)
SPICES
Ajwain, Allspice, Almond extract, Anise, Basil, Bay leaf, Blackpepper, Cardamom,
Cinnamon, Cloves, Coriander, Cumin, Curry leaves, Dill, Fennel, Garlic, Ginger, Mace, Marjoram,
Mint, Mustard seed, Nutmeg, Orange peel, Oregano, Paprika, Parsley, Peppermint,
Pippali (long pepper), Poppy seeds, Rosemary, Saffron, Salt, Savory, Spearmint,
Star anise, Tarragon, Thyme, Turmeric, Vanilla, Wintergreen
TEA
Chamomile, Fennel, Ginger, Liquorice, Lemon, Ajwain, Catnip, Chicory, Chrysanthemum,
Clove, Comfrey, Elder flower, Eucalyptus, Fenugreek, Hawthorn, Juniper berry, Lavender,
Lemongrass, Marshmallow, Oat straw, Orange peel, Peppermint, Raspberry,
Rosehips, Saffron, Sage, Sarsaparilla, Spearmint
AVOID
Light, dry, rough cold foods, raw vegetables
Excess of sprouts, peas, potatoes, white flour (Maida), Junk food, cheese, aerated drinks
LIFE STYLE ADVICES
Sit down to eat quietly and focus on the taste and texture of your food and chew thoroughly
Choose warming foods and minimize intake of raw foods and cold foods and drinks
Take a brisk walk of 100 steps after each meal
Sit in Vajrasana yoga posture after food
Maintain a consistent daily routine (prepare and use a timetable of all your activities
from waking to sleeping)
Keep exercise gentle and regulated
Drink a glass of warm water early in the morning after brushing your teeth.
Drink 2 liters of water everyday
Find time for rest, reflection, and nurturing of yourself
Create a calm, safe and comforting environment for yourself
Have regular Ayurvedic massage as this is soothing and grounding
Avoid very cold and very windy conditions, also very dry climates
Minimize travel and too much movement, avoid loud and noisy places, crowds, too much talking
Express your creativity in focused and satisfying ways and allocate space and time for this
Wear soft flowing clothes made of natural fibers of earth tones
Get enough sleep
Keep warm
Fill positivity in mind with yoga, meditation, nature walk, music etc.
Meditate 30 minutes everyday

Opportunity to peak into Ayurveda

Ayurveda is the time-tested, natural, prevention-oriented and holistic health care system of ancient
India. It is free of negative side effects and offers economical solutions to the most current health
problems worldwide.
Since 2003, we have been interested in Ayurveda and offer Ayurvedic
treatments like the very popular Chakra Dhara. Recently, we took
the decision to go deeper and now offer our retreat participants the
opportunity to find out more about this science, working together with
the highly acknowledged Ayurvedic doctor from India, Dr. Aparna.
Dr. Aparna is one of the few specialists with a PhD in Ayurveda, most
Ayurvedic doctors have a bachelors degree. She comes from a pure
Ayurvedic family operating a serious hospital in Kerala, India.
Dr. Aparna will give a complimentary a short lecture on the subject on
Sunday at 17:00 in the lounge above the lower pool, you are welcome to join!
If you are interested in taking a peak into Ayurveda, we have prepared a special Ayurveda package
including:
private consultation with Dr. Aparna (personal evaluation and consultation to discover your
dosha (body mind constitution) types, pulse diagnosis, bioenergy imbalance assessment, diet
and lifestyle tips.)
Ayurvedic lunch
Ayurvedic evening tea served after dinner
lecture with Dr. Aparna
The cost of this package is IDR1,500,000.00 (approximately USD 105.00).
Looking forward to seeing you on Sunday at 17: 00 in the yoga shala.

Claude Chouinard
Co-Founder
ONEWORLD retreats

diet and lifestyle guidelines

NAME:
BODY TYPE:

IMBALANCE (IF ANY):

SPECIAL INSTRUCTIONS:

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