Do My Habits Align with Ayurvedic Recommendations?

I routinely ask all clients to complete this questionnaire. You'll find that your low scoring items are an opportunity for improvement in health, vitality and longevity. An important part of the consultation process is providing guidance for priorities and tips on how to make the changes in the context of everything else, including imbalances, symptoms and current lifestyle with any associated constraints.

  • Rate all items
  • Please provide your name if you want me to know your results
  • If you enter your email, you will receive a copy of the report.
Personal Health Habits
How Often Do You Take? Never Rarely Occasionally At
Least
Weekly
Daily Several
Times
Daily
Ice water
Sodas
Coffee
Black, White or Green Tea
Beverages containing alcohol
Chocolate
Cold milk (alone or on or cereal)
Cook with honey or add it to hot beverages
Ice cream, frozen yogurt or other frozen treat
Store-bought yogurt
Bananas or strawberries with ice cream, milk or yogurt
Cheese, yogurt or sour cream in the evening
Left-over food
Untoasted, yeasted bread or bagels
Vinegar or vinegar-based condiments like ketchup or salad dressing
Raw vegetables or salads
Combine milk with eggs to make an omelet, scrambled eggs, French toast, cakes/brownies/cookies/muffins, etc.
Frozen or canned food
Microwaved food
Dinner or snacks after 8 PM
Pesticide-laden food such as conventionally-grown apples, strawberries, green beans and kale
Tomatoes, white potatoes, bell peppers or mature eggplant (nightshade family vegetables)
Red meats such as beef, pork, hamburger, sausage, salami, etc.

How Often Do You Eat? Never Rarely Occasionally At
Least
Weekly
Daily Several
Times
Daily
While otherwise engaged in activity such as driving, working, watching TV or reading
While standing up
When you aren't really hungry
When you are emotionally upset
Within a few hours of a main meal

How Often Do You? Never Rarely Occasionally At
Least
Weekly
Daily Several
Times
Daily
Overeat
Pause for at least 5 minutes after a meal to let your food settle before returning to activity
Take a nap during the day
Forcibly suppress a natural urge (e.g., to urinate, defecate, pass wind, yawn, belch, etc.)
Spend time in the company of people who argue, complain, criticize, threaten or otherwise stress or depress you
Wear clothing made from synthetic fibers
Eat lunch after 2 PM
Skip lunch altogether
Stay up past 10 PM
Sleep in past sunrise
Get physical exercise
Exercise vigorously in the evening or within 1 hour of a meal

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Questionnaire adapted with permission from Maharishi Ayurveda Products International, Inc.