Mental Constitution Chart
This test will show our mental and spiritual state. Please fill out this form carefully and honestly. After answering the questionnaire for yourself, you should have someone who knows you well, like a spouse, close friend to fill out for you also.
Select an option from each list
"
*
" indicates required fields
Step
1
of
11
9%
Name
*
First
Last
Email
*
Phone
*
Diet
*
Vegetarian
Some meat
Heavy meat diet
Drugs, Alcohol & Stimulants
*
Never
Ocassionally
Frequently
Sensory Impressions
*
Calm, pure
Mixed
Disturbed
Need for sleep
*
Litle
Moderate
High
Sexual Activity
*
Low
Moderate
High
Control of senses
*
Good
Moderate
Weak
Speech
*
Calm and peaceful
Agitated
Dull
Cleanliness
*
High
Moderate
Low
Work
*
Selfless
For personal goals
Lazy
Anger
*
Rarelys
Sometimess
Frequently
Fear
*
Rarely
Sometimes
Frequently
Desire
*
Little
Some
Much
Pride
*
Modest
Some ego
Vain
Depression
*
Never
Sometimes
Frequently
Love
*
Universal
Personal
Lacking love
Violent Behavior
*
Never
Sometimes
Frequently
Attachment to money
*
Little
Some
A lot
Contentment
*
Usually
Partly
Never
Forgiveness
*
Forgives easily
With effort
Holds long term grudges
Concentration
*
Good
Moderate
Poor
Memory
*
Good
Moderate
Poor
Will Power
*
Strong
Variable
Weak
Truthfulness
*
Always
Most of the time
Rarely
Honesty
*
Always
Most of the time
Rarely
Peace of Mind
*
Generally
Partly
Rarely
Creativity
*
High
Moderate
Low
Spiritual Study
*
Daily
Occassionally
Never
Mantra, Prayer
*
Daily
Occassionally
Never
Meditation
*
Daily
Occassionally
Never
Service
*
Much
Some
None
Email
This field is for validation purposes and should be left unchanged.