KYC Form - Santulan Ayurveda Events

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SAFE – Nagpur
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- Shreeguru Dr. Balaji Tambe
- Dr. Malvika Tambe
  - Santulan Veda Festival Seminar 2023
  - Santulan Veda Festival Seminar 2024
Contact

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Home
SAFE – Nagpur
Past Events
About
- Shreeguru Dr. Balaji Tambe
- Dr. Malvika Tambe
  - Santulan Veda Festival Seminar 2023
  - Santulan Veda Festival Seminar 2024
Contact

KYC Form

Name(Required)

First Last

Email(Required)

Mobile(Required)

City(Required)

Age(Required)

Gender(Required)

Male

Female

Others

Note : Select any 1 of the Option from Option A and B from each section.

1) Physique

Option A(Required)

Slim build

Medium build

Strong build

Option B(Required)

Tall or Short stature

Balanced Proportions-good figure

Proportionate

2) Hair

Option A(Required)

Fine, Dry, Split ends, Brittle

Silky, Soft, Fine, Straight

Thick, Soft, Wavy

Option B(Required)

Less lustre and Curly

Tendency hair loss and Premature greying

Oily, Shiny

3) Nails

Option A(Required)

Hard, Brittle

Soft, Pink, Medium Strong

Thick, Shiny

Option B(Required)

Smaller in size

Oval shape

Square shape, Moons visible

4) Teeth

Option A(Required)

Irregular in Size, Receeding gums

Balanced proportion of size, Bleeding gums

Big in size, Tendancy to tatar

Option B(Required)

Sensitive to Temperature

Yellowish

White

5) Joint

Option A(Required)

Cracking Sound, Stiff

Reddish and Soft

Flexible

Option B(Required)

Prominent, or Extra bone growth

Sometimes Stiff

Strong build, Lubricated

6) Motion

Option A(Required)

Dry, Hard, Constipation

Soft, Hot

Formed, Regularly

Option B(Required)

Less, Doesn't clear at once

Tendency of loose motion

Clear feel after motion

7) Menstruation (For Women)

Option A

Less Flow, Shorter cycles

Normal flow, Regularly, Medium to Shorter cycle

Regulary, Longer cycle, Good flow

Option B

Tendency of Pain and Cramps

Tendency of Headache

Tendency of Thicker flow

8) Skin

Option A(Required)

Fine, Dry, Cold, Veins Visible

Soft, Delicate, Shining

Thick, Cold, Wet

Option B(Required)

Cracks, Premature Wrinkles

Wrinkles, Moles

Soft, Elastic, with Lustre

9) Eyes

Option A(Required)

Vivid, Restless

Penetrating, Wet

Calm and Gentle, White sclera

Option B(Required)

Small in size, Dry

Medium in size, Redness, Inflammation

Lubricated, Large

10) Appetite

Option A(Required)

Irregular, Either eats litttle or Lots

Can't Tolerate hunger

Regular, Not Strong hunger

Option B(Required)

Wish for Regular and Balanced food

Can eat more quantity

Can tolerate fasting

11) Thirst

Option A(Required)

Drinks Regulary

Thirsty

Less Thirsty, Needs less water

Option B(Required)

Can't Bear thirst

Needs more quantity of water

Forgets to drink

12) Tongue

Option A(Required)

Slender, Unsteady

Medium Size, Soft, Pink

Thick, Soft, Light Pink

Option B(Required)

Cracks, Roughness

Sensitive to Spice, Glossy

Lubricated, Good understandig of Taste

13) Weight

Option A(Required)

Less or Improportionate Overweight

Medium

Heavy

Option B(Required)

Difficult to Gain weight

Can easily Gain / Loose weight

Gains weight easily

14) Speech / Voice

Option A(Required)

Less Volume / Airy, Fast, Speaks more

Penetrating, Confident, Precise

Moderate, Slow and Thoughtfull, Melodious

Option B(Required)

Repeating; Distracted flow, Dry

Harshness; High Pitch

15) Stamina

Option A(Required)

Less, Gets exhausted quickly

Medium, Focussed, Ambitionate

Good continuous endurance, Steady

Option B(Required)

Effective for a limited time

Gets tired with exhaustion

Lethargic

16) Sleep

Option A(Required)

Less easily disturbed

Medium-deep, Might wake up 1-2 x, Late night sleep

Deep, Long, Restful

Option B(Required)

Can't sleep for long stretches

Irregular timings, Regenerative

Refreshing if doesn't oversleep

17) Tolerance

Option A(Required)

Less

Medium to Less, being ruled by likes / dislikes

High

Option B(Required)

Feeling of invasion of personal space

Perfectionist

Remains composed

18) Concentration

Option A(Required)

Short span; Imaginative

Good and Focussed if the subject is interesting

Very good Focus

Option B(Required)

Easily distracted or diverted

Dynamic

Needs more time to grasp

19) Memory

Option A(Required)

Good Short term Memory

Good Short and Longterm Memory

Good Longterm Memory

Option B(Required)

Doesn't care to remember

Depending on the own interest for the subject

Takes time to memorize but once set it remains

20) Anger

Option A(Required)

Tend to being quick in reaction

Quick Tempered, Sorted in expressing anger

Not agressively angry, Contemplative

Option B(Required)

But it passes quickly too

Has a reason for anger, Can complain more

Can be stuborn; Adamant, Silently accusing

21) Friendship

Option A(Required)

Fewer friends, Intolerant

Few friends, emotional or intelectual bondage

Bigger friend circle, deep and long lasting friendship

Option B(Required)

Friendship might not last long; not many deep friends

Choosen by specific likings

Can be more attached

22) Mood

Option A(Required)

Quickly changes, Light

Medium speed in change of mood

Slow and thoughtfull, can be heavy

Option B(Required)

Elated, Creative, Enthusiastic

Passionate, Takes Initiative, Creative

Contented, Polite, Compassionate

23) Disease tendencies

Option A(Required)

Pain(Sharp, Tingling, Electrifying)

Fever, Burning, Heat

Dull constant pain

Option B(Required)

Lack of lubrication (Back, Joints, Skin, Mucous Membranes)

Inflammations (Skin, Mucous Membranes, Joints)

Congestion (Sinus, Lungs, Circulation)

Option C(Required)

Constipation

Hyper Acidity, Hypertension

Water retention, Swelling

Δ

Copyright 2024 Santulan Events. All rights reserved

Shreeguru Dr. Balaji Tambe
Contact Us
Terms & Conditions
Cancellations/Refund
Privacy Policy

Shreeguru Dr. Balaji Tambe
Contact Us
Terms & Conditions
Cancellations/Refund
Privacy Policy

Copyright 2024 Santulan Events. All rights reserved

Copyright 2024 Santulan Events. All rights reserved