What format do you want for the 1st session?*
1 hour1 hour and 30 mins2 hours

How often are your available hours between 7 am and 7 pm, Monday to Sunday (EXCEPT Monday)?*

Your name*

Your email*

Mobile/WhatsApp?*

Is this phone Whatsapp?
YesNo

Date, Time & Place of Birth (city/state)*

Current Place of Residence (city/state/country)

CPF

Occupation and current education*

Height & Weight present*

Blood type

Describe where you live: (dry, humid, sunny, quiet, windy, etc.)*

Describe your workplace:(competitive, authoritative, pleasant, dry, hectic, etc)*

Marital status? Do you have children or family members under direct responsibility?*

Do you practice regular physical activity? If so, do you appreciate it or are you obliged? How often?*

Do you follow any spiritual line? Do you have any specific religious affinities?*

Do you have complicated health habits? 🚑
sleep latesmoking et alcomputer overloadsedentary lifestylecarbocides (voracious consumption of fatty foods)alcoholicspsychotropicspostpone evacuationpostpone urinationpostpone hunger

Do you want to comment on the habits above?

Select your main interests*
Foodbody healthRelief of somatic discomfortsweight readjustmentaesthetic improvementSelf confidenceConcentrationBest professional performanceMore harmonious family-social relationshipPractical experience of AyurvedaSelf knowledgeMeditationmore serene state of mindspiritual practicesreligiosity

Do you want to comment on the items mentioned above?

Interested in Yoga, Meditation and/or Breathing Practices?*

How did you find out about āyurveda? What about Tiaggo Namaste?*

Perspective on food: functional, healthy, practical, vegetarian, vegan...?*

How is your lunch usually in terms of time, what in general do you eat and how do you feel after the meal?*

Pathologies/syndromes in childhood?*

During life: allergies, injuries, pathologies, surgeries, chronic discomforts, serious accidents, traumas still present)*

Relevant family history (up to 3rd generation and 3rd degree)*

Normality or hormonal cycle imbalances?

Age at first menstruation and/or menopause?

If you have children, what was the type of delivery?

Pregnant or suspected of being pregnant?

1) What brings you to this therapeutic session?*

2) Major (and minor) issues to be addressed?

3A) Do you use herbal medicines and/or medicines? If yes, please describe in detail.*

3B) Have you ever had any type of therapeutic follow-up? Which? For how long?*

4) How would you describe your most common appetite/hunger throughout your life:
a) variable, with unstable appetite and often forgetting to eat...b) intense, with strong hunger to the point of becoming irritable if you don't eat...c) smooth, with some small and ever-present desire to eat (affective)... Comment (optional):

5) Regarding the process of excretions:
a) tendency to colds, irregular excretions and with a drier patternb) loose/pasty flow, excessive and with the possibility of burningc) regular outputs, with moderate amount and traces of mucus (foamy) Comment (optional):

6) What type of physical constitution do you think is closest to your overall:
a) bone, with a great propensity to lose weight quicklyb) muscular, with a strong propensity to gain muscle quicklyc) adipose, with an easy propensity to put on weight if you neglect it Comment (optional):

7) In general, more uncomfortable weather when:
a) cold, dry and windyb) hot, humid and muggyc) early spring/very hot or very cold or cold very humid/rainy Comment (optional):

8) Under situations of physical and mental stress, your body tends to react to:
a) anxiety, sudden fatigue, exaggerated fear, insecurity, search for grounding, preference for foods that reduce the level of worriesb) anger, irritation, criticism, burns, generalized competitiveness, fixation on a certain subject/problem, sensation of acid taste in the back of the mouthc) prostration, sentimental drama, procrastination, slowness, excessive intake of carbohydrates for emotional compensation, low self-esteem Comment (optional):

9) Regarding your immune system, would you consider yourself in general to be:
a) having low immunity, needing to be consistently aware of weaknessesb) having good internal health, accepts taking risks and ends up getting hurtc) is in good health, hardly getting sick and recovering quickly Comment (optional):

10) Under your sleep process, in general:
a) in general very light, with frequent dreams, flying and with a lot of spaceb) deep and restorative, with risks of insomnia due to obsessive thinkingc) prolonged, affective and with a tendency to laziness if it's silly Comment (optional):

11) About your sweating process:
a) barely sweaty, with a tendency towards drier skinb) sweats profusely, with a tendency to a more sour odor (cecê)c) it takes time to start sweating, in general with oilier skin Comment (optional):

12) Indicate, if possible, which of the following aspects - for you - is more important to preserve throughout your life:
a) physical appearance/shape of the bodyb) vitality/enthusiasm in everyday lifec) emotional/affective balanced) discernment/intellectual claritye) sense of well-being, peace Comment (optional):

Optional: How do you see yourself 12 months from now if this Ayurvedic follow-up delivers good results? ✨