Sex：
male female

Age：
14-24 25-40 41-60 Over 60

job position：
junior and middle senior

1、Are you afraid of coldness or heat?
Afraid of coldness　　 Afraid of heat Normal

2、How many times do you do strength training per week?
1-2 times　　 Over 3 times 0 times

3、Do you sweat a lot?
A little　 A lot Spontaneous or night sweating

4、 Do you often feel thirsty?
No Often thirsty but don’t want to drink

5、How is your complexion and blood circulation?
Dull complexion with cold hands and feet Dry and easily flushed face, hands and feet not cold Prone to swelling, yellowish or pale complexion

6、What’s the color of your tongue coating（when you get up every morning）?
White coating Yellow coating No coating

7、What’s your pulse quantity per minute?
less than 60 From 60 to 80 Over 92

8、What is your sleep duration?
Less than 5.5 hours 5.5-7.5 hours More than 7.5 hours

9、What kind of food do you prefer?
A light taste A spicy and Strong taste Vege diet

10、How is your Bowel movement?  
1/day 1/2-3days 3-4times/day

11、Do you feel energetic？
Yes No Tired

12、How often do you catch cold every year?
0-1 time 2-3times Over 4 times