top of page

TCM Diagnostic Questionnaire

This diagnostic questionnaire helps us understand your skin and your individual TCM pattern. Based on your responses, Angie will share insights into your constitution and recommend the path forward — whether that is one of our ready formulas, or a CRAFT bespoke composition created especially for you.

Please answer in your own pace — there are no right or wrong answers.


Note: This questionnaire is for skincare guidance and does not replace medical advice. For health concerns, please consult your doctor.


About You


Your Skin

Which skin symptoms apply to you? (Select all that apply)
How is your skin in general?
Rather dry
Rather oily
Combination
Normal
Sensitive
Reactive
When does your skin worsen? (Select all that apply)
How long have your skin symptoms persisted?
Less than 6 months
6 months to 1 year
1–3 years
More than 3 years
Since childhood

Your Body

Do you feel cold often, especially in your hands and feet?
Yes, often
Sometimes
Rarely
Never
Do you have hot flushes or feel overheated easily?
Yes, often
Sometimes
Rarely
Never
Are you often thirsty? Which drinks do you prefer?
Very thirsty — prefer cold drinks
Very thirsty — prefer warm drinks
Moderately thirsty
Little thirst — prefer warm drinks
Little thirst — prefer cold drinks
How is your general energy throughout the day?
Energetic throughout the day
Good in the morning, tired in the afternoon
Constantly tired
Exhausted, hard to get out of bed
How is your sleep?
Deep and continuous
Sometimes restless
Frequently waking up at night
Difficulty falling asleep
Night sweats
How is your digestion in general?
Regular and problem-free
Sometimes constipation
Often constipation
Sometimes loose stools
Often loose stools
Variable / unpredictable

Women's Health (only if applicable)

Which phase are you currently in?
Regular menstrual cycle
Perimenopause (first symptoms)
Menopause (12 consecutive months without a period)
Postmenopause (years after the last period)
Pregnancy
Breastfeeding
Prefer not to say
Not applicable
Does your skin change during your cycle?
Yes, significantly before menstruation
Yes, during menstruation
Yes, at ovulation
No
Not applicable

Your Story

How do you feel emotionally most of the time? (Select all that apply)
bottom of page