TCM Questionnaire
Traditional Chinese Medicine looks at how your energy, digestion, sleep, temperature, emotions and body fit together. This questionnaire helps you discover which TCM pattern (for example Qi deficiency or Liver Qi stagnation) best matches how you feel right now. Your results come with plain-language explanations, food and lifestyle tips, and an easy way to send them to yourself and to our practice before your visit.
Private by design: your answers stay in your browser. Our website does not save or receive them. They are only shared if you choose to email them at the end. This questionnaire is educational and is not a medical diagnosis.
1. Choose your questionnaire
2. Safety check first
Do you have any of these right now? Tick any that apply.
Please get medical care first. One or more of the symptoms you ticked can be a sign of a condition that needs prompt medical attention. Call 911 for chest pain, trouble breathing, fainting, sudden severe headache or sudden weakness. If you are thinking about harming yourself, call or text 988 (Suicide & Crisis Lifeline) now. For other symptoms, contact your doctor today. You can still finish the questionnaire, and acupuncture can work alongside your medical care.
3. Your answers
Think about the last 4 weeks. Pick the answer that fits best. If you are unsure, choose "Sometimes" or skip it.