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. 2024 Winter;15(1):76–86. doi: 10.22088/cjim.15.1.8

Table 5.

Self-report Mizaj identification questionnaire for the elders (age over 60)

5 4 3 2 1 Questions for warm-cold
Warm Somewhat warm Neither cold nor warm Somewhat cold Cold How is your body usually cold and warm? 1
Mostly say you are talkative Some people say you are talkative They say nothing special Some people say you are incommunicative Mostly say you are incommunicative What do others say about the kind of talk you have? 2
Less Somewhat less Like others Somewhat more More Are you dressed more or less in winter compared to your peers? 3
I always love it I love it more times I love it sometimes I don't like it most of the time I never like it Would you like to take responsibility for trips or parties? 4
Hot Somewhat Hot Neither Cold nor Hot Somewhat Cold Cold Do you find your social relationships cold or hot? 5
Eating warm Mizajs foods always lead me to feel upset Eating warm Mizaj foods somewhat lead me to feel upset No difference for me Eating cold Mizaj foods somewhat lead me to feel upset Eating cold Mizaj foods always lead me to feel upset How do affect foods with cold Mizaj (such as yogurt and cucumbers) or foods with warm Mizaj (such as honey, spices, and peppers) on you? 6
Swarthy Wheat Normal Almost White White What color does your skin have? 7
Large Almost large Moderate-Normal Almost Small Small How do you describe your skeleton compared to your peers? 8
Hasty Somewhat hasty Sometimes patient and sometimes hasty Somewhat patient Patient Do you identify yourself as hasty or patient? 9
Mostly say it's warm Some say it is warm They don't say anything special Some say it is cold Mostly say it is cold When your peers with the gender like you, touch your hand, what do they usually say about its warmth and coldness? 10
Always agile Almost agile Neither steady nor agile Almost steady Always steady How do you do your routine activity compared to your peer? 11
Much taller than others Slightly taller than others Normal Slightly weaker than others Much weaker than others What is the strength of your voice? 12
More Somewhat more Like others Somewhat less Less When you compare yourself to your peers, how do you see the strength of your body? 13
Always agile Almost agile normal Almost steady Always steady If you do not have pain, how do you walk? 14
Larger Somewhat Larger Medium- Like Others Somewhat Smaller Smaller What is the total size of your palm compared to your peers? 15
5 4 3 2 1 Questions for wet-dry
Very Large Large Medium - Normal Small Very Small How is your body compared to your peers? 1
Dry Somewhat Dry Normal Somewhat Soft Soft Is your skin soft Or dry? 2
Slim Slightly Slim Neither fat nor Slim Slightly fat Fat How do you feel about obesity and overweight? 3
slow and barely Somewhat slow and barely Normal Somewhat fast & easy Very fast and easy How do you gain weight? 4
Always Almost Sometimes Yes Sometimes No Rarely Never Do you need to take sleeping pills to sleep? 5

For every question, first option has one score, 2nd option has 2 scores, third option has 3 scores, 4th option has 4 scores and 5th option has 5 scores. After filling out the questionnaire, add the scores.

For Warm/cold determination, score 45 ≤ is warm, score 38-44 is mod (WC) and score 37 ≥ is cold.

For dry/wet determination, score 15 ≤ is dry, score 13-14 is mod (WD) and score 12 ≥ is wet.