Recharge – Body and Mental Wellness (BMW) Are You Ready? 您的姓名 / Full Name (as per IC) 电子邮箱地址 / Email Address 您的性别 / Gender Male Female 1. 湿热质 Damp-Heat Constitution None 2. 1.您面部或鼻部有油腻感或油亮发光吗？/ Do you experience excessive oiliness on your forehead or T-zone? 没有 / None 很少 / Rarely 有时 / Sometimes 经常 / Often 总是 / Always None 3. 2.您小便时尿道有发热感、尿色浓吗？/ Do you experience a burning sensation in your urethra when urinating, or notice that your urine appears dark in color? 没有 / None 很少 / Rarely 有时 / Sometimes 经常 / Often 总是 / Always None 4. 3.您白带色黄吗？（女性）/ Is your vaginal discharge yellowish in color? (For females) 没有 / None 很少 / Rarely 有时 / Sometimes 经常 / Often 总是 / Always None 5. 3.您阴囊部位潮湿吗？（男性）/ Do you often notice that your scrotum feels damp? (For males) 没有 / None 很少 / Rarely 有时 / Sometimes 经常 / Often 总是 / Always None 1 out of 8 6. 平和质 Balanced Constitution None 7. 4. 您精力充沛吗？/ Do you generally feel energetic and active? 没有 / None 很少 / Rarely 有时 / Sometimes 经常 / Often 总是 / Always None 8. 5. 您容易疲乏吗？/ Do you get tired easily? 没有 / None 很少 / Rarely 有时 / Sometimes 经常 / Often 总是 / Always None 9. 6. 您感到闷闷不乐、情绪低沉吗？/ Do you often feel unhappy or emotionally low? 没有 / None 很少 / Rarely 有时 / Sometimes 经常 / Often 总是 / Always None 10. 7. 您比一般人耐不了寒冷吗？/ Do you feel less tolerant of cold compared to others? 没有 / None 很少 / Rarely 有时 / Sometimes 经常 / Often 总是 / Always None 2 out of 8 11. 气虚质 Qi Deficiency None 12. 8. 您容易疲乏吗？/ Do you get tired easily? 没有 / None 很少 / Rarely 有时 / Sometimes 经常 / Often 总是 / Always None 13. 9. 您容易气短（呼吸短促、接不上气）吗？/ Do you get short of breath easily? 没有 / None 很少 / Rarely 有时 / Sometimes 经常 / Often 总是 / Always None 14. 10. 您容易心慌吗？/ Do you often experience heart palpitations? 没有 / None 很少 / Rarely 有时 / Sometimes 经常 / Often 总是 / Always None 3 out of 8 Loading questions... 4 out of 8 Loading questions... 5 out of 8 Loading questions... 6 out of 8 Loading questions... 7 out of 8 Loading questions... 8 out of 8 Previous Start Questionnaire Next Time's up
