Appetite & Taste
Appetite:
Food quantity:
Post-meal reaction:
Food preferences:
Do you crave specific foods?
Drinking habits:
What do you prefer to drink?
Are you thirsty?
Do you have a bitter taste in mouth?
Do you have bad breath?
Do you have acid reflux or heartburn?
Sleep
Average bedtime:
How long does it take to fall asleep?
Manifestations of difficulty falling asleep:
Number of nighttime awakenings:
Can you fall back asleep after waking?
Do you dream a lot?
Do you snore?
Morning feeling:
Daytime sleepiness:
Average sleep duration:
Do you take naps?
Do you take sleep aids?
Tongue Diagnosis (Please take photos)
📌 Photo Guide: Take photos in natural light, no filters or beauty mode. Open mouth and extend tongue to show entire surface. Best taken in the morning on an empty stomach, before brushing teeth.
Tongue color:
Tongue coating thickness:
Tongue coating color:
Tongue coating moisture:
Tongue body shape:
Sublingual veins:
Other description:
Tongue surface and sublingual vein photos
Please take photos of the tongue surface and sublingual veins and send them to our email address