His Holiness
Maharishi
Mahesh Yogi
 
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Peripheral vascular disease

Your answers will enable us to develop your personalized consultation.
Select the consultation type for this disorder. For more information, click on the consultation type.
   Enhanced ($900)

   Additional or Follow-up ($450)
Issues
1) (required) Check one or more characteristics or information relevant to your current case of Peripheral vascular disease and its symptoms.
 Poor circulation  Cold extremities
 Weakened veins  Varicose veins
 Swollen extremities  Blood clots
 Blood pools in legs  Extremities turning blue or purple
 Inefficient heart pumping  Raynaud's syndrome
 Dizziness  Spider capillaries
 Pallor  High blood pressure
 Phlebitis  Sedentary
 Overweight  Blocked energy flow
 None
2) (required) Check one or more primary areas to be addressed.
  Heart
  Cardiovascular system
  Left Upper extremities    
  Right Upper extremities    
  Left Lower extremities    
  Right Lower extremities    
  Entire body
3) (required) Check one or more Sensations that are predominant in your case of Peripheral vascular disease.
  Shakiness   Itching   Numbness   Heaviness   Weakness   Rawness
  Pain   Stiffness, rigidity and/or tightness   Burning   Heat   None caused by Peripheral vascular diseaseNone
4) Check one or more kinds of Pain that you experience in association with your case of Peripheral vascular disease or its symptoms.
  Sharp   Dull/Achey   Burning   Prickling   Stabbing   Shooting
  Unbearable   Constant   Occasional   Intermittent   Acute   Extreme
Current condition
5) (required) Select how often you experience Peripheral vascular disease or its symptoms.
Frequency of Peripheral vascular disease
6) (required) Currently, how severe is your case of Peripheral vascular disease or its associated symptoms?
Duration of Peripheral vascular disease     mild     moderate     severe     very severe
7) (required) How disabling is your case Peripheral vascular disease or its symptoms?
Disablity from Peripheral vascular disease  mildly  moderately  severely  very severely  Not at all
Disorder History
8) (required) Approximately, how long have you had Peripheral vascular disease or its symptoms?
Duration of Peripheral vascular disease  years  months  weeks
9) (required) Is your case of Peripheral vascular disease the result of an accident or another sudden traumatic event?
Peripheral vascular disease from accident yes  no  unsure
10) (required) Has your case of Peripheral vascular disease been medically diagnosed?
Peripheral vascular disease was medically diagnosed yes  no
11) Brief history of your case of Peripheral vascular disease and its treatment  (optional - up to 250 characters only) 
History of Peripheral vascular disease
12) How many prior 3-session Maharishi Vedic Vibration Technology consultations have you had for Peripheral vascular disease?
Prior MVVT treatments for Peripheral vascular disease  0  1  2  3  4 or more
12) What was the average percentage of relief you gained as a result?
Percent improvemnt through Peripheral vascular disease  75-100%  50-75%  25-50%  0-25%  Unsure
Comments
13) Additional comments (up to 250 characters only)
Comments about Peripheral vascular disease

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