His Holiness
Maharishi
Mahesh Yogi
 
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Eye problems

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 Eye problems and its symptoms.
 Due to systemic illness  Chronic itching
 Redness  Chronic pain
 Pressure around the eyes  Eye fatigue or strain
 Black eye  Allergy
 Dry eye syndrome  Bloodshot eyes
 Discharge  Lazy eye
 Wall eye  Retinitis pigmentosa
 Strabismus (crossed eyes)  Iritis
 Blepharitis (inflammation of the eyelids)  Twitching
 Cysts  Calcium deposits
 Lacrimal gland cyst  Conjunctivitis (pink eye)
 Congenital malformation of tear ducts  Sinus infection
 Blocked energy flow  Headache
 Glaucoma  Glaucoma due to juvenile rheumatoid artritis
 Incipient glaucoma  High intra-ocular pressure
 Angle closure glaucoma  Open angle glaucoma
 None
2) (required) Check one or more primary areas to be addressed.
  Left Eye
  Right Eye
3) (required) Check one or more Sensations that are predominant in your case of Eye problems.
  Shakiness   Itching   Numbness   Heaviness   Weakness   Rawness
  Pain   Stiffness, rigidity and/or tightness   Burning   Heat   None caused by Eye problemsNone
4) Check one or more kinds of Pain that you experience in association with your case of Eye problems or its symptoms.
  Sharp   Dull/Achey   Burning   Prickling   Stabbing   Shooting
  Unbearable   Constant   Occasional   Intermittent   Acute   Extreme
  Throbbing pain caused by Eye problemsThrobbing
Current condition
5) (required) Select how often you experience Eye problems or its symptoms.
Frequency of Eye problems
6) (required) Currently, how severe is your case of Eye problems or its associated symptoms?
Duration of Eye problems     mild     moderate     severe     very severe
7) (required) How disabling is your case Eye problems or its symptoms?
Disablity from Eye problems  mildly  moderately  severely  very severely  Not at all
Disorder History
8) (required) Approximately, how long have you had Eye problems or its symptoms?
Duration of Eye problems  years  months  weeks
9) (required) Is your case of Eye problems the result of an accident or another sudden traumatic event?
Eye problems from accident yes  no  unsure
10) (required) Has your case of Eye problems been medically diagnosed?
Eye problems was medically diagnosed yes  no
11) Brief history of your case of Eye problems and its treatment  (optional - up to 250 characters only) 
History of Eye problems
12) How many prior 3-session Maharishi Vedic Vibration Technology consultations have you had for Eye problems?
Prior MVVT treatments for Eye problems  0  1  2  3  4 or more
12) What was the average percentage of relief you gained as a result?
Percent improvemnt through Eye problems  75-100%  50-75%  25-50%  0-25%  Unsure
Comments
13) Additional comments (up to 250 characters only)
Comments about Eye problems

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