His Holiness
Maharishi
Mahesh Yogi
 
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Visual weakness

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 Visual weakness and its symptoms.
 Due to systemic weakness  Age-related
 Due to diabetes  Due to surgery
 Blurry vision  Cloudiness
 Lens damage  Cataracts
 Tearing, watery eyes  Tired eyes
 Floaters  Blurry vision
 Near sighted (myopic)  Far sighted (hyperopic)
 Double vision  Optic neuritis
 Optic nerve damage  Iritis
 Astigmatism  Presbyopia
 Macular degeneration  Macular hole
 Glaucoma  Cornea problems
 Keratoconus  Menier's disease
 Detached retina  Damaged retina
 Vitreous problems  Sensitivity to bright light
 Objects appear larger  Headaches
 Aura migraines  Images vibrate
 Damage to optic nerve  Lack of blood flow to eye or optic nerve
 Blocked energy flow  None
2) (required) Check one or more primary areas to be addressed.
  Left Eye    
  Right Eye    
  Optic nerve
3) (required) Check one or more Sensations that are predominant in your case of Visual weakness.
  Shakiness   Itching   Numbness   Heaviness   Weakness   Rawness
  Pain   Stiffness, rigidity and/or tightness   Burning   Heat   None caused by Visual weaknessNone
4) Check one or more kinds of Pain that you experience in association with your case of Visual weakness 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 Visual weakness or its symptoms.
Frequency of Visual weakness
6) (required) Currently, how severe is your case of Visual weakness or its associated symptoms?
Duration of Visual weakness     mild     moderate     severe     very severe
7) (required) How disabling is your case Visual weakness or its symptoms?
Disablity from Visual weakness  mildly  moderately  severely  very severely  Not at all
Disorder History
8) (required) Approximately, how long have you had Visual weakness or its symptoms?
Duration of Visual weakness  years  months  weeks
9) (required) Is your case of Visual weakness the result of an accident or another sudden traumatic event?
Visual weakness from accident yes  no  unsure
10) (required) Has your case of Visual weakness been medically diagnosed?
Visual weakness was medically diagnosed yes  no
11) Brief history of your case of Visual weakness and its treatment  (optional - up to 250 characters only) 
History of Visual weakness
12) How many prior 3-session Maharishi Vedic Vibration Technology consultations have you had for Visual weakness?
Prior MVVT treatments for Visual weakness  0  1  2  3  4 or more
12) What was the average percentage of relief you gained as a result?
Percent improvemnt through Visual weakness  75-100%  50-75%  25-50%  0-25%  Unsure
Comments
13) Additional comments (up to 250 characters only)
Comments about Visual weakness

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