Please note! You must have JavaScript enabled to use our on line application
His Holiness
Maharishi
Mahesh Yogi
Gynecological
Main Category Index
Alphabetic Index
Premenstrual syndrome
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 Premenstrual syndrome and its symptoms.
Abnormal flow (too heavy, light or irregular)
Abnormal menstruation associated with menopause
Spotting
Cramps
Hot flashes
Depression
Anxiety
Nausea
Faintness
Mood swings
Emotional imbalance
Vomiting
Diarrhea
Vaginal dryness
Extreme fatigue
Headaches
Digestive difficulties
Low sexual function
Blocked energy flow
None
2)
(required)
Check one or more
primary areas
to be addressed.
Pelvic area
Whole body
3)
(required)
Check one or more
Sensations
that are predominant in your case of Premenstrual syndrome.
Shakiness
Itching
Numbness
Heaviness
Weakness
Rawness
Pain
Stiffness, rigidity and/or tightness
Burning
Heat
None
4)
Check one or more kinds of
Pain
that you experience in association with your case of Premenstrual syndrome 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 Premenstrual syndrome or its symptoms.
Daily
Weekly
Monthly
Yearly
Continuously
Varies
Depends entirely on circumstances
6)
(required)
Currently,
how severe
is your case of Premenstrual syndrome or its associated symptoms?
mild
moderate
severe
very severe
7)
(required)
How
disabling
is your case Premenstrual syndrome or its symptoms?
mildly
moderately
severely
very severely
Not at all
Disorder History
8)
(required)
Approximately,
how long
have you had Premenstrual syndrome or its symptoms?
1
2
3
4
5
6
7
8
9
10-15
16-20
21-30
31 or more
years
months
weeks
9)
(required)
Is your case of Premenstrual syndrome the
result of an accident
or another sudden traumatic event?
yes
no
unsure
10)
(required)
Has your case of Premenstrual syndrome been
medically diagnosed?
yes
no
11)
Brief history of your case of Premenstrual syndrome and its treatment (optional - up to 250 characters only)
12)
How many prior 3-session Maharishi Vedic Vibration Technology consultations have you had for Premenstrual syndrome?
0
1
2
3
4 or more
12)
What was the average percentage of relief you gained as a result?
75-100%
50-75%
25-50%
0-25%
Unsure
Comments
13)
Additional comments (up to 250 characters only)