His Holiness
Maharishi
Mahesh Yogi
 
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Autism

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 Autism and its symptoms.
 Severe difficulties in communicating and forming relationships with other people  impaired language development and concept formation
 Repetitive mechanical patterns of behavior  Inflexibility and resistance to change
 Difficulty understanding causal relationships  Behavior problems
 Anxiety  Frustration
 Anger  Isolation
 Learning problems  Intelligent but functions as retarded
 Emotionally unstable  Impaired perception
 Impaired memory  Difficulty with schoolwork
 Allergies  Stress related
 Diet related  High blood pressure
 None
2) (required) Check one or more primary areas to be addressed.
  Brain; Nervous system; Mind;
  Heart; Emotions
3) (required) Check one or more Sensations that are predominant in your case of Autism.
  Shakiness   Itching   Numbness   Heaviness   Weakness   Rawness
  Pain   Stiffness, rigidity and/or tightness   Burning   Heat   None caused by AutismNone
4) Check one or more kinds of Pain that you experience in association with your case of Autism 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 Autism or its symptoms.
Frequency of Autism
6) (required) Currently, how severe is your case of Autism or its associated symptoms?
Duration of Autism     mild     moderate     severe     very severe
7) (required) How disabling is your case Autism or its symptoms?
Disablity from Autism  mildly  moderately  severely  very severely  Not at all
Disorder History
8) (required) Approximately, how long have you had Autism or its symptoms?
Duration of Autism  years  months  weeks
9) (required) Is your case of Autism the result of an accident or another sudden traumatic event?
Autism from accident yes  no  unsure
10) (required) Has your case of Autism been medically diagnosed?
Autism was medically diagnosed yes  no
11) Brief history of your case of Autism and its treatment  (optional - up to 250 characters only) 
History of Autism
12) How many prior 3-session Maharishi Vedic Vibration Technology consultations have you had for Autism?
Prior MVVT treatments for Autism  0  1  2  3  4 or more
12) What was the average percentage of relief you gained as a result?
Percent improvemnt through Autism  75-100%  50-75%  25-50%  0-25%  Unsure
Comments
13) Additional comments (up to 250 characters only)
Comments about Autism

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