His Holiness Maharishi Mahesh Yogi

Mental   Main Category Index   Alphabetic Index Forgetfulness 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 Forgetfulness and its symptoms.  Poor memory  Short-term memory loss  Long-term memory loss  Trouble remembering names and/or events  Forgetfulness affecting self-confidence  Inability to maintain attention or concentrate  Forgetfulness affecting schoolwork or job performance  Alzheimer's and/or dementia  Anxiety  High blood pressure  Blocked energy flow  None 2) (required) Check one or more primary areas to be addressed.   Mind, Brain 3) (required) Check one or more Sensations that are predominant in your case of Forgetfulness.   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 Forgetfulness 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 Forgetfulness or its symptoms. Daily Weekly MonthlyYearlyContinuouslyVaries Depends entirely on circumstances 6) (required) Currently, how severe is your case of Forgetfulness or its associated symptoms?     mild     moderate     severe     very severe 7) (required) How disabling is your case Forgetfulness or its symptoms?  mildly  moderately  severely  very severely  Not at all Disorder History 8) (required) Approximately, how long have you had Forgetfulness or its symptoms? 1 2 3 4 5 6 7 8 910-1516-2021-3031 or more  years  months  weeks 9) (required) Is your case of Forgetfulness the result of an accident or another sudden traumatic event? yes  no  unsure 10) (required) Has your case of Forgetfulness been medically diagnosed? yes  no 11) Brief history of your case of Forgetfulness and its treatment  (optional - up to 250 characters only)  12) How many prior 3-session Maharishi Vedic Vibration Technology consultations have you had for Forgetfulness?  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)