His Holiness
Maharishi
Mahesh Yogi
 
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Grief

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 Grief and its symptoms.
 Loss of family member or loved one  Divorce or separation
 Permanent injury or illness to family member or loved one  Regret over mistakes made or harm done
 Feelings of hopelessness and helplessness  Overly sentimental
 Deep sadness that won't go away  Frequent tears
 Depression  Anxiety
 Feeling numb and disconnected from life  High blood pressure
 Blocked energy flow  None
2) (required) Check one or more primary areas to be addressed.
  Mind, Brain
  Heart
  Whole physiology
3) (required) Check one or more Sensations that are predominant in your case of Grief.
  Shakiness   Itching   Numbness   Heaviness   Weakness   Rawness
  Pain   Stiffness, rigidity and/or tightness   Burning   Heat   None caused by GriefNone
4) Check one or more kinds of Pain that you experience in association with your case of Grief 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 Grief or its symptoms.
Frequency of Grief
6) (required) Currently, how severe is your case of Grief or its associated symptoms?
Duration of Grief     mild     moderate     severe     very severe
7) (required) How disabling is your case Grief or its symptoms?
Disablity from Grief  mildly  moderately  severely  very severely  Not at all
Disorder History
8) (required) Approximately, how long have you had Grief or its symptoms?
Duration of Grief  years  months  weeks
9) (required) Is your case of Grief the result of an accident or another sudden traumatic event?
Grief from accident yes  no  unsure
10) (required) Has your case of Grief been medically diagnosed?
Grief was medically diagnosed yes  no
11) Brief history of your case of Grief and its treatment  (optional - up to 250 characters only) 
History of Grief
12) How many prior 3-session Maharishi Vedic Vibration Technology consultations have you had for Grief?
Prior MVVT treatments for Grief  0  1  2  3  4 or more
12) What was the average percentage of relief you gained as a result?
Percent improvemnt through Grief  75-100%  50-75%  25-50%  0-25%  Unsure
Comments
13) Additional comments (up to 250 characters only)
Comments about Grief

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