His Holiness
Maharishi
Mahesh Yogi
 
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Prevention of negative emotions caused by physiological imbalance

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 Prevention of negative emotions caused by physiological imbalance and its symptoms.
 Food sensitivities  Allergies
 Diabetes  Hypoglycemia
 Trauma  Fatigue
 Stress  Drug or substance abuse or reaction
 Anxiety  High blood pressure
 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 Prevention of negative emotions caused by physiological imbalance.
  Shakiness   Itching   Numbness   Heaviness   Weakness   Rawness
  Pain   Stiffness, rigidity and/or tightness   Burning   Heat   None caused by Prevention of negative emotions caused by physiological imbalanceNone
4) Check one or more kinds of Pain that you experience in association with your case of Prevention of negative emotions caused by physiological imbalance 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 Prevention of negative emotions caused by physiological imbalance or its symptoms.
Frequency of Prevention of negative emotions caused by physiological imbalance
6) (required) Currently, how severe is your case of Prevention of negative emotions caused by physiological imbalance or its associated symptoms?
Duration of Prevention of negative emotions caused by physiological imbalance     mild     moderate     severe     very severe
7) (required) How disabling is your case Prevention of negative emotions caused by physiological imbalance or its symptoms?
Disablity from Prevention of negative emotions caused by physiological imbalance  mildly  moderately  severely  very severely  Not at all
Disorder History
8) (required) Approximately, how long have you had Prevention of negative emotions caused by physiological imbalance or its symptoms?
Duration of Prevention of negative emotions caused by physiological imbalance  years  months  weeks
9) (required) Is your case of Prevention of negative emotions caused by physiological imbalance the result of an accident or another sudden traumatic event?
Prevention of negative emotions caused by physiological imbalance from accident yes  no  unsure
10) (required) Has your case of Prevention of negative emotions caused by physiological imbalance been medically diagnosed?
Prevention of negative emotions caused by physiological imbalance was medically diagnosed yes  no
11) Brief history of your case of Prevention of negative emotions caused by physiological imbalance and its treatment  (optional - up to 250 characters only) 
History of Prevention of negative emotions caused by physiological imbalance
12) How many prior 3-session Maharishi Vedic Vibration Technology consultations have you had for Prevention of negative emotions caused by physiological imbalance?
Prior MVVT treatments for Prevention of negative emotions caused by physiological imbalance  0  1  2  3  4 or more
12) What was the average percentage of relief you gained as a result?
Percent improvemnt through Prevention of negative emotions caused by physiological imbalance  75-100%  50-75%  25-50%  0-25%  Unsure
Comments
13) Additional comments (up to 250 characters only)
Comments about Prevention of negative emotions caused by physiological imbalance

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