His Holiness
Maharishi
Mahesh Yogi
 
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Phobia

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 Phobia and its symptoms.
Panic attacks caused by Phobia Panic attacks Fear of flying caused by Phobia Fear of flying
Agoraphobia (fear of public places) caused by Phobia Agoraphobia (fear of public places) Fear of heights caused by Phobia Fear of heights
Arachnophobia caused by Phobia Arachnophobia Fear of people or social interactions caused by Phobia Fear of people or social interactions
Fear of sleeping caused by Phobia Fear of sleeping Fear of intimacy caused by Phobia Fear of intimacy
Anxiety caused by Phobia Anxiety High blood pressure caused by Phobia High blood pressure
Blocked energy flow caused by Phobia Blocked energy flow None caused by Phobia None
2) (required) Check one or more primary areas to be addressed.
  Mind, Brain influenced by PhobiaMind, Brain
3) (required) Check one or more Sensations that are predominant in your case of Phobia.
  Shakiness caused by PhobiaShakiness   Itching caused by PhobiaItching   Numbness caused by PhobiaNumbness   Heaviness caused by PhobiaHeaviness   Weakness caused by PhobiaWeakness   Rawness caused by PhobiaRawness
  Pain caused by PhobiaPain   Stiffness, rigidity and/or tightness caused by PhobiaStiffness, rigidity and/or tightness   Burning caused by PhobiaBurning   Heat caused by PhobiaHeat   None caused by PhobiaNone
4) Check one or more kinds of Pain that you experience in association with your case of Phobia or its symptoms.
  Sharp pain caused by PhobiaSharp   Dull/Achey pain caused by PhobiaDull/Achey   Burning pain caused by PhobiaBurning   Prickling pain caused by PhobiaPrickling   Stabbing pain caused by PhobiaStabbing   Shooting pain caused by PhobiaShooting
  Unbearable pain caused by PhobiaUnbearable   Constant pain caused by PhobiaConstant   Occasional pain caused by PhobiaOccasional   Intermittent pain caused by PhobiaIntermittent   Acute pain caused by PhobiaAcute   Extreme pain caused by PhobiaExtreme
Current condition
5) (required) Select how often you experience Phobia or its symptoms.
Frequency of Phobia
6) (required) Currently, how severe is your case of Phobia or its associated symptoms?
Duration of Phobia     mild     moderate     severe     very severe
7) (required) How disabling is your case Phobia or its symptoms?
Disablity from Phobia  mildly  moderately  severely  very severely  Not at all
Disorder History
8) (required) Approximately, how long have you had Phobia or its symptoms?
Duration of Phobia  years  months  weeks
9) (required) Is your case of Phobia the result of an accident or another sudden traumatic event?
Phobia from accident yes  no  unsure
10) (required) Has your case of Phobia been medically diagnosed?
Phobia was medically diagnosed yes  no
11) Brief history of your case of Phobia and its treatment  (optional - up to 250 characters only) 
History of Phobia
12) How many prior 3-session Maharishi Vedic Vibration Technology consultations have you had for Phobia?
Prior MVVT treatments for Phobia  0  1  2  3  4 or more
12) What was the average percentage of relief you gained as a result?
Percent improvemnt through Phobia  75-100%  50-75%  25-50%  0-25%  Unsure
Comments
13) Additional comments (up to 250 characters only)
Comments about Phobia

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