His Holiness
Maharishi
Mahesh Yogi
 
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Sleep disorders

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 Sleep disorders and its symptoms.
 Disturbed sleep  Associated with depression
 Associated with chronic fatigue  Headaches
 Nightmares  Night sweats
 Due to physical pain and/or injury  Due to anxiety
 Due to excitation  Excessive thoughts or worry
 Frequent urination  Long term
 Difficulty falling asleep  Inability to remain asleep
 Restless legs  Disturbed circadian rythms
 Afraid to fall asleep  Disturbed by ghosts
 Occasionally do not sleep at all  Light sleeper
 Witnessing sleep  Anxiety
 High blood pressure  Blocked energy flow
 None
2) (required) Check one or more primary areas to be addressed.
  Mind, Brain
  Arms
  Legs
  Digestion
  Whole physiology
3) (required) Check one or more Sensations that are predominant in your case of Sleep disorders.
  Shakiness   Itching   Numbness   Heaviness   Weakness   Rawness
  Pain   Stiffness, rigidity and/or tightness   Burning   Heat   None caused by Sleep disordersNone
4) Check one or more kinds of Pain that you experience in association with your case of Sleep disorders 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 Sleep disorders or its symptoms.
Frequency of Sleep disorders
6) (required) Currently, how severe is your case of Sleep disorders or its associated symptoms?
Duration of Sleep disorders     mild     moderate     severe     very severe
7) (required) How disabling is your case Sleep disorders or its symptoms?
Disablity from Sleep disorders  mildly  moderately  severely  very severely  Not at all
Disorder History
8) (required) Approximately, how long have you had Sleep disorders or its symptoms?
Duration of Sleep disorders  years  months  weeks
9) (required) Is your case of Sleep disorders the result of an accident or another sudden traumatic event?
Sleep disorders from accident yes  no  unsure
10) (required) Has your case of Sleep disorders been medically diagnosed?
Sleep disorders was medically diagnosed yes  no
11) Brief history of your case of Sleep disorders and its treatment  (optional - up to 250 characters only) 
History of Sleep disorders
12) How many prior 3-session Maharishi Vedic Vibration Technology consultations have you had for Sleep disorders?
Prior MVVT treatments for Sleep disorders  0  1  2  3  4 or more
12) What was the average percentage of relief you gained as a result?
Percent improvemnt through Sleep disorders  75-100%  50-75%  25-50%  0-25%  Unsure
Comments
13) Additional comments (up to 250 characters only)
Comments about Sleep disorders

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