His Holiness
Maharishi
Mahesh Yogi
 
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Dementia

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 Dementia and its symptoms.
 Senile dementia  Alzheimer's disease
 Personality disintegration  Confusion
 Disorientation  Stupor
 Intellectual deterioration  Memory impairment
 Aphasia  General weakness
 Confined to a wheelchair  Poor circulation
 Tremors  Slurred speech
 Heart problems  Mercury amalgam dental fillings
 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 Dementia.
  Shakiness   Itching   Numbness   Heaviness   Weakness   Rawness
  Pain   Stiffness, rigidity and/or tightness   Burning   Heat   None caused by DementiaNone
4) Check one or more kinds of Pain that you experience in association with your case of Dementia or its symptoms.
  Sharp   Dull/Achey   Burning   Prickling   Stabbing   Shooting
  Unbearable   Constant   Occasional   Intermittent   Acute   Extreme
  Throbbing pain caused by DementiaThrobbing
Current condition
5) (required) Select how often you experience Dementia or its symptoms.
Frequency of Dementia
6) (required) Currently, how severe is your case of Dementia or its associated symptoms?
Duration of Dementia     mild     moderate     severe     very severe
7) (required) How disabling is your case Dementia or its symptoms?
Disablity from Dementia  mildly  moderately  severely  very severely  Not at all
Disorder History
8) (required) Approximately, how long have you had Dementia or its symptoms?
Duration of Dementia  years  months  weeks
9) (required) Is your case of Dementia the result of an accident or another sudden traumatic event?
Dementia from accident yes  no  unsure
10) (required) Has your case of Dementia been medically diagnosed?
Dementia was medically diagnosed yes  no
11) Brief history of your case of Dementia and its treatment  (optional - up to 250 characters only) 
History of Dementia
12) How many prior 3-session Maharishi Vedic Vibration Technology consultations have you had for Dementia?
Prior MVVT treatments for Dementia  0  1  2  3  4 or more
12) What was the average percentage of relief you gained as a result?
Percent improvemnt through Dementia  75-100%  50-75%  25-50%  0-25%  Unsure
Comments
13) Additional comments (up to 250 characters only)
Comments about Dementia

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