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 caused by Dementia Senile dementia Alzheimer's disease caused by Dementia Alzheimer's disease
Personality disintegration caused by Dementia Personality disintegration Confusion caused by Dementia Confusion
Disorientation caused by Dementia Disorientation Stupor caused by Dementia Stupor
Intellectual deterioration caused by Dementia Intellectual deterioration Memory impairment caused by Dementia Memory impairment
Aphasia caused by Dementia Aphasia General weakness caused by Dementia General weakness
Confined to a wheelchair caused by Dementia Confined to a wheelchair Poor circulation caused by Dementia Poor circulation
Tremors caused by Dementia Tremors Slurred speech caused by Dementia Slurred speech
Heart problems caused by Dementia Heart problems Mercury amalgam dental fillings caused by Dementia Mercury amalgam dental fillings
None caused by Dementia None
2) (required) Check one or more primary areas to be addressed.
  Mind, brain influenced by DementiaMind, brain
3) (required) Check one or more Sensations that are predominant in your case of Dementia.
  Shakiness caused by DementiaShakiness   Itching caused by DementiaItching   Numbness caused by DementiaNumbness   Heaviness caused by DementiaHeaviness   Weakness caused by DementiaWeakness   Rawness caused by DementiaRawness
  Pain caused by DementiaPain   Stiffness, rigidity and/or tightness caused by DementiaStiffness, rigidity and/or tightness   Burning caused by DementiaBurning   Heat caused by DementiaHeat   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 pain caused by DementiaSharp   Dull/Achey pain caused by DementiaDull/Achey   Burning pain caused by DementiaBurning   Prickling pain caused by DementiaPrickling   Stabbing pain caused by DementiaStabbing   Shooting pain caused by DementiaShooting
  Unbearable pain caused by DementiaUnbearable   Constant pain caused by DementiaConstant   Occasional pain caused by DementiaOccasional   Intermittent pain caused by DementiaIntermittent   Acute pain caused by DementiaAcute   Extreme pain caused by DementiaExtreme
  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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