His Holiness
Maharishi
Mahesh Yogi
 
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Physical sensations

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 Physical sensations and its symptoms.
 Stress-related  Diet-related
 Neuropathy  Multiple sclerosis
 Parkinson's disease  Paresthesia
 Poor circulation  Poor posture
 From sitting too long  None
2) (required) Check one or more primary areas to be addressed.
  Left Head and/or neck    
  Right Head and/or neck    
  Left Upper extremities    
  Right Upper extremities    
  Left Lower extremities    
  Right Lower extremities    
  Left Torso    
  Right Torso    
3) (required) Check one or more Sensations that are predominant in your case of Physical sensations.
  Shakiness   Itching   Numbness   Heaviness   Weakness   Rawness
  Pain   Stiffness, rigidity and/or tightness   Burning   Heat   Prickling caused by Physical sensationsPrickling
  None caused by Physical sensationsNone
4) Check one or more kinds of Pain that you experience in association with your case of Physical sensations or its symptoms.
  Sharp   Dull/Achey   Burning   Prickling   Stabbing   Shooting
  Unbearable   Constant   Occasional   Intermittent   Acute   Extreme
  Throbbing pain caused by Physical sensationsThrobbing
Current condition
5) (required) Select how often you experience Physical sensations or its symptoms.
Frequency of Physical sensations
6) (required) Currently, how severe is your case of Physical sensations or its associated symptoms?
Duration of Physical sensations     mild     moderate     severe     very severe
7) (required) How disabling is your case Physical sensations or its symptoms?
Disablity from Physical sensations  mildly  moderately  severely  very severely  Not at all
Disorder History
8) (required) Approximately, how long have you had Physical sensations or its symptoms?
Duration of Physical sensations  years  months  weeks
9) (required) Is your case of Physical sensations the result of an accident or another sudden traumatic event?
Physical sensations from accident yes  no  unsure
10) (required) Has your case of Physical sensations been medically diagnosed?
Physical sensations was medically diagnosed yes  no
11) Brief history of your case of Physical sensations and its treatment  (optional - up to 250 characters only) 
History of Physical sensations
12) How many prior 3-session Maharishi Vedic Vibration Technology consultations have you had for Physical sensations?
Prior MVVT treatments for Physical sensations  0  1  2  3  4 or more
12) What was the average percentage of relief you gained as a result?
Percent improvemnt through Physical sensations  75-100%  50-75%  25-50%  0-25%  Unsure
Comments
13) Additional comments (up to 250 characters only)
Comments about Physical sensations

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