His Holiness
Maharishi
Mahesh Yogi
 
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Headache

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 Headache and its symptoms.
 Tension headaches  Migraines
 Sinus headaches  Menopausal headaches
 Premenstrual headaches  Due to allergy
 Due to eyestrain  Due to mental strain
 Due to anger  Due to weather change
 Due to diet or digestion  Tension in shoulders or upper back
 Visual aura  Light sensitivity
 Sound sensitivity  Vata imbalance
 Pitta imbalance  Kapha imbalance
 Headaches during the TM or TM-Sidhi program  Result of accident or injury
 Result of fatigue  Result of insomnia or lack of sleep
 Result of TMJ  Result of substance abuse
 Due to excess sugar  Due to chemical sensitivities
 Affects digestion  Blocked energy flow
 None
2) (required) Check one or more primary areas to be addressed.
  Left Head    
  Right Head    
  Face Head    
  Back Head    
  Top Head    
  Left Neck and/or shoulder
  Right Neck and/or shoulder
  Front Neck and/or shoulder
  Back Neck and/or shoulder
  Left Eye
  Right Eye
  Left Nose and sinuses    
  Right Nose and sinuses    
3) (required) Check one or more Sensations that are predominant in your case of Headache.
  Shakiness   Itching   Numbness   Heaviness   Weakness   Rawness
  Pain   Stiffness, rigidity and/or tightness   Burning   Heat   Intense pressure caused by HeadacheIntense pressure
  Throbbing caused by HeadacheThrobbing   Flashes of light caused by HeadacheFlashes of light   Nausea caused by HeadacheNausea   None caused by HeadacheNone
4) Check one or more kinds of Pain that you experience in association with your case of Headache 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 Headache or its symptoms.
Frequency of Headache
6) (required) Currently, how severe is your case of Headache or its associated symptoms?
Duration of Headache     mild     moderate     severe     very severe
7) (required) How disabling is your case Headache or its symptoms?
Disablity from Headache  mildly  moderately  severely  very severely  Not at all
Disorder History
8) (required) Approximately, how long have you had Headache or its symptoms?
Duration of Headache  years  months  weeks
9) (required) Is your case of Headache the result of an accident or another sudden traumatic event?
Headache from accident yes  no  unsure
10) (required) Has your case of Headache been medically diagnosed?
Headache was medically diagnosed yes  no
11) Brief history of your case of Headache and its treatment  (optional - up to 250 characters only) 
History of Headache
12) How many prior 3-session Maharishi Vedic Vibration Technology consultations have you had for Headache?
Prior MVVT treatments for Headache  0  1  2  3  4 or more
12) What was the average percentage of relief you gained as a result?
Percent improvemnt through Headache  75-100%  50-75%  25-50%  0-25%  Unsure
Comments
13) Additional comments (up to 250 characters only)
Comments about Headache

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