His Holiness
Maharishi
Mahesh Yogi
 
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Acne of the back

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 Acne of the back and its symptoms.
 Oily skin  Blackheads
 Whiteheads  Rash
 Dry skin  Redness
 Seborrhea  Atopic dermatitis
 Capillary inflammation  Inflammation of sweat glands
 Skin eruptions  Stress related
 Related to liver disorder  Associated with poor digestion
 Blocked energy flow  None
2) (required) Check one or more primary areas to be addressed.
  Left Upper back
  Right Upper back
  Center Upper back
  Left Mid back
  Right Mid back
  Center Mid back
  Left Lower back
  Right Lower back
  Center Lower back
3) (required) Check one or more Sensations that are predominant in your case of Acne of the back.
  Shakiness   Itching   Numbness   Heaviness   Weakness   Rawness
  Pain   Stiffness, rigidity and/or tightness   Burning   Heat   None caused by Acne of the backNone
4) Check one or more kinds of Pain that you experience in association with your case of Acne of the back 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 Acne of the back or its symptoms.
Frequency of Acne of the back
6) (required) Currently, how severe is your case of Acne of the back or its associated symptoms?
Duration of Acne of the back     mild     moderate     severe     very severe
7) (required) How disabling is your case Acne of the back or its symptoms?
Disablity from Acne of the back  mildly  moderately  severely  very severely  Not at all
Disorder History
8) (required) Approximately, how long have you had Acne of the back or its symptoms?
Duration of Acne of the back  years  months  weeks
9) (required) Is your case of Acne of the back the result of an accident or another sudden traumatic event?
Acne of the back from accident yes  no  unsure
10) (required) Has your case of Acne of the back been medically diagnosed?
Acne of the back was medically diagnosed yes  no
11) Brief history of your case of Acne of the back and its treatment  (optional - up to 250 characters only) 
History of Acne of the back
12) How many prior 3-session Maharishi Vedic Vibration Technology consultations have you had for Acne of the back?
Prior MVVT treatments for Acne of the back  0  1  2  3  4 or more
12) What was the average percentage of relief you gained as a result?
Percent improvemnt through Acne of the back  75-100%  50-75%  25-50%  0-25%  Unsure
Comments
13) Additional comments (up to 250 characters only)
Comments about Acne of the back

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