His Holiness
Maharishi
Mahesh Yogi
  
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Dermatitis 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)

The Additional or Follow-up consultation is appropriate only if you are having the Enhanced Consultation at the same time, or have had it within the past 4 months.
You do not pay online. When the local Coordinator calls you to schedule your sessions, she will also take your payment information.
Issues
1) (required) Check one or more characteristics or information relevant to your current case of Dermatitis of the back and its symptoms.
 Oily skin  Acne
 Rash  Dry skin
 Redness  Seborrhea
 Atopic dermatitis  Capillary inflammation
 Inflammation of sweat glands  Skin eruptions
 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 Dermatitis of the back.
  Shakiness   Itching   Numbness   Heaviness   Weakness   Rawness
  Pain   Stiffness, rigidity and/or tightness   Burning   Heat   None caused by Dermatitis of the backNone
4) Check one or more kinds of Pain that you experience in association with your case of Dermatitis 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 Dermatitis of the back or its symptoms.
Frequency of Dermatitis of the back
6) (required) Currently, how severe is your case of Dermatitis of the back or its associated symptoms?
Duration of Dermatitis of the back     mild     moderate     severe     very severe
7) (required) How disabling is your case Dermatitis of the back or its symptoms?
Disablity from Dermatitis of the back  mildly  moderately  severely  very severely  Not at all
Disorder History
8) (required) Approximately, how long have you had Dermatitis of the back or its symptoms?
Duration of Dermatitis of the back  years  months  weeks
9) (required) Is your case of Dermatitis of the back the result of an accident or another sudden traumatic event?
Dermatitis of the back from accident yes  no  unsure
10) (required) Has your case of Dermatitis of the back been medically diagnosed?
Dermatitis of the back was medically diagnosed yes  no
11) Brief history of your case of Dermatitis of the back and its treatment  (optional - up to 300 characters only) 
History of Dermatitis of the back
12) How many prior 3-session Maharishi Vedic Vibration Technology consultations have you had for Dermatitis of the back?
Prior MVVT treatments for Dermatitis 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 Dermatitis of the back  75-100%  50-75%  25-50%  0-25%  Unsure
Comments
13) Additional comments (up to 300 characters only)
Comments about Dermatitis of the back

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