His Holiness
Maharishi
Mahesh Yogi
 
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Dermatitis of the face or head

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 face or head and its symptoms.
 Oily skin  Acne
 Rosacea (flushed face)  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 Face    
  Right Face    
  Center Face    
  Left Scalp
  Right Scalp
  Front Scalp
  Back Scalp
3) (required) Check one or more Sensations that are predominant in your case of Dermatitis of the face or head.
  Shakiness   Itching   Numbness   Heaviness   Weakness   Rawness
  Pain   Stiffness, rigidity and/or tightness   Burning   Heat   None caused by Dermatitis of the face or headNone
4) Check one or more kinds of Pain that you experience in association with your case of Dermatitis of the face or head 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 face or head or its symptoms.
Frequency of Dermatitis of the face or head
6) (required) Currently, how severe is your case of Dermatitis of the face or head or its associated symptoms?
Duration of Dermatitis of the face or head     mild     moderate     severe     very severe
7) (required) How disabling is your case Dermatitis of the face or head or its symptoms?
Disablity from Dermatitis of the face or head  mildly  moderately  severely  very severely  Not at all
Disorder History
8) (required) Approximately, how long have you had Dermatitis of the face or head or its symptoms?
Duration of Dermatitis of the face or head  years  months  weeks
9) (required) Is your case of Dermatitis of the face or head the result of an accident or another sudden traumatic event?
Dermatitis of the face or head from accident yes  no  unsure
10) (required) Has your case of Dermatitis of the face or head been medically diagnosed?
Dermatitis of the face or head was medically diagnosed yes  no
11) Brief history of your case of Dermatitis of the face or head and its treatment  (optional - up to 300 characters only) 
History of Dermatitis of the face or head
12) How many prior 3-session Maharishi Vedic Vibration Technology consultations have you had for Dermatitis of the face or head?
Prior MVVT treatments for Dermatitis of the face or head  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 face or head  75-100%  50-75%  25-50%  0-25%  Unsure
Comments
13) Additional comments (up to 300 characters only)
Comments about Dermatitis of the face or head

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