His Holiness
Maharishi
Mahesh Yogi
 
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Restless leg syndrome

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 Restless leg syndrome and its symptoms.
 Uneasiness and achiness in legs  Accompanied by twitching
 Relieved by walking or moving  Increases with stress or fatigue
 Inhibits ability to fall asleep  None
2) (required) Check one or more primary areas to be addressed.
  Left Leg
  Right Leg
3) (required) Check one or more Sensations that are predominant in your case of Restless leg syndrome.
  Shakiness   Itching   Numbness   Heaviness   Weakness   Rawness
  Pain   Stiffness, rigidity and/or tightness   Burning   Heat   None caused by Restless leg syndromeNone
4) Check one or more kinds of Pain that you experience in association with your case of Restless leg syndrome or its symptoms.
  Sharp   Dull/Achey   Burning   Prickling   Stabbing   Shooting
  Unbearable   Constant   Occasional   Intermittent   Acute   Extreme
  Throbbing pain caused by Restless leg syndromeThrobbing
Current condition
5) (required) Select how often you experience Restless leg syndrome or its symptoms.
Frequency of Restless leg syndrome
6) (required) Currently, how severe is your case of Restless leg syndrome or its associated symptoms?
Duration of Restless leg syndrome     mild     moderate     severe     very severe
7) (required) How disabling is your case Restless leg syndrome or its symptoms?
Disablity from Restless leg syndrome  mildly  moderately  severely  very severely  Not at all
Disorder History
8) (required) Approximately, how long have you had Restless leg syndrome or its symptoms?
Duration of Restless leg syndrome  years  months  weeks
9) (required) Is your case of Restless leg syndrome the result of an accident or another sudden traumatic event?
Restless leg syndrome from accident yes  no  unsure
10) (required) Has your case of Restless leg syndrome been medically diagnosed?
Restless leg syndrome was medically diagnosed yes  no
11) Brief history of your case of Restless leg syndrome and its treatment  (optional - up to 250 characters only) 
History of Restless leg syndrome
12) How many prior 3-session Maharishi Vedic Vibration Technology consultations have you had for Restless leg syndrome?
Prior MVVT treatments for Restless leg syndrome  0  1  2  3  4 or more
12) What was the average percentage of relief you gained as a result?
Percent improvemnt through Restless leg syndrome  75-100%  50-75%  25-50%  0-25%  Unsure
Comments
13) Additional comments (up to 250 characters only)
Comments about Restless leg syndrome

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