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 caused by Headache Tension headaches Migraines caused by Headache Migraines
Sinus headaches caused by Headache Sinus headaches Menopausal headaches caused by Headache Menopausal headaches
Premenstrual headaches caused by Headache Premenstrual headaches Due to allergy caused by Headache Due to allergy
Due to eyestrain caused by Headache Due to eyestrain Due to mental strain caused by Headache Due to mental strain
Due to anger caused by Headache Due to anger Due to weather change caused by Headache Due to weather change
Due to diet or digestion caused by Headache Due to diet or digestion Tension in shoulders or upper back caused by Headache Tension in shoulders or upper back
Visual aura caused by Headache Visual aura Light sensitivity caused by Headache Light sensitivity
Sound sensitivity caused by Headache Sound sensitivity Vata imbalance caused by Headache Vata imbalance
Pitta imbalance caused by Headache Pitta imbalance Kapha imbalance caused by Headache Kapha imbalance
Headaches during the TM or TM-Sidhi program caused by Headache Headaches during the TM or TM-Sidhi program Result of accident or injury caused by Headache Result of accident or injury
Result of fatigue caused by Headache Result of fatigue Result of insomnia or lack of sleep caused by Headache Result of insomnia or lack of sleep
Result of TMJ caused by Headache Result of TMJ Result of substance abuse caused by Headache Result of substance abuse
Due to excess sugar caused by Headache Due to excess sugar Due to chemical sensitivities caused by Headache Due to chemical sensitivities
Affects digestion caused by Headache Affects digestion Blocked energy flow caused by Headache Blocked energy flow
None caused by Headache None
2) (required) Check one or more primary areas to be addressed.
  Left Head  influenced by HeadacheLeft Head    
  Right Head  influenced by HeadacheRight Head    
  Face Head  influenced by HeadacheFace Head    
  Back Head  influenced by HeadacheBack Head    
  Top Head  influenced by HeadacheTop Head    
  Left Neck and/or shoulder  influenced by HeadacheLeft Neck and/or shoulder
  Right Neck and/or shoulder  influenced by HeadacheRight Neck and/or shoulder
  Front Neck and/or shoulder  influenced by HeadacheFront Neck and/or shoulder
  Back Neck and/or shoulder  influenced by HeadacheBack Neck and/or shoulder
  Left Eye  influenced by HeadacheLeft Eye
  Right Eye  influenced by HeadacheRight Eye
  Left Nose and sinuses  influenced by HeadacheLeft Nose and sinuses    
  Right Nose and sinuses  influenced by HeadacheRight Nose and sinuses    
3) (required) Check one or more Sensations that are predominant in your case of Headache.
  Shakiness caused by HeadacheShakiness   Itching caused by HeadacheItching   Numbness caused by HeadacheNumbness   Heaviness caused by HeadacheHeaviness   Weakness caused by HeadacheWeakness   Rawness caused by HeadacheRawness
  Pain caused by HeadachePain   Stiffness, rigidity and/or tightness caused by HeadacheStiffness, rigidity and/or tightness   Burning caused by HeadacheBurning   Heat caused by HeadacheHeat   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 pain caused by HeadacheSharp   Dull/Achey pain caused by HeadacheDull/Achey   Burning pain caused by HeadacheBurning   Prickling pain caused by HeadachePrickling   Stabbing pain caused by HeadacheStabbing   Shooting pain caused by HeadacheShooting
  Unbearable pain caused by HeadacheUnbearable   Constant pain caused by HeadacheConstant   Occasional pain caused by HeadacheOccasional   Intermittent pain caused by HeadacheIntermittent   Acute pain caused by HeadacheAcute   Extreme pain caused by HeadacheExtreme
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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