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यह नशा मि त ोफामा म मेरे वारा उपल ध कराई गई जानकार अपने ान और व वास के अनसार सह है औरु ु
यह जानकार बाबा क य ता के लए इ तमे ाल क जा सकती है |
राजयोगी जीवनशलै कब से अपना रहे है How long are you following Raja Yogi Lifestyle?
Type of Addic on
यसन के कार
Addic on Period
कतने वष से
Frequency of use
कतने बार
Le Period
कब से छोड़ा
Tobacco / Tobacco Paste
त बाक / त बाक पे टू ू
Yes हाँ
Gutkha/Pan Masala (with Tobacco)
गटखा / पान मसाला (त बाकवाला)ु ू
Yes हाँ
Cigarette / Bidi
सगरेट / बीड़ी
Yes हाँ
Heroin / Opium
हेरोइन / अफ म
Yes हाँ
Charas/Ganja/Marijuana
चरस / गांजा / मा रजआनाु
Yes हाँ
Alcohol
शराब
Yes हाँ
Others अ य
(specify ववरण द िजये)
Yes हाँ
वष Years
यसन के इ तहास HISTORY OF ADDICTION
Medical Wing of Rajyoga Education & Research Foundation
in associa on with
Brahma Kumaris Ishwariya Vishwa Vidyalaya
J³emeve cegeqkeÌle Hej jepe³eesieer peerJeveMewueer keÀe ÒeYeeJe
EFFECT OF RAJA YOGI LIFESTYLE ON DE-ADDICTION
ÒeesHeÀecee& PROFORMA
Na onal Survey

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Proforma - De-addiction through Raja Yogi Lifestyle

  • 1. यह नशा मि त ोफामा म मेरे वारा उपल ध कराई गई जानकार अपने ान और व वास के अनसार सह है औरु ु यह जानकार बाबा क य ता के लए इ तमे ाल क जा सकती है | राजयोगी जीवनशलै कब से अपना रहे है How long are you following Raja Yogi Lifestyle? Type of Addic on यसन के कार Addic on Period कतने वष से Frequency of use कतने बार Le Period कब से छोड़ा Tobacco / Tobacco Paste त बाक / त बाक पे टू ू Yes हाँ Gutkha/Pan Masala (with Tobacco) गटखा / पान मसाला (त बाकवाला)ु ू Yes हाँ Cigarette / Bidi सगरेट / बीड़ी Yes हाँ Heroin / Opium हेरोइन / अफ म Yes हाँ Charas/Ganja/Marijuana चरस / गांजा / मा रजआनाु Yes हाँ Alcohol शराब Yes हाँ Others अ य (specify ववरण द िजये) Yes हाँ वष Years यसन के इ तहास HISTORY OF ADDICTION Medical Wing of Rajyoga Education & Research Foundation in associa on with Brahma Kumaris Ishwariya Vishwa Vidyalaya J³emeve cegeqkeÌle Hej jepe³eesieer peerJeveMewueer keÀe ÒeYeeJe EFFECT OF RAJA YOGI LIFESTYLE ON DE-ADDICTION ÒeesHeÀecee& PROFORMA Na onal Survey