Is TMS Right for You?

Your Name *

First Name

Last Name

Are you taking medication to treat your depression?

Yes

No

Are you still depressed despite your medication?

Yes

No

Are you experiencing side effects from your medication?

Yes

No

Have you switched medications more than once due to side effects?

Yes

No

Are depression symptoms interfering with your leisure activites or relationships with your family and friends?

Yes

No

Are depression symptoms having an effect on your ability to earn a living?

Yes

No