Could TMS be for you? Question Title * 1. Take the below survey and submit it to us to find out. Within two business days, we will be in contact with you to discuss whether TMS is right for you. Name: Date of Birth Phone: E-Mail: Question Title * 2. Are you taking medication to treat your depression? Yes No Question Title * 3. Are you still depressed despite your medication? Yes No Question Title * 4. Have you switched medications more than once due to side effects? Yes No Question Title * 5. Are depression symptoms interfering with your leisure activites or relationships with your family and friends? Yes No Question Title * 6. Are depression symptoms having an effect on your ability to earn a living? Yes No Question Title * 7. What health insurance do you have? Aetna Amerigroup Blue Cross Blue Shield /Anthem Cigna Humana Kaiser Medicare Tricare United Healthcare/ Optum Wellcare Submit
