The following Survey is designed to help our TMS Specialists determine the best course of treatment for you. Upon completing this survey, you will be contacted within 2 business days to discuss treatment options. Name First Last Email PhoneI am currently taking medications to manage my depressionYesNoI am still feeling depressed despite my medicationYesNoI have switched medications more than once because of the side effectsYesNoMy depression interferes with my relationships with friends and familyYesNoMy depression affects my ability to keep a job or earn a livingYesNoHealth InsuranceNo InsuranceAetnaAmerigroupBlue Cross Blue Shield/AnthemCignaHumanaKaiserMedicareTricareUnited Health CareOptumWellcareOther
