Who are you taking this assessment for?
*
Myself
My Spouse
A Sibling
A Parent
A Different Loved One
How long have you been suffering from depression?
*
Less than 2 weeks
1 - 6 months
6 - 12 months
1 - 2 years
2 - 4 years
More than 4 years
How did you hear about ZZZ - April 2025 - Abilene Brain Center's non-invasive TMS therapy?
*
The Doctors
Facebook / Google
Radio
Mayo Clinic
Have you ever been diagnosed with bipolar, schizophrenia, or other psychotic illnesses?
*
Yes
No
How many antidepressant medications have you tried?
*
None
1 - 2 medications
3 - 4 medications
4 or more medications
Have you tried counseling?
*
Yes, I have tried it and failed
Yes, but I stopped going because it wasn't working / I didn't like it
No, I have never tried it
Has your doctor ever used medications other than antidepressants to help you feel better?
*
Yes, I have tried Xanax, Abilify, Adderall, Lamictal, or other medications
No, I have only tried antidepressants
Please Tell Us About Yourself
*
Male
Female
Age
*
18-24
25-49
50-64
65 & Older
Which insurance do you have?
*
Aetna
BCBS
Humana
Medicare
Tricare
United Healthcare
Texas State employee
Other
No Insurance
How soon are you looking to take care of your depression?
*
Right now!
As soon as possible
This week
This month
Submit Quiz Information
Enter your contact details below to access your results...
Full Name
*
Email
*
Phone
*
🔒we will not spam, rent, or sell your information...