Have you been diagnosed with Major Depressive Disorder (MDD), Anxiety or Obsessive-Compulsive Disorder (OCD) or Fibromyalgia? *

Yes

No

How would you describe your response to traditional treatments (medications and therapy) for your condition? *

I have not found them effective.

They have provided some relief, but not enough.

They have been effective.

I have not tried traditional treatments.

Are you experiencing any of the following symptoms? (Select all that apply) *

Persistent sadness or low mood

Loss of interest or pleasure in activities

Obsessive thoughts or compulsive behaviors

None of the above

Are you seeking a treatment option that does not involve medication? *

Yes

No

Do you have any contraindications for TMS, such as metal implants in the head, a history of seizures, or other neurological conditions? *

Yes

No

I'm Not Sure

Anything Else We Should Know?

Full Name *

Email *

Phone *

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