Have you been diagnosed with Major Depressive Disorder?

Yes

No

Have you seen a therapist for your symptoms of depression?

Yes, I am currently seeing someone

Yes, It has been awhile since my last session

No

Have you taken medication for your symptoms of depression?

I am currently taking medication

I have taken medication to manage symptoms in the past

No

Are you still depressed despite your medication and/or therapy?

Yes

No

Have you experienced negative side effects from antidepressants?

Yes, occasionally

No

Have you changed medications more than once due to ineffectiveness or negative side effects?

I have only tried one type of antidepressant

I have tried 2 or more types of antidepressants

No

Do you have any metallic objects in your head or anywhere else in your body? These can include aneurysm clips or coils, stents, implanted stimulators, electrodes to monitor your brain activity, ferromagnetic implants in your ears or eyes, bullet fragments, other metal devices or objects implanted in the head, facial tattoos with metal ink or permanent makeup. (Excluding Dental-per physician approval)

Yes

No

Are depression symptoms having an effect on your ability to earn a living, enjoy leisure activities, or spend time with family and friends?

Yes, everyday

Sometimes

Rarely

5. Have you or anyone in your immediate family ever had an epileptic seizure?

Yes

No