TMS Therapy Candidacy Quiz | Free Self-Assessment | Resiliency Mind + Body Medicine

Question 1

How many antidepressant medications have you tried without achieving adequate relief?

This helps us understand your treatment history.

None yet 1 medication 2 medications 3 or more medications

Question 2

How long have you been experiencing your current symptoms?

Chronic symptoms may respond particularly well to TMS.

Less than 1 month 1 to 3 months 3 to 6 months More than 6 months

Question 3

How would you rate the overall severity of your symptoms?

There are no wrong answers — please select what best reflects your current state.

Mild — noticeable but manageable Moderate — interferes regularly with my day Severe — very difficult to cope Very severe — overwhelming most days

Question 4

Which of the following best describes what you experience most days?

Choose the option that fits you best.

Persistent sadness or low mood Loss of interest or pleasure in activities Feelings of hopelessness or worthlessness Thoughts of self-harm or suicide

If you are in crisis, please call the 988 Suicide & Crisis Lifeline or dial 911. Our team will also reach out to you promptly.

Question 5

Have you experienced side effects from psychiatric medications?

TMS is a drug-free option that avoids systemic side effects.

No side effects Mild side effects Moderate side effects Severe side effects that required me to stop

Question 6

How much do your symptoms interfere with your work, relationships, or daily life?

Your honest answer helps us tailor a plan for you.

Minimal impact Some impact on work or relationships Significant impact on daily functioning Severe — unable to function normally

Final Step

Where should we send your results?

A member of our clinical team will review your responses and follow up with personalized recommendations.

Full Name *

Email *

Phone *

Primary Condition or Concern

Additional Comments (optional)

I understand that a member of the Resiliency clinical team may contact me by phone or email about my responses. My information will be kept confidential.

TMS Candidacy Quiz