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1
First, please tell us your name.
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First Name
Last Name
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2
Which of these apply to you?
Select all that apply.
Depression
Anxiety
Insomnia
Panic Attacks
OCD
PTSD
Social Anxiety
Phobia
Postpartum Depression
Burnout
Eating Disorder
I'm not sure
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3
Our providers are highly trained to handle all of your symptoms.
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Which test would you like to take?
Depression Test
Anxiety Test
Both
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4
Over the past 2 weeks, how often have you experienced the following?
Little interest or pleasure in doing things
Nearly every day
More than half the days
Several days
Not at all
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Feeling down, depressed, or hopeless
Over the past 2 weeks, how often have you experienced the above?
Nearly every day
More than half the days
Several days
Not at all
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Trouble falling or staying asleep, or sleeping too much
Over the past 2 weeks, how often have you experienced the above?
Nearly every day
More than half the days
Several days
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Feeling tired or having little energy
Over the past 2 weeks, how often have you experienced the above?
Nearly every day
More than half the days
Several days
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Poor appetite or overeating
Over the past 2 weeks, how often have you experienced the above?
Nearly every day
More than half the days
Several days
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9
Feeling bad about yourself...or that you are a failure or have let yourself or your family down
Over the past 2 weeks, how often have you experienced the above?
Nearly every day
More than half the days
Several days
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10
Trouble concentrating on things, such as reading, or watching television
Over the past 2 weeks, how often have you experienced the above?
Nearly every day
More than half the days
Several days
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11
Moving or speaking so slowly that other people could have noticed. Or the opposite - being so fidgety or restless that you have been moving around a lot more than usual
Over the past 2 weeks, how often have you experienced the above?
Nearly every day
More than half the days
Several days
Not at all
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12
Thoughts that you would be better off dead, or of hurting yourself
Over the past 2 weeks, how often have you experienced the above?
Nearly every day
More than half the days
Several days
Not at all
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13
How difficult have these problems made it for you to do your work, take care of things at home, or get along with other people?
Last question for the Depression Quiz.
Extremely difficult
Very difficult
Somewhat difficult
Not difficult at all
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14
Next up is the Anxiety Quiz.
This questionnaire is used to determine your symptom severity
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15
Over the past 2 weeks, how often have you experienced the following?
Feeling nervous, anxious, or on edge
Nearly every day
More than half the days
Several days
Not at all
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Not being able to stop or control worrying
Over the past 2 weeks, how often have you experienced the above?
Nearly every day
More than half the days
Several days
Not at all
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17
Worrying too much about different things
Over the past 2 weeks, how often have you experienced the above?
Nearly every day
More than half the days
Several days
Not at all
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18
Trouble relaxing
Over the past 2 weeks, how often have you experienced the above?
Nearly every day
More than half the days
Several days
Not at all
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19
Being so restless that it's hard to sit still
Over the past 2 weeks, how often have you experienced the above?
Nearly every day
More than half the days
Several days
Not at all
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20
Becoming easily annoyed or irritable
Over the past 2 weeks, how often have you experienced the above?
Nearly every day
More than half the days
Several days
Not at all
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21
Feeling afraid as if something awful might happen
Over the past 2 weeks, how often have you experienced the above?
Nearly every day
More than half the days
Several days
Not at all
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22
How difficult have these problems made it for you to do your work, take care of things at home, or get along with other people?
Last question for the Anxiety Quiz.
Extremely difficult
Very difficult
Somewhat difficult
Not difficult at all
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23
Which one of the following symptoms is the
most
challenging for you right now?
Please choose one.
Sleep issues
Lack of energy/motivation
Anxious/worrying too much
Easily irritable
Concentration issues
Sad/Hopelessness
Other
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24
How long have you been experiencing issues?
Please choose one.
Recently, 0-2 weeks
Starting to worsen, 2 weeks - 2 months
For a while, 2-12 months
For a long time, 1-2 years
Far too long, more than 2 years
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25
Have you ever tried any treatment for depression or anxiety before?
i.e. Therapy, meds, TMS, etc.
YES
NO
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26
Which types of treatments have you tried?
Select all that apply.
Antidepressants (i.e. Prozac, Wellbutrin)
In-person Therapy
Teletherapy (video call, phone call)
TMS (magnetic brain stimulation)
Spravato or Ketamine
ECT
Other medications (i.e. Ambien, Xanax)
None of the above
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27
Did TMS work for you?
It usually has good results.
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NO
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28
About how many antidepressants have you tried?
This gives us an idea of treatment resistance.
1
2
3
4
5
6+
1
2
3
4
5
6+
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29
About how many sessions of therapy have you had?
Includes group therapy, marriage counselor, or anything like that.
Just one
Less than 6
6-8
More than 8
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30
Are there any life events that may be contributing to how you're feeling?
Select all that apply.
Transition, or stressor (i.e. job loss, moved)
Relationship or family challenges
Work or school
Health/Medical challenges
Loss of a loved one
COVID-related stressors
Political or world-related stressors
Other
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31
Where would you like to receive your results?
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All information is secure and confidential.
example@example.com
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32
Let's talk about what your results mean
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Answers shown on the next screen.
Please enter a valid phone number.
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33
Results of your Depression Quiz
Click Next to find out what it means.
Out of 27. Based on PHQ-9.
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34
Sliders with calculated result
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35
No symptoms of depression
Your score suggests you may not need depression treatment. Consult with your physician if symptoms arise.
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36
Minimal depression
Your score suggests you may not need depression treatment. Consult with your physician if symptoms persist.
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37
Minimal depression
Your score suggests you may not need depression treatment. Consult with your physician if symptoms persist.
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38
Minimal depression
Your score suggests you may not need depression treatment. Consult with your physician if symptoms persist.
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39
Minimal depression
Your score suggests you may not need depression treatment. Consult with your physician if symptoms persist.
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40
Mild depression
Your score suggests you should speak in depth with your physician and/or psychiatrist to assess further.
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41
Mild depression
Your score suggests you should speak in depth with your physician and/or psychiatrist to assess further.
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42
Mild depression
Your score suggests you should speak in depth with your physician and/or psychiatrist to assess further.
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43
Mild depression
Your score suggests you should speak in depth with your physician and/or psychiatrist to assess further.
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44
Mild depression
Your score suggests you should speak in depth with your physician and/or psychiatrist to assess further.
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45
Moderate depression
Your score suggests you should speak in depth with a psychiatrist to find a treatment that works for you.
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46
Moderate depression
Your score suggests you should speak in depth with a psychiatrist to find a treatment that works for you.
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47
Moderate depression
Your score suggests you should speak in depth with a psychiatrist to find a treatment that works for you.
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48
Moderate depression
Your score suggests you should speak in depth with a psychiatrist to find a treatment that works for you.
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49
Moderate depression
Your score suggests you should speak in depth with a psychiatrist to find a treatment that works for you.
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50
Moderately severe depression
Your score warrants treatment for depression, using antidepressant, therapy or a combination of treatment. If medication and therapy haven't helped, you should consider an interventional treatment like TMS and/or Ketamine/Esketamine.
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51
Moderately severe depression
Your score warrants treatment for depression, using antidepressant, therapy or a combination of treatment. If medication and therapy haven't helped, you should consider an interventional treatment like TMS and/or Ketamine/Esketamine.
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52
Moderately severe depression
Your score warrants treatment for depression, using antidepressant, therapy or a combination of treatment. If medication and therapy haven't helped, you should consider an interventional treatment like TMS and/or Ketamine/Esketamine.
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53
Moderately severe depression
Your score warrants treatment for depression, using antidepressant, therapy or a combination of treatment. If medication and therapy haven't helped, you should consider an interventional treatment like TMS and/or Ketamine/Esketamine.
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54
Moderately severe depression
Your score warrants treatment for depression, using antidepressant, therapy or a combination of treatment. If medication and therapy haven't helped, you should consider an interventional treatment like TMS and/or Ketamine/Esketamine.
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55
Severe depression
Your score warrants treatment for depression, using antidepressant, therapy or a combination of treatment. If medication and therapy haven't helped, you should consider an interventional treatment like TMS and/or Ketamine/Esketamine.
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56
Severe depression
Your score warrants treatment for depression, using antidepressant, therapy or a combination of treatment. If medication and therapy haven't helped, you should consider an interventional treatment like TMS and/or Ketamine/Esketamine.
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57
Severe depression
Your score warrants treatment for depression, using antidepressant, therapy or a combination of treatment. If medication and therapy haven't helped, you should consider an interventional treatment like TMS and/or Ketamine/Esketamine.
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58
Severe depression
Your score warrants treatment for depression, using antidepressant, therapy or a combination of treatment. If medication and therapy haven't helped, you should consider an interventional treatment like TMS and/or Ketamine/Esketamine.
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59
Severe depression
Your score warrants treatment for depression, using antidepressant, therapy or a combination of treatment. If medication and therapy haven't helped, you should consider an interventional treatment like TMS and/or Ketamine/Esketamine.
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60
Severe depression
Your score warrants treatment for depression, using antidepressant, therapy or a combination of treatment. If medication and therapy haven't helped, you should consider an interventional treatment like TMS and/or Ketamine/Esketamine.
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61
Severe depression
Your score warrants treatment for depression, using antidepressant, therapy or a combination of treatment. If medication and therapy haven't helped, you should consider an interventional treatment like TMS and/or Ketamine/Esketamine.
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62
Severe depression
Your score warrants treatment for depression, using antidepressant, therapy or a combination of treatment. If medication and therapy haven't helped, you should consider an interventional treatment like TMS and/or Ketamine/Esketamine.
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63
Results of your Anxiety Quiz
Click Next to find out what it means.
Out of 21. Based on GAD-7.
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64
No symptoms of anxiety
Your score suggests you may not need anxiety treatment. Consult with your physician if symptoms arise.
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65
Minimal anxiety
Your score suggests you may not need anxiety treatment. Consult with your physician if symptoms persist.
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66
Minimal anxiety
Your score suggests you may not need anxiety treatment. Consult with your physician if symptoms persist.
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67
Minimal anxiety
Your score suggests you may not need anxiety treatment. Consult with your physician if symptoms persist.
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68
Minimal anxiety
Your score suggests you may not need anxiety treatment. Consult with your physician if symptoms persist.
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69
Mild anxiety
Your score suggests you should speak in depth with your physician and/or psychiatrist to assess further.
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70
Mild anxiety
Your score suggests you should speak in depth with your physician and/or psychiatrist to assess further.
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71
Mild anxiety
Your score suggests you should speak in depth with your physician and/or psychiatrist to assess further.
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72
Mild anxiety
Your score suggests you should speak in depth with your physician and/or psychiatrist to assess further.
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73
Mild anxiety
Your score suggests you should speak in depth with your physician and/or psychiatrist to assess further.
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74
Moderate anxiety
Your score may warrant treatment for anxiety, using medication, therapy or a combination of treatment. If medication and therapy haven't worked, ask your psychiatrist about interventional treatments like TMS or Ketamine/Esketamine.
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75
Moderate anxiety
Your score may warrant treatment for anxiety, using medication, therapy or a combination of treatment. If medication and therapy haven't worked, ask your psychiatrist about interventional treatments like TMS or Ketamine/Esketamine.
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76
Moderate anxiety
Your score may warrant treatment for anxiety, using medication, therapy or a combination of treatment. If medication and therapy haven't worked, ask your psychiatrist about interventional treatments like TMS or Ketamine/Esketamine.
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77
Moderate anxiety
Your score may warrant treatment for anxiety, using medication, therapy or a combination of treatment. If medication and therapy haven't worked, ask your psychiatrist about interventional treatments like TMS or Ketamine/Esketamine.
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78
Moderate anxiety
Your score may warrant treatment for anxiety, using medication, therapy or a combination of treatment. If medication and therapy haven't worked, ask your psychiatrist about interventional treatments like TMS or Ketamine/Esketamine.
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79
Severe anxiety
Your score warrants treatment for anxiety, using medication, therapy or a combination of treatment. If medication and therapy haven't worked, ask your psychiatrist about interventional treatments like TMS or Ketamine/Esketamine.
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80
Severe anxiety
Your score warrants treatment for anxiety, using medication, therapy or a combination of treatment. If medication and therapy haven't worked, ask your psychiatrist about interventional treatments like TMS or Ketamine/Esketamine.
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81
Severe anxiety
Your score warrants treatment for anxiety, using medication, therapy or a combination of treatment. If medication and therapy haven't worked, ask your psychiatrist about interventional treatments like TMS or Ketamine/Esketamine.
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82
Severe anxiety
Your score warrants treatment for anxiety, using medication, therapy or a combination of treatment. If medication and therapy haven't worked, ask your psychiatrist about interventional treatments like TMS or Ketamine/Esketamine.
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83
Severe anxiety
Your score warrants treatment for anxiety, using medication, therapy or a combination of treatment. If medication and therapy haven't worked, ask your psychiatrist about interventional treatments like TMS or Ketamine/Esketamine.
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84
Severe anxiety
Your score warrants treatment for anxiety, using medication, therapy or a combination of treatment. If medication and therapy haven't worked, ask your psychiatrist about interventional treatments like TMS or Ketamine/Esketamine.
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85
Severe anxiety
Your score warrants treatment for anxiety, using medication, therapy or a combination of treatment. If medication and therapy haven't worked, ask your psychiatrist about interventional treatments like TMS or Ketamine/Esketamine.
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86
Based on your answers, your insurance may cover TMS treatment for depression. Would you be interested in learning more about TMS?
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TMS has been shown to be 75% effective in reducing depression with 50% of patients experiencing full remission from all depressive symptoms.
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87
Would you be interested in learning about our mental health services?
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88
Was this quiz helpful?
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89
What can we do better?
We are constantly improving.
We check these submissions regularly.
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