TMS Therapy Questionnaire

TMS Therapy Questionnaire

Please answer yes or no to each of the following:

Have you been diagnosed with or are you being treated for depression?

Have you tried anti-depressant medication(s) and failed to achieve satisfactory improvement from your depression?

Are you in generally good health? 

TMS Therapy uses magnetic pulses, so it is important that you do not have any implanted metallic devices or non-removable metallic objects in or around your head. Can you say that you do NOT have any of the following:

  • Metal plates in your head
  • Aneurysm coils
  • Stents
  • Bullet fragments or other metal devices in your head
  • Pacemaker
  • Implantable cardioverter defibrillators or vegus nerve stimulators.

TMS Therapy is not covered by insurance in most cases. Are you able to pay for medical services out-of-pocket?


If you answered yes to all of the questions, you may be a candidate for TMS Therapy. Ask your doctor or call 513 536 HOPE and ask about TMS Therapy.