Your Name* Your Email* Are you taking medication to treat your depression? YesNoAre you still depressed despite your medication? YesNoAre you experiencing side effects from your medication? YesNoHave you switched medications more than once due to side effects? YesNoAre depression symptoms interfering with your leisure activiites or relationships with your family and friends? YesNoAre depression symptoms having an effect on your ability to earn a living? YesNo