TMS of the Lehigh Valley values checking in with past patients to ensure positive treatment response is continuing. Please take a moment to fill out the form below to provide feedback on how you’re currently feeling.

  • Over the last two weeks, how often have you been bothered by any of the following problems?
    Select 0 (Not at all), 1 (Several days), 2 (More than half the days), or 3 (Nearly every day) to indicate your answer.

  • Hidden
    1 = Least Severe. 10 = Most Severe