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What Is NeuroStar Advanced Therapy?
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Patient Advocate Story Submission
Become a NeuroStar advocate. Tell your story and help save lives.
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We want to help you tell your NeuroStar journey.
Cara
Real NeuroStar Patient
Consent
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I agree to the terms of the
Patient Advocate Authorization and Release
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First, what's your name so we know how to refer to you?
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First
Last
Thanks
! Please provide the rest of your contact information to get started.
This information will allow us to reach out to you if we have questions or need more information about your story. We will never sell your personal information.
Email Address
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Phone
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Zip Code
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What's your date of birth?
Month
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Great. We can’t wait to hear your story! First, tell us about your treatment.
What's the name of the practice, physician, and/or treater that administered your treatment?
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When did you finish your NeuroStar Treatment?
Please tell us the month and year of your final treatment session.
Month
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January
February
March
April
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July
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December
Year
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2026
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2016
For what condition(s) were you prescribed NeuroStar TMS?
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Please select all that apply
Depression
Anxious Depression
OCD
Other
If 'other' please describe
The next three questions will help you tell your story by describing your experience before, during, and after treatment.
Daniel
Real NeuroStar Patient
Before your treatment |
Part One
Tell us about your life before your NeuroStar Treatment.
Describe a typical day prior to treatment. How long had you been suffering? How many medications or other treatments had you tried? How was your condition affecting your life and your relationships? How did you first hear about NeuroStar TMS? Then tell us a little bit about your initial expectations, thoughts, or concerns about the treatment.
Your Pre-Treatment Response
Your Response
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During your treatment |
Part Two
Tell us about your experience with the NeuroStar Treatment.
How would you describe NeuroStar treatment? What did you appreciate most about the treatment experience at your practice? When did you start to notice a difference? When did your family/friends/loved ones notice the difference? Were you tempted to stop at any point and if so, what kept you going?
Your During Treatment Response
Your Response
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After your treatment |
Part Three
Tell us about your life post-NeuroStar Treatment.
How has your life changed as a result of NeuroStar treatment? Are there hobbies, interests, or activities are you able to enjoy now that you couldn’t before treatment?
Your Post Treatment Response
Your Response
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Document Upload
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Accepted file types: jpg, gif, png, Max. file size: 768 MB, Max. files: 3.
Sometimes photos speak louder than words.
Please provide any photos, that you feel comfortable sharing alongside your story.
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Again, thank you for taking the time to tell your story. We just have a few more quick questions.
Jess
Real NeuroStar Patient
Is there anyone who has supported you in key ways throughout your treatment? How have they helped you?
Your Support Network Response
Your Response
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What would you say to someone currently trying to decide whether to try NeuroStar? What do you wish you had known? What advice would you give?
Your Advocacy Response
Your Response
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Your story can provide hope to others suffering from depression. Please tell us how you're comfortable with your story being used.
How would you be interested in participating in NeuroStar advocacy?
Please select all that apply
NeuroStar can use my photo, story, quotes on social media and digital platforms
I’d be happy to respond to questions and share my experience with people looking for information on NeuroStar social media platforms
NeuroStar can use my photos, story, and quotes in materials for doctors and patients
I’d be willing to attend in-person events or conferences to share my experience with NeuroStar
I’d be willing to participate in focus groups to help the NeuroStar team refine the words and images used in future materials
None of the above
Personal Info
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My NeuroStar
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