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Intake questionnaire

A Study to Evaluate the Efficacy and Safety of Esketamine for Reduction of Symptoms of Major Depressive Disorder

Applying to Peachford Hospital-Atlanta Behavioral Research · Atlanta, Georgia

Answer a few short questions to share with the research team.

0 of 4 answered

1. Are you between 12 and 17 years old?
2. Have you been diagnosed with Depressive Disorder, Major?
3. Are you currently pregnant or breastfeeding?
4. Are you able to travel to Atlanta for study visits?