Take The QUIZ

Crisis and Emergency Assistance

Sunny Skies Healthcare is not a crisis center. If you are experiencing a psychiatric emergency or are in immediate danger, do not wait for a response from our Team.

Call 911
or go to your nearest emergency room
National Suicide & Crisis Lifeline: Dial 988 (24/7 support)

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Email address

Date of birth

First name

Last name

Cell phone number

Home phone number

Have you been diagnosed with any of the following? (Select all that apply)

Major Depressive Disorder (MDD) Anxious Depression Obsessive-Compulsive Disorder (OCD) Smoking Addiction Other

Have you ever taken any antidepressants? *

Yes, currently taking one or more 6-12 months ago 12-24 months ago More than 24 months ago No medication

Is your current medication failing to provide adequate relief from your depression? *

Yes Partial Not Sure No

Ever sought professional help, counseling, or therapy for your depression or anxiety? *

Yes, currently Yes, in the past No, but I want to

Do you have any metal implants above the shoulders (except for braces and dental fillings)? *

No metals above the shoulder whatsoever Aneurysm clips or coils Stents in the neck or brain Deep brain stimulators Shrapnel or bullet fragments in or near the head Other metal devices or object implanted in or near the head

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Well done on completing The Quiz!
We applaud your courage in taking the first step toward healing and happiness.

Your privacy matters to us. We will never spam or sell your information. All data is protected in full compliance with HIPAA. By submitting this quiz, you agree to receive your results via email from Sunny Skies Healthcare.

Your information will be encrypted.

Crisis and Emergency Assistance

Sunny Skies Healthcare is not a crisis center. If you are experiencing a psychiatric emergency or are in immediate danger, do not wait for a response from our Team.

Call 911
or go to your nearest emergency room
National Suicide & Crisis Lifeline: Dial 988 (24/7 support)

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sunnyskieshealthcare
sunnyskiesehealthcare
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805 w Randolph St apt 202, Chicago, IL, 60607, United States

Take The QUIZ

Crisis and Emergency Assistance

Well done on completing The Quiz!We applaud your courage in taking the first step toward healing and happiness.

Crisis and Emergency Assistance

Well done on completing The Quiz!
We applaud your courage in taking the first step toward healing and happiness.