1st Person Project: Search the Database

Search the Database

*Name:  
*Age when you had ECT:  
*Your gender:  
*Country:  
State/Province if applicable:  
Where was ECT performed (if different than above):  
Number of ECTs, if known:  
Type, if known: Bilateral Unilateral Mixed Not sure
Voluntary/Involuntary patient at time of ECT: Voluntary Involuntary Not sure
Treatments/alternatives tried prior to ECT:  
Why was ECT prescribed (symptoms, diagnosis):  
*Was your ECT:  
In what ways did ECT help you (short & long term):  
What negative side effects, if any, did you experience:  
If you felt harmed by ECT, what was the reaction of your doctor to your complaints:  
Do you still see the same doctor who administered your ECT:  
*Choose one to describe the effects of ECT on you:  
Would you willingly have ECT again, or recommend it to another:  
*In one sentence, sum up your thoughts on your ECT experience:  
Email (optional):
Additional comments/your ECT story:  

Search Options:
Match Any Match Case Whole Words Reg. Expression

Keyword Search
(will match against all fields)


Return records in a list or one record at a time.

Sort By:Sort Order:Max. Returned Hits

Search Tips: - use '*' to match everything in a field)
- put a '>' or '<' at the beginning to to do range searches.

 

| Home | View | List All | Log Off |