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Free Concussion Survey

50+ Trauma Informed Care Survey Questions

Capture the full impact of head injuries with targeted concussion survey questions - essential for trauma informed care survey questions and evidence-based prevention strategies. A concussion survey gathers vital insights on symptoms, recovery timelines, and risk factors to guide smarter support and safety measures. Download our free template preloaded with example questions, or create your own custom survey in our form builder if you need a tailored solution.

How long ago did you experience your concussion?
Less than 1 month ago
1-6 months ago
6 months to 1 year ago
More than 1 year ago
How would you rate the overall severity of your concussion symptoms?
1
2
3
4
5
Very mildVery severe
Did you receive a medical evaluation following your concussion?
Yes
No
I am satisfied with the medical care I received for my concussion.
1
2
3
4
5
Strongly disagreeStrongly agree
How long did it take before you could return to your normal daily activities?
Within 1 week
1-4 weeks
1-3 months
More than 3 months
I have not fully returned
I received clear guidance on returning to activities safely after my concussion.
1
2
3
4
5
Strongly disagreeStrongly agree
What additional support or resources would have improved your concussion recovery experience?
What is your age range?
Under 18
18-24
25-34
35-44
45-54
55 or older
What is your gender?
Male
Female
Non-binary
Prefer not to say
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Top Secrets Every Concussion Survey Needs to Know Before You Launch

A solid concussion survey matters from the first question you ask. When you build a concussion survey, you collect critical insights that protect athletes or patients. You'll spot hidden patterns of head trauma, guide recovery steps, and shape safety protocols. A thoughtful design turns raw feedback into clear action and fuels smarter, faster care.

Experts recommend blending symptom scales with performance checks for maximum precision. The Rivermead Post-Concussion Symptoms Questionnaire tracks 16 key post-concussion symptoms, letting you measure shifts over time. At the same time, VR-driven tests can catch subtle balance or vision issues. A recent study reported a 99.9% true-positive rate when pairing Vestibular/Ocular Motor Screening with VR technology (Virtual-Reality based Vestibular Ocular Motor Screening for Concussion Detection using Machine-Learning), elevating reliability in real-world settings.

Picture a high school coach using a quick poll every Friday to spot early warnings. She sends a three-item form before practice and watches her dashboard light up with alerts. Within weeks, she tweaks drills to reduce risks and calls health staff at the first sign of trouble.

Craft clear questions like "How often do you feel dizzy after practice?" and "What concentration challenges are you facing?" Mix yes/no, rating scales, and one open-ended item to keep responses rich. Want inspiration? Explore our Concussion Survey Questions for proven templates. Each sample question guides you toward more precise, actionable insights.

With these top secrets, you'll transform feedback into targeted care. A smart survey fuels faster recovery and builds trust with your audience. Start designing today and see how data-driven insights reshape your concussion management approach.

3D voxel art portraying online concussion survey concept on a dark blue background.
3D voxel art depicting online concussion survey concept on a dark blue background.

5 Must-Know Tips to Dodge Common Concussion Survey Mistakes

Launching a concussion survey without a solid plan can backfire. Common mistakes range from ambiguous wording to inconsistent scales that confuse respondents. If you skip pilot testing, you risk low completion rates or unreliable answers. Avoid these pitfalls to keep your data sharp and your audience engaged.

Last season, a sports clinic rolled out a survey packed with medical jargon. Athletes stumbled over terms and dropped out before finishing. Feedback fell flat because no one understood what the questions meant. You want clarity, not clutter, in every question you ask.

Keep your survey concise and your scales uniform across items. Test your draft with a small group, refine confusing items, and swap in trusted tools like the Automated Neuropsychological Assessment Metrics for cognitive checks - its modules also inform PTSD survey questions in clinical research. Pair symptom queries with kinematic data when possible - physics-informed mouthguards now help flag impacts automatically (Physics-informed machine learning improves detection of head impacts). This blend sharpens your concussion assessment in the field.

Tip the balance in your favor: ask "Describe any balance issues you've had this week" to capture context beyond yes/no. Steer clear of leading questions such as "Don't you think you're feeling better already?" Instead, use neutral phrasing to get honest feedback. For a deeper dive into trauma informed survey questions and best practices, check our Trauma Informed Survey guide.

By dodging these errors, you'll collect cleaner data and drive better care decisions. Accurate surveys boost athlete safety, patient trust, and clinical insights. Use these tips to refine your concussion survey and watch your response quality soar.

Concussion Survey Questions

This set of questions is designed to assess the prevalence, management, and awareness of concussions among participants. It aims to gather clear data on reporting habits, symptom duration, and educational needs. Use insights from Concussion Survey Questions to refine your program.

  1. Have you ever been diagnosed with a concussion?

    This question identifies individuals with a formal diagnosis, providing a baseline for subsequent analyses. It helps differentiate self-reported symptoms from medically verified cases.

  2. How long did your symptoms last after your most recent concussion?

    Understanding symptom duration aids in tailoring educational resources and support timelines. It helps identify patterns in recovery trajectories.

  3. Did you seek medical attention following your concussion?

    This assesses care-seeking behavior and potential barriers to access. Insights guide interventions for timely medical evaluations.

  4. How would you rate the clarity of instructions provided by healthcare professionals?

    Evaluating clarity identifies gaps in communication and potential misinterpretations. It highlights areas for improving patient - provider dialogue.

  5. Did you receive guidance on returning to sports or work?

    Returning prematurely can worsen outcomes; this question gauges the effectiveness of discharge planning. It underscores the need for structured return-to-activity protocols.

  6. How confident are you in recognizing concussion symptoms in others?

    Peer recognition can prompt early intervention; assessing confidence levels reveals educational gaps. It informs community-based training programs.

  7. Were safety measures discussed before you returned to your regular activities?

    Knowing whether preventive discussions occurred highlights program coverage. It supports the development of comprehensive safety briefings.

  8. Have you received education on concussion prevention?

    This determines exposure to preventative strategies and materials. It informs curriculum enhancements for risk reduction.

  9. How effective do you find current educational materials on concussion prevention?

    Participant feedback on materials indicates relevancy and clarity. It drives continuous improvement of educational content.

  10. What improvements would you suggest for concussion education programs?

    An open-ended question captures personalized insights and unmet needs. It allows for user-driven enhancements and innovation.

PTSD Survey Questions

This survey section focuses on post-traumatic stress disorder symptoms and their impact on daily life. It helps identify severity, frequency, and triggers to guide supportive interventions. For a broader context on mental health assessments, see Mental Illness Survey .

  1. In the past month, how often have you experienced flashbacks?

    Frequency of flashbacks indicates symptom severity and need for targeted treatment. It helps clinicians monitor progress over time.

  2. In the past month, how often have you had distressing dreams or nightmares?

    Nightmare frequency correlates with trauma processing challenges. Tracking this aids in evaluating therapeutic efficacy.

  3. How would you rate your overall level of anxiety related to past traumatic events?

    Self-rated anxiety levels provide an immediate sense of distress. They guide the intensity of intervention strategies.

  4. To what extent do you avoid places or activities that remind you of the trauma?

    Avoidance behaviors are core symptoms of PTSD and signal impairment. Measuring avoidance informs exposure-based therapies.

  5. Have you experienced hypervigilance or an exaggerated startle response?

    Assessing hypervigilance reveals ongoing threat perception. It highlights the need for grounding and relaxation techniques.

  6. How impacted are your relationships by symptoms of PTSD?

    Evaluating relational impact shows the social cost of trauma. It underscores the importance of family or couples therapy options.

  7. Have intrusive thoughts about the trauma affected your concentration at work or school?

    This question links cognitive interference to functional impairment. It helps tailor academic or occupational accommodations.

  8. Do you engage in any coping strategies to manage PTSD symptoms? (e.g., meditation, therapy)

    Identifying coping methods reveals resilience factors and support gaps. It guides recommendations for effective self-care practices.

  9. How satisfied are you with the support provided by mental health professionals?

    Service satisfaction reflects treatment quality and rapport. It informs improvements in care delivery models.

  10. What additional resources do you believe would help you manage PTSD symptoms?

    An open-ended prompt uncovers unmet needs and participant priorities. It drives resource development aligned with real experiences.

Trauma Informed Care Survey Questions

This block evaluates organizational readiness and best practices in trauma-informed care. It measures training, policies, and environmental factors that support recovery. Learn more about implementing standards at Trauma Informed Survey .

  1. Does your organization provide regular training on trauma-informed care principles?

    This question gauges commitment to staff education and ongoing professional development. Training frequency directly impacts service quality.

  2. Are staff encouraged to recognize signs of trauma in clients?

    Identifying trauma indicators early enables timely support. Encouragement reflects organizational values on proactive care.

  3. Is there a clear policy for responding to disclosures of trauma?

    Policy clarity ensures consistent and sensitive responses to client needs. It prevents retraumatization through mishandled disclosures.

  4. Do you have access to resources that support trauma recovery?

    Resource availability indicates the organization's capacity for comprehensive care. It highlights areas needing additional investment.

  5. How comfortable do staff feel discussing trauma-related topics with clients?

    Staff comfort levels impact therapeutic rapport and client engagement. Measuring this promotes targeted communication training.

  6. Are physical spaces designed to feel safe and non-threatening?

    Environment plays a key role in client wellbeing and trust. Safe spaces reduce anxiety and foster open dialogue.

  7. Is client consent emphasized at each stage of service delivery?

    Consent practices protect client autonomy and build respect. They are fundamental to trauma-informed frameworks.

  8. Does leadership actively promote a culture of safety and trust?

    Leadership commitment is crucial for sustaining trauma-informed initiatives. It influences organizational norms and morale.

  9. Have you noticed improvements in client engagement since implementing trauma-informed practices?

    Tracking engagement changes assesses the impact of new protocols. Positive shifts validate ongoing efforts and resources.

  10. What challenges have you faced in adopting trauma-informed care?

    An open-ended question uncovers implementation barriers and staff concerns. It informs strategies for smoother transitions.

Trauma Survey Questions

This category captures a broad overview of personal trauma history and current coping mechanisms. It aims to understand past experiences and their ongoing effects. For additional context, visit our Trauma Survey section.

  1. Have you experienced any form of physical or emotional trauma in your lifetime?

    Establishing trauma history is essential for contextualizing current symptoms. It guides the selection of appropriate support services.

  2. At what age did the most significant traumatic event occur?

    Event timing can influence developmental impacts and resilience factors. Age-based insights inform age-specific interventions.

  3. Did you receive professional support following your trauma?

    This assesses access to and utilization of mental health services. It highlights potential gaps in post-trauma care.

  4. How frequently do you think about the traumatic event?

    Intrusive recollections reflect the persistence of trauma-related distress. Frequency data support monitoring of recovery progress.

  5. Do you feel safe discussing your trauma with friends or family?

    Social support is a key protective factor in healing. Comfort levels indicate the strength of personal networks.

  6. Have you noticed changes in your sleep patterns since the trauma?

    Sleep disturbances often accompany trauma exposure and hinder recovery. Tracking sleep helps target interventions.

  7. How has your trauma impacted your daily functioning?

    Assessing functional impairment identifies areas needing immediate support. It informs the prioritization of treatment goals.

  8. Do you engage in any self-care practices to cope with trauma?

    Self-care strategies reveal individual resilience and adaptive behaviors. Understanding these aids in recommending additional resources.

  9. Has your trauma experience influenced your relationships?

    Trauma can reshape interpersonal dynamics and trust. Evaluating relational effects guides family or couples therapy referrals.

  10. What type of support do you believe would be most helpful moving forward?

    An open-ended prompt uncovers personalized insights and unmet needs. It informs tailored service planning.

Injury Prevention Survey Questions

This set focuses on behaviors and perceptions related to preventing injuries across settings. It aims to measure awareness, access to resources, and adherence to safety practices. For clinical tools on safety measures, explore our Medical Survey .

  1. How often do you wear protective equipment during sports or physical activities?

    Frequency of equipment use reflects safety compliance. It identifies areas where reinforcing protocols is necessary.

  2. Have you attended any injury prevention workshops or seminars?

    Participation in educational events indicates proactive engagement. It guides investment in community outreach.

  3. Do you feel you have adequate knowledge of safe movement techniques?

    Self-assessed knowledge reveals confidence in preventing strains and sprains. It informs the need for targeted training.

  4. Have you implemented ergonomic changes in your workspace?

    Ergonomic adjustments reduce musculoskeletal risks. Understanding adoption rates supports workplace safety programs.

  5. How aware are you of common risk factors for head injuries?

    Awareness of risk factors empowers individuals to take preventive action. It highlights areas needing clearer messaging.

  6. Do you discuss injury prevention with coaches or trainers?

    Communication with experts reinforces best practices. It gauges the quality of guidance received.

  7. Have you established a personalized warm-up and cool-down routine?

    Structured routines reduce the likelihood of acute injuries. Assessing routine adoption supports habit-forming interventions.

  8. Have you had access to educational materials on injury prevention?

    Material availability influences awareness and behavior change. It informs distribution strategies for resource materials.

  9. How confident are you in preventing injuries during daily activities?

    Self-efficacy is a strong predictor of safety behaviors. Confidence metrics guide motivational components in programs.

  10. What barriers prevent you from following recommended safety practices?

    An open-ended question uncovers real-world obstacles and participant concerns. It shapes solutions that address root causes.

Traumatic Stress Assessment Questions

This screening tool is tailored for clinical settings to identify traumatic stress symptoms and their severity. It aids clinicians in triaging care and monitoring treatment progress. See related items in our Clinical Survey library.

  1. Over the past two weeks, how often have you felt on edge or restless?

    Assessing restlessness captures hyperarousal symptoms common in trauma responses. It guides relaxation and grounding techniques.

  2. Have you experienced mood swings or irritability without an obvious cause?

    Mood fluctuations often accompany unresolved stress. Tracking this informs mood-stabilizing interventions.

  3. Do you find it difficult to concentrate due to intrusive thoughts?

    Concentration issues signal cognitive impact of traumatic memories. It highlights the need for cognitive-behavioral strategies.

  4. Over the past month, how often have you experienced physical symptoms (e.g., headaches, nausea) related to stress?

    Somatic symptoms reflect the mind - body connection in trauma. Monitoring these guides holistic care approaches.

  5. Have you noticed any avoidance of social situations since your traumatic experience?

    Social withdrawal underscores the impact of fear and shame. It indicates when exposure-based therapy may be beneficial.

  6. Do you feel a sense of detachment or numbness when recalling the trauma?

    Emotional numbing signals dissociative coping mechanisms. This question aids in identifying clients for trauma-informed therapy.

  7. How would you rate your current level of emotional distress?

    Self-rated distress provides immediate insight into symptom burden. It helps prioritize crisis interventions.

  8. Are you using any coping strategies that you consider unhealthy (e.g., substance use)?

    Identifying maladaptive coping reveals risk factors for additional issues. It supports the development of healthier alternatives.

  9. Have you experienced changes in appetite or weight since the trauma?

    Appetite shifts often accompany stress and mood disorders. Tracking these supports nutritional and medical referrals.

  10. What interventions or therapies have you found most effective for managing stress?

    An open-ended prompt uncovers successful approaches and personal preferences. It guides individualized treatment planning.

FAQ

What are the most common symptoms of a concussion?

Use a concussion symptom checklist to spot warning signs like headache, confusion, dizziness, balance issues, nausea, sensitivity to light or noise, and memory lapses. Early recognition using this checklist streamlines evaluation and supports an effective recovery plan, ensuring prompt care after a head injury.

How can I tell if I have a concussion without losing consciousness?

Perform a quick concussion self-assessment by checking for symptoms like headache, confusion, memory gaps, dizziness, nausea, and visual disturbances. Use a concussion symptom checklist to compare your findings. Tracking these signs in a free concussion assessment form helps you decide if you need professional medical evaluation.

What immediate steps should I take if I suspect someone has a concussion?

If you suspect a concussion, stop activity immediately and have the person rest in a safe, quiet place. Use a concussion first aid checklist: monitor symptoms, apply ice to reduce swelling, and avoid screens or bright lights. Arrange a medical evaluation with a concussion specialist within 24 - 48 hours.

How long does it typically take to recover from a concussion?

Recovery timelines vary, but most people follow a concussion recovery timeline of 7 - 14 days for mild cases. Severe concussions may require 4 - 6 weeks or more. Track your progress using a concussion recovery plan, noting symptom improvement, rest periods, and gradual return-to-activity milestones.

What activities should be avoided during concussion recovery?

During concussion recovery, avoid high-impact sports, heavy lifting, screen time, and activities that provoke symptoms. Follow concussion recovery guidelines: prioritize rest, limit cognitive strain, and gradually reintroduce tasks. Using a structured recovery checklist helps prevent setbacks and supports consistent healing.

When is it safe to return to sports after a concussion?

Return to sports only after completing a concussion return-to-play protocol. Progress through staged activities: light aerobic exercise, sport-specific drills, non-contact training, full-contact practice, and clearance. Each stage lasts 24 - 48 hours without symptoms. Use a return-to-play survey to track readiness and avoid premature participation.

Can concussions lead to long-term health issues?

Concussions can lead to post-concussion syndrome, cognitive impairment, mood disorders, and heightened risk of future brain injury. Monitoring symptoms with a post-concussion syndrome risks checklist enables early intervention. Proper management and medical follow-up reduce long-term health issues and support sustainable brain health.

What are the risks of not seeking medical attention for a suspected concussion?

Skipping medical attention after a suspected concussion risks intracranial bleeding, prolonged recovery, chronic headaches, and cognitive decline. Use a concussion medical evaluation checklist to guide urgent care. Early professional assessment ensures proper imaging, symptom monitoring, and tailored treatment to prevent severe complications.

How can concussions be prevented in contact sports?

Prevent concussions in contact sports by enforcing proper helmet fitting, teaching safe tackling techniques, and implementing rule changes. Use a concussion prevention tips checklist during practice. Encourage neck-strengthening exercises, regular equipment inspections, and educational sessions to reduce head injury risk.

What is the difference between a concussion and post-concussion syndrome?

A concussion is an acute brain injury causing symptoms like headache and confusion. Post-concussion syndrome occurs when symptoms persist beyond four weeks, including cognitive fog, mood swings, and sleep disturbances. Use a post-concussion syndrome definition guide to distinguish acute injury from prolonged recovery needs.