Free Concussion Survey Questions
50+ Expert Crafted Concussion Survey Questions
Accurately measuring concussion impact with targeted survey questions about concussion helps you spot symptoms early, inform treatment plans, and boost player safety. A concussion survey gathers detailed feedback from athletes, clinicians, and caregivers to drive evidence-based protocols and reduce future injury risk. Jumpstart your research with our free template preloaded with survey questions examples about football concussions - or customize your own in our form builder.
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Top Secrets: Craft Survey Questions That Pinpoint Concussion Symptoms
When designing survey questions about concussion survey, clarity and empathy are your best friends. Start by defining what you need to learn - symptom severity, recovery timeline or emotional impact. Clear objectives prevent vague answers and boost response rates.
Consider adapting elements from the Rivermead Post-Concussion Symptoms Questionnaire. That tool evaluates 16 symptoms by comparing current severity to pre-injury baselines (RPQ). It provides reliable data and helps structure your questions around headaches, dizziness and memory issues.
Imagine a high school coach tracking player recovery after a game with your survey. Using standardized questions helps spot red flags early. See our Concussion Survey template to streamline this process.
Sample questions bring ideas to life. For example: "What symptoms do you experience after a head injury?" and "How long did it take for symptoms to subside?" These prompts guide respondents to share precise experiences.
Choose simple Likert scales or yes/no grids. Consistent scales reduce confusion and make analysis smoother. Balance granularity with respondent fatigue. Uniformity across your survey cuts data-cleaning time.
Schedule follow-up surveys at set intervals to monitor progress. Tracking change over time helps flag potential post-concussion syndrome cases (PCS). You'll spot patterns that one-off polls often miss. This approach turns your survey into a dynamic recovery tool.
Ready to collect meaningful data? Test your questions with a small pilot group or quick poll. Refining based on real feedback ensures your survey drives insight, not just data.
5 Must-Know Tips to Avoid Concussion Survey Mistakes
Avoid jargon and overly medical terms. Asking "bradykinesia severity" won't resonate with most respondents. Instead, say "difficulty moving your arms or legs." Simple language invites honest answers and respects the user's experience.
Steer clear of double-barreled questions. A question like "Did you feel dizzy and nauseous?" forces one answer on two symptoms. Instead, split it into "Did you feel dizzy?" and "Did you feel nauseous?" Single-focus prompts yield clearer data for your analysis.
Watch out for leading questions that push respondents toward an answer. Asking "You recovered quickly, right?" taints the response. Keep it neutral: "How long did it take to return to your normal routine?" This balanced wording respects the survey's integrity.
Mixing 1 - 5 scales with 1 - 7 scales throws off both participants and analysts. Standardize your rating system across all items. For instance, if you start with "1: Not at all" and "5: Extremely," stick to it. Consistency here saves you from headaches later.
Skipping follow-ups leaves gaps in your understanding. If a respondent answers "Yes" to headaches, follow up with "On a scale from 1 - 10, how severe were your headaches?" or "How often did they occur each day?" These clarifiers turn basic choices into rich insights. Sample question: "How sensitive are you to light after hitting your head?"
Ignoring pilot tests means risking major pitfalls in a live survey. Run a small test among clinicians, coaches or patients before full deployment. Pilot runs expose confusing items and reveal technical glitches. This quick step is non-negotiable for any robust Sport Injury Survey or concussion study.
Consider comparing your draft against the British Columbia Postconcussion Symptom Inventory (BC-PSI) or the Sport Concussion Assessment Tool described in the Sports-Related Traumatic Brain Injury guidelines. These frameworks highlight pitfalls to dodge. Align your wording with proven inventories to boost credibility. Done right, your survey avoids rookie errors and elevates patient care.
Don't wait - address these common mistakes now. A quick internal poll can surface issues before they reach respondents. Your data will tell a clearer story, and stakeholders will thank you.
Symptom Assessment Questions
Assessing immediate and ongoing symptoms is crucial to identify the severity of a concussion. This set helps you capture key physical signs and symptoms, guiding follow-up care and treatment planning. For an in-depth tool, check our Concussion Survey .
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Are you currently experiencing headaches?
Headaches are a hallmark symptom of concussion and often indicate ongoing brain irritation. Monitoring their frequency and intensity helps gauge recovery progress and guide pain management strategies.
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Do you feel dizzy or unsteady when standing?
Dizziness or balance issues often reflect vestibular disturbances post-concussion. Tracking these symptoms can inform vestibular therapy needs and safety precautions to prevent falls.
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Have you noticed any sensitivity to light or noise?
Photophobia and phonophobia can signal ongoing neurological sensitivity after a head injury. Identifying triggers is essential for recommending environmental modifications and pacing strategies.
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Are you experiencing nausea or vomiting?
Gastrointestinal symptoms may accompany concussions and indicate severity of the injury. Documenting these signs assists healthcare providers in deciding if further medical evaluation is required.
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Do you have difficulty sleeping or increased sleepiness?
Changes in sleep patterns can reveal disruptions in normal brain function after concussion. Understanding sleep issues is critical for optimizing rest protocols and reducing symptom exacerbation.
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Are you experiencing blurred or double vision?
Visual disturbances help assess the impact on cranial nerves and ocular pathways. Early detection can prompt vision rehabilitation to support safe daily activities.
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Do you have ringing in your ears or tinnitus?
Tinnitus can be associated with inner ear damage or brainstem involvement post-injury. Recognizing auditory symptoms informs comprehensive neurological assessments.
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Are you feeling unusually fatigued or lethargic?
Fatigue is a common post-concussion symptom reflecting changes in brain energy metabolism. Monitoring fatigue levels helps tailor rest periods and gradual activity resumption plans.
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Have you noticed any mood changes, such as irritability or sadness?
Emotional symptoms can emerge due to brain chemical imbalances after concussion. Acknowledging mood shifts supports referrals to mental health resources if needed.
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Do you experience difficulty concentrating or memory lapses?
Cognitive symptoms like memory issues are core indicators of concussion impacts. Tracking these challenges guides cognitive rehabilitation and return-to-work or school decisions.
Impact on Daily Life Questions
Understanding how concussion symptoms affect everyday routines helps tailor support strategies. These questions explore the impact on activities like work, sleep, and social interaction. Incorporate this into your Health Survey analysis.
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How has your concussion affected your work or school performance?
Understanding the effect on professional or academic tasks reveals the broader impact of injury. This insight helps develop appropriate accommodations and plot a safe return-to-duty timeline.
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Are you able to perform household tasks as before?
Assessing daily living activities reveals the functional impact of a concussion. Identifying limitations allows for necessary support to maintain independence and reduce stress.
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Has your social interaction with family or friends changed?
Concussions can affect mood and energy levels, altering social engagement. Recognizing these changes is important for providing emotional and social support during recovery.
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Do you find it harder to concentrate in routine activities?
Attention difficulties can interfere with day-to-day tasks and personal safety. Evaluating these challenges assists in planning structured breaks and distraction management.
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Are you avoiding driving or commuting due to symptoms?
Transportation avoidance indicates safety concerns and symptom severity. Documenting this behavior informs decisions about mobility assistance or alternative transportation arrangements.
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Have you had to reduce your exercise or recreational activities?
Physical activity restrictions can impact emotional well-being and fitness. Understanding these changes supports tailored exercise recommendations for safe rehabilitation.
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Is your sleep quality impacting your daily productivity?
Poor sleep can exacerbate other symptoms and hinder daily function. Addressing sleep issues early can improve overall recovery and cognitive performance.
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Do loud or crowded environments worsen your symptoms?
Sensitivity in certain settings can guide gradual exposure and management strategies. Identifying triggers helps create a comfortable environment for symptom reduction.
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Are you relying on others more than before for daily tasks?
Dependency levels provide insight into support needs during recovery. Assessing assistance requirements guides family education and resource allocation.
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Has your appetite or eating habits changed since the concussion?
Changes in nutrition can affect energy levels and overall healing processes. Monitoring appetite shifts helps ensure adequate nourishment and support recovery.
Concussion History Questions
A detailed history of past concussions can reveal patterns and risk factors. These questions gather previous incidents, recovery timelines, and any lingering issues. Use this background in your Patient Survey protocols.
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How many previous concussions have you been diagnosed with?
Documenting the total number of concussions helps assess cumulative risk and potential long-term effects. This information can guide personalized monitoring and preventive strategies.
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When was your most recent concussion?
Timing of the last injury provides context for current symptom duration and recovery phase. It also assists clinicians in correlating symptoms with expected healing timelines.
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What was the cause or mechanism of your most recent concussion?
Identifying how the concussion occurred aids in tailoring prevention and safety protocols. Understanding mechanisms can inform patient education to reduce future risk.
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How long did it take you to return to full activity after your last concussion?
Recovery timelines vary and can indicate injury severity and healing patterns. Tracking this helps set realistic expectations for current and future recovery plans.
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Did you experience any post-concussion syndrome after previous injuries?
Recognizing prolonged symptoms highlights individuals at greater risk for extended recovery periods. This awareness supports early interventions and symptom management.
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Have you ever required medical imaging (MRI or CT) following a concussion?
Imaging history indicates the level of concern and diagnostic approaches used. Such data can inform risk stratification and follow-up care decisions.
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Were you ever hospitalized due to a concussion?
Hospitalizations reflect more severe impacts and influence long-term management plans. Understanding hospitalization history aids in evaluating potential complications.
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Did you follow a formal rehabilitation program in the past?
Rehabilitation history helps evaluate the effectiveness of past interventions. This insight informs the design of current recovery plans and therapy selection.
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Were any of your past concussions sport-related?
Determining context helps in developing sport-specific safety measures and return-to-play guidelines. This can guide collaboration with coaching staff and trainers.
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Do you have any lingering effects from previous concussions?
Long-term symptoms can affect baseline functioning and overall quality of life. Recognizing persistent issues helps clinicians plan targeted support and monitoring.
Recovery Experience Questions
Tracking recovery milestones and experiences provides insight into rehabilitation progress. This set covers treatment methods, support received, and patient satisfaction over time. Align findings with our Patient Satisfaction Survey .
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What type of treatment did you receive after your concussion?
Knowing the treatment modalities supports evaluation of standard care effectiveness. It also helps identify gaps and opportunities for improved protocols.
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How satisfied are you with the care provided during your recovery?
Patient satisfaction insights guide enhancements in service delivery and communication. High satisfaction often correlates with better adherence to recovery guidelines.
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Did you receive any physical therapy or vestibular therapy?
Rehabilitation services usage indicates the comprehensiveness of care received. Identifying therapy types helps assess their impact on symptom resolution.
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Were you given a return-to-play or return-to-learn protocol?
Structured protocols support safe, gradual reintegration into activities and reduce re-injury risk. Documenting adherence helps evaluate protocol effectiveness.
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How long did it take for your symptoms to resolve completely?
Resolution time provides benchmarks for expected recovery trajectories. Comparing individual timelines to norms helps identify atypical recovery patterns.
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Did you experience any setbacks during your recovery?
Identifying setbacks allows for adjustment of care plans and additional support. It also highlights potential factors delaying recovery.
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Have you maintained follow-up appointments with healthcare providers?
Ongoing care is crucial to monitor for emerging issues or complications. Regular follow-ups improve long-term outcomes and patient confidence.
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Did you receive education on concussion prevention and management?
Patient education is key to reducing re-injury risk and promoting self-care. Assessing educational outreach informs future training and resource development.
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Have you adopted any lifestyle changes to support your recovery?
Lifestyle modifications often enhance healing and symptom management. Understanding these changes reveals patient engagement and areas needing support.
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How confident do you feel about returning to your regular activities?
Assessing confidence levels helps determine readiness and may uncover lingering anxieties. Addressing these concerns supports a smoother transition back to normal routines.
Football Concussion Experience Questions
Football players face specific risks and experiences with concussions on the field. These questions dive into game situations, protective gear use, and reporting habits. Adapt these items for your Sport Injury Survey research.
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Have you ever experienced a concussion while playing football?
This question identifies incidence rates specific to football athletes. It also helps link sport-related risks to broader safety protocols.
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At what position do you play or did you play in football?
Position analysis helps determine exposure to collision risks and tailored safety measures. Certain positions may face higher impact frequencies requiring targeted prevention.
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How many games did you continue playing after a suspected concussion?
Evaluating return-to-play decisions can highlight gaps in sideline assessment protocols. Early removal from play is critical for preventing further brain injury.
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Did you report your concussion symptoms to coaches or medical staff?
Reporting behavior is critical for timely medical evaluation and care. Understanding barriers to reporting can improve education and policy enforcement.
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Were you wearing a helmet that fit properly at the time of injury?
Equipment fit and condition are key factors in concussion prevention. Proper helmet fit reduces the force of impact transmitted to the brain.
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Have you used any protective gear beyond standard helmets?
Additional gear usage can indicate proactive safety behaviors among players. Investigating gear choices helps inform recommendations for best practices.
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Did your team have a concussion management policy in place?
Policy presence affects how concussions are identified and managed in teams. Strong policies can improve player safety and reporting compliance.
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Have you ever been removed from a game due to a head injury?
Removal protocols reflect adherence to safety guidelines and player well-being. Tracking removal incidents provides insight into team culture and policy effectiveness.
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Did any teammates or coaches encourage you to continue playing?
Peer and coach influence can impact reporting and safety behaviors. Recognizing these dynamics helps in designing educational interventions.
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Do you feel football organizations adequately address concussion risks?
Perceptions of organizational responsibility drive policy advocacy and improvements. Feedback gathered can guide changes in safety standards and training.
Cognitive Function Assessment Questions
Concussions often impact thinking processes, memory, and attention. This set evaluates cognitive changes and challenges during daily tasks and decision-making. Pair these with our Cognitive Survey framework.
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Are you having trouble focusing on tasks since your concussion?
Focus difficulties are a primary indicator of cognitive impairment post-injury. Identifying concentration issues informs strategies for cognitive rest and rehab.
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Have you noticed any changes in short-term memory?
Short-term memory lapses can highlight disruptions in neural pathways. Monitoring memory changes helps tailor cognitive therapy approaches.
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Do you find it harder to process complex information?
Processing speed assessments help evaluate executive function changes. Slow information processing can affect decision-making and academic tasks.
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Are you experiencing slower reaction times than before?
Reaction time delays can indicate residual cognitive slowing post-concussion. Measuring reaction speed aids in safe return-to-activity decisions.
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Have you had difficulty organizing or planning daily activities?
Executive function challenges often affect planning and organization skills. Assessing these issues supports targeted cognitive rehabilitation.
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Are you struggling with word-finding or verbal fluency?
Language retrieval issues can signal damage to specific brain regions. Tracking verbal challenges assists in speech therapy referrals.
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Do you experience mental fog or confusion?
Mental fog is a subjective symptom of ongoing cognitive impairment. Recognizing this helps in recommending rest or task modifications.
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Have cognitive tasks become more mentally exhausting?
Increased cognitive effort may reflect reduced neural efficiency after injury. Identifying mental fatigue supports adjustments in work or study schedules.
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Are you having difficulty multitasking as you normally would?
Multitasking tests assess the brain's ability to manage simultaneous demands. Recognizing limitations informs gradual task reintroduction.
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Have you undergone any formal cognitive testing since your injury?
Testing history provides data on monitoring and evaluating cognitive recovery. Results guide adjustments to rehabilitation and support plans.
