Do I Have a

Concussion?

(Plus What to Do About It)

This takes 10 seconds and stays 100% private. No emails are sent at this time. Educational use only.

Full Name *

Email *

1. Are you taking this quiz for yourself or for a

family/friend?

- *

Self

Friend or family member

2. When was the last time you hit your head, jostled your head, or experienced whiplash?

-- *

Within the last 24 hours

Within the last two weeks

Within the last three months

Within the last year

More than a year ago

Never

3. In addition to your most recent injury, have you previously sustained a known or probable concussion?

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Yes, within the last two weeks

Yes, within the last three months

Yes, within the last year

Yes, more than a year ago

4. Have you ever experienced anything that could cause brain trauma, including carbon monoxide poisoning, stroke, aneurysm, brain bleed, viral or bacterial meningitis, loss of oxygen to the brain…?

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Yes

Unsure

5. How many of the following symptoms do you have? Check any symptom you’ve experienced within the last week.

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6. Which of the following statements is most true for you?

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I had all of these symptoms before injuring my head.

I had many of these symptoms before injuring my head.

I had some of these symptoms before injuring my head.

I did not have any of these symptoms before injuring my head.

7. Have your symptoms gotten better or worse with time?

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They’ve been getting better.

They’ve stayed about the same.

They’ve gotten worse.