Please Help Us Further Research on Concussions
What's your age?
What's your gender?
Can you describe how your concussion occurred? (e.g., sports injury, car accident, fall, etc.)
When did you first start experiencing symptoms after the injury? Were they immediate or delayed?
What are the most persistent symptoms you’ve experienced since your concussion? (e.g., headaches, dizziness, nausea, fatigue, difficulty concentrating)
How has your concussion affected your ability to perform daily tasks, such as work, school, or household activities?
Has your sleep been affected since your concussion (e.g., difficulty falling asleep, waking up frequently, sleeping more than usual)?
Have you had a previous concussion or head injury before this one? If so, how many?
Do you experience more severe symptoms after physical activity, screen time, or mental exertion?
Have you seen a healthcare professional for your concussion recovery? If so, what type of care have you received?
What are your primary goals for concussion rehabilitation? (e.g., reducing headaches, improving balance, returning to sports or work)
Have you used health insurance to access health care
Yes
No