1
On what position do you play?
Choose one answer
2
Write your age (number):
3
How long is your hockey career? (Write the number of played seasons)
4
What type of player are you ?
Pick one answer
5
What type of player are you in penalties?
Pick one answer
6
Have you ever had a concussion ?
Pick one answer
7
How many concussions have you had in your hockey career? (number)
8
Write the order of your concussions and their severity,we know severe, moderate and mild concussion (example: 1. concussion-severe, 2. concussions-moderate)
9
How long was your recovery after concussion ?
Depending on how many concussion you had pick an answer in a row. (If you had one pick one, if you had more, pick more)
10
When I was back in the training cycle after concussion I felt ?
Depending on how many concussion you had pick an answer in a row. (If you had one pick one, if you had more, pick more)
11
When i was back in the training cycfle after concussion…?
Depending on how many concussions you had pick an answer in a row. (If you had one pick one, if you had more, pick more)
12
How did you feel after coming back to training cycle after concussion ? (Game form)
Depending on how many concussions you had pick an answer in a row. (If you had one pick one, if you had more, pick more)
13
When I was back in the training cycle after concussion I rejoined matches after ?
Depending on how many concussions you had pick an answer in a row. (If you had one pick one, if you had more, pick more)
14
When I started to play in matches again I?
Depending on how many concussions you had pick an answer in a row. (If you had one pick one, if you had more, pick more)
15
Do you think that concussion had negative effect on your game form ?
Depending on how many concussions you had pick an answer in a row. (If you had one pick one, if you had more, pick more)
16
When I started to play in matches again I felt?
Depending on how many concussions you had pick an answer in a row. (If you had one pick one, if you had more, pick more)
17
How long did it take you to get back to expected game form in matches after concussion?
Depending on how many concussions you had pick an answer in a column. (If you had one pick one, if you had more, pick more)
18
How many weeks did it take to get back to expected game form after concussion?
Depending on how many concussions you had pick an answer in a row. (If you had one pick one, if you had more, pick more)
19
How many weeks did it take to be as efficient as before ?
Depending on how many concussions you had pick an answer in a row. (If you had one pick one, if you had more, pick more)
20
Do you think that concussion had negative effect on your career ?
Depending on how many concussions you had pick an answer in a row. (If you had one pick one, if you had more, pick more)
21
Do you notice any ongoing symptoms after concussion ? If yes specify which.