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The Trust Company (Superannuation) Limited ABN 49 006 421 638 RSE License No. L0000635 AFS License No. 235153 Smart save Concussion / Head Injury Questionnaire Title Question 6 continued Surname Name

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How to fill out concussion head injury questionnaire

Who needs concussion head injury questionnaire?

The concussion head injury questionnaire is typically administered to individuals who have recently experienced a head injury, such as a concussion. This may include athletes, military personnel, accident victims, or individuals who have suffered a fall or blow to the head.

How to fill out concussion head injury questionnaire:

01

Start by carefully reading the instructions provided with the questionnaire. This will ensure that you understand the purpose of the questionnaire and how to accurately complete it.

02

Begin by filling in your personal information, such as your name, date of birth, and contact information. This will help identify you as the respondent and ensure that your records are properly maintained.

03

Next, you may be asked to provide details about the incident that led to the head injury. This can include information about how and when the injury occurred, any immediate symptoms experienced, and any medical treatment received.

04

The questionnaire may also inquire about your current symptoms and their severity. This can include questions about headaches, dizziness, memory loss, difficulty concentrating, mood changes, and sleep disturbances. Be honest and provide as much detail as possible to accurately reflect your symptoms.

05

It is important to be thorough when completing the questionnaire. Take your time to carefully consider each question and provide accurate and detailed responses. If you are unsure about any specific question, do not hesitate to seek clarification from a healthcare professional or the administrator of the questionnaire.

06

Some questionnaires may include additional sections or modules that assess specific aspects of head injury, such as cognitive function or emotional well-being. Follow the instructions provided to complete these sections accurately.

07

Once you have completed all sections of the concussion head injury questionnaire, review your answers to ensure that they are accurate and complete. Make any necessary corrections or additions before submitting the questionnaire.

Remember, the concussion head injury questionnaire is designed to assess your symptoms and overall condition after a head injury. Providing honest and detailed responses will help healthcare professionals accurately diagnose and manage your injury.

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What is concussion head injury questionnaire?

The concussion head injury questionnaire is a form used to gather information about head injuries, specifically concussions, in order to track and monitor cases.

Who is required to file concussion head injury questionnaire?

Healthcare professionals, coaches, and school officials are typically required to file the concussion head injury questionnaire.

How to fill out concussion head injury questionnaire?

The concussion head injury questionnaire can be filled out by providing detailed information about the head injury, symptoms, treatment, and follow-up care.

What is the purpose of concussion head injury questionnaire?

The purpose of the concussion head injury questionnaire is to collect data on head injuries, specifically concussions, in order to improve prevention and treatment strategies.

What information must be reported on concussion head injury questionnaire?

Information such as the date of the head injury, symptoms experienced, medical treatment received, and follow-up care must be reported on the concussion head injury questionnaire.

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