Get the free injury history questionnaire - Smith Performance Center
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Smith Performance Center LLC 4749 S Irving Ave Phone: 5203984886 www.smithperformancecenter.com Craig smithperformancecenter.com INJURY HISTORY QUESTIONNAIRE NAME: SEX: DATE: SPORT: AGE: PLEASE CIRCLE
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How to fill out injury history questionnaire
How to fill out an injury history questionnaire:
01
Start by carefully reading each question on the questionnaire. Take your time to understand what information is being asked for.
02
Begin filling out the questionnaire by providing your personal details, such as your name, date of birth, and contact information. This will help the healthcare professional identify your responses accurately.
03
Move on to the section where you will need to provide a detailed account of any past injuries or medical conditions you have experienced. Be honest and thorough in your responses, including specific details such as the date of the injury, the nature of the injury, and any medical treatment received.
04
If there are specific questions related to a certain type of injury, such as sports-related injuries or workplace accidents, make sure to answer them accordingly. This will help the healthcare professional understand the context and severity of your past injuries.
05
In the next section, you might be asked about any surgeries or procedures you have undergone in the past. Again, provide accurate information, including the type of surgery, dates, and outcomes.
06
If there is a section dedicated to chronic medical conditions or any relevant family medical history, answer these questions accordingly. This information can be crucial in assessing your overall health and potential risk factors.
07
Finally, review your responses before submitting the questionnaire. Double-check for any errors or omissions to ensure that you have provided a complete and accurate history of your injuries.
08
It is important to note that not everyone needs to fill out an injury history questionnaire. Generally, this type of questionnaire is required when seeking medical treatment, participating in physical activities or sports programs, applying for certain jobs, or engaging in legal proceedings related to an injury. Follow the instructions provided by the organization or healthcare professional requesting the questionnaire to determine if you need to complete it.
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