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SYMPTOM SCORING SHEET Name: ___ Date: ___ Sport/ Position: ___Date of Injury___ Symptom Inventory: Rate your CURRENT symptoms Rate each symptom on scale from 0 to 6 (0 no symptoms, 1 minimal symptom

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How to fill out concussion symptom inventory an

01

Obtain the concussion symptom inventory form.

02

Fill out your personal information such as name, age, and date of birth.

03

Review the list of concussion symptoms provided on the form.

04

Check off any symptoms that you are currently experiencing.

05

Provide additional details or notes about each symptom if necessary.

06

Submit the completed form to your healthcare provider or relevant medical professional.

Who needs concussion symptom inventory an?

01

Individuals who have experienced a head injury or suspect they may have a concussion.

02

Athletes participating in contact sports who may be at risk for concussions.

03

Military personnel or first responders who are exposed to situations that could result in head injuries.

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What is concussion symptom inventory an?

The concussion symptom inventory is a tool used to assess and track symptoms related to a concussion, helping healthcare providers evaluate the severity and impact of the injury.

Who is required to file concussion symptom inventory an?

Individuals who have suffered a concussion, as well as medical professionals conducting assessments, may be required to file a concussion symptom inventory.

How to fill out concussion symptom inventory an?

To fill out a concussion symptom inventory, individuals should carefully read each question or symptom listed, indicate the severity or occurrence of each symptom, and provide any necessary additional information as prompted.

What is the purpose of concussion symptom inventory an?

The purpose of the concussion symptom inventory is to systematically document symptoms, assist in diagnosing concussion severity, and monitor recovery over time.

What information must be reported on concussion symptom inventory an?

The inventory typically requires reporting symptoms experienced, their severity, duration, and any relevant medical history or previous concussion experiences.

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