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Exit Survey
 
 
Hello:
You are invited to participate in our survey on contributing factors to ACL injuries. In this survey] people will be asked to complete a survey that asks questions about their ACL injury. It will take approximately 10 minutes to complete the questionnaire.

Your participation in this study is completely voluntary. There are no foreseeable risks associated with this project. However, if you feel uncomfortable answering any questions, you can withdraw from the survey at any point. It is very important for us to learn your opinions.

Your survey responses will be strictly confidential and data from this research will be reported only in the aggregate. Your information will be coded and will remain confidential. If you have questions at any time about the survey or the procedures, you may contact Samantha Steele at [email protected].

Thank you very much for your time and support. Please start with the survey now by clicking on the Continue button below.
 
 
 
 
What kind of injury did you have to your Anterior Cruciate Ligament?
 
Tear
 
Sprain
 
Bruise
 
Other
 
 
 
What kind of treatment did you have on the injury?
 
Surgery
 
Rehabilitation
 
Bracing
 
Nothing

 
 
 
If you had surgery, what type did you have?
 
 
 
What leg(s) was/were injured?
 
right
 
left
 
both
 
 
 
When did this occur?
 
practice
 
game
 
recreational activity
 
other
 
 
 
Explain how this injury occurred (ex. hit, plant and twist, contact with another person).
   
 
 
 
What sport, if any, were you playing at the time of injury?
   
 
 
 
Did this injury occur at the beginning, middle or end of physical activity?
 
Beginning
 
Middle
 
End
 
 
 
If you are willing to meet with us to test strength, range of motion and Q-angle, please provide your email or cell phone number along with your name. This will only take 5-10 minutes of your time. Thank you.
   
 
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