Surveys
2014
October
A
ACL Injury-Male
ACL Injury-Male
0%
Exit Survey
Hello:
You are invited to participate in our survey on contributing factors to ACL injury. In this survey people will be asked to complete a survey that asks questions about their ACL injury. It will take approximately ten 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 Brandon Craig by cell (937)-267-6463 or by email at the email address specified below.
Thank you very much for your time and support. Please start with the survey now by clicking on the
Continue
button below.
I Agree
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?
Patella Tendon Graft
Hamstring Graft
Cadaver
Not sure
None
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 your 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.
Loading...
close
Loading...
Close
qpweb2.questionpro.net
Loading...
