Contact Sports Reproductive Injuries Self-Assessment Questionnaire
Creating a comprehensive self-assessment questionnaire for reproductive injuries related to contact sports involves evaluating both the frequency and severity of injuries, as well as their impact on daily activities and overall well-being. Here’s how you can structure it
Scoring Instructions:
Calculate the scores based on the responses to each section:
– *Injury Frequency Score:* Sum responses to question 1 (range: 0-4)
– *Worst Injury Severity Score:* Response from question 3 (range: 0-4)
– *Impact on Daily Life Score:* Sum responses to questions 4 and 5 (range: 0-8)
– *Pain and Discomfort Score:* Sum responses to questions 6 and 7 (range: 0-14)
– *Psychological Impact Score:* Response from question 8 (range: 0-4)
 Severity Grading
Based on the total scores, assess the severity of reproductive injuries:
Total Score Interpretation
– 0-5: Mild impact
– 6-10: Moderate impact
– 11-15: Severe impact
– 16-20: Very severe impact
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NOTE – This questionnaire aims to assess the frequency, severity, and impact of reproductive injuries in contact sports. Please discuss your responses with a healthcare provider to ensure appropriate evaluation and treatment based on your scores and severity grading. Adjustments can be made to suit specific types of injuries or clinical settings as needed.
