Football questionnaire
please take a minute and fill out this survey?
1) Have you ever experienced a head or neck injury during practice or a game?
Yes
No
2) what other injuries have you experienced or seen someone experience
Head and neck
shoulder
knee
Ankle
abdominal
3) How many years of football have you played? If you have ever played.
Ex: $10.00
4) What type of injury have you personally experienced?
Ex: $4.00
5) Would you be interested in football player safety ?
Not so
1
2
3
4
5
6
7
8
9
Extremely
10
1 is Not so, 10 is Extremely
6) Do you ever have your head down before or while running a play?
Not so
1
2
3
4
5
6
7
8
9
Very
10
1 is Not so, 10 is Very
7) What other issues do you find within football?
Email
example@example.com
Submit
Should be Empty: