Soft Tissue Injury Quiz Form
Test your knowledge and check in about soft tissue injuries. Please answer all questions to the best of your ability.
What is your current understanding of what a soft tissue injury is?
*
When did the injury occur?
*
-
Month
-
Day
Year
Date
Which of the following are types of soft tissue injuries?
*
Sprain
Strain
Contusion (bruise)
Fracture
Dislocation
Other
Which area of the body is affected?
*
Please Select
Ankle
Knee
Wrist
Shoulder
Back
Neck
Other
Rate your current level of pain or discomfort.
*
No pain
1
2
3
4
5
6
7
8
9
Severe pain
10
1 is No pain, 10 is Severe pain
What symptoms are you experiencing?
*
Swelling
Bruising
Limited movement
Tenderness
Numbness
Other
Which activity most likely caused the injury?
*
Sports or exercise
Work-related
Accidental fall
Repetitive motion
Other
What immediate actions have you taken since the injury occurred?
*
Rested the area
Applied ice
Used compression
Elevated the area
Sought medical attention
None
Other
How confident are you in your knowledge of soft tissue injury recovery steps?
*
Not confident
1
2
3
4
Very confident
5
1 is Not confident, 5 is Very confident
Briefly describe any previous experience you have had with soft tissue injuries.
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