RT Book, Section
A1 Gulick, Dawn
SR Print(0)
ID 1186216991
T1 Screen
T2 Sport Notes: Field & Clinical Examination Guide
YR 2008
FD 2008
PB F. A. Davis Company
PP New York, NY
SN 9780803618756
LK fadavisat.mhmedical.com/content.aspx?aid=1186216991
RD 2023/10/04
AB Table  Graphic  Jump  Location|Download  (.pdf)|PrintPreparticipation  Physical  EvaluationQuestionnaire:YesNo1.  Have  you  ever  been  hospitalized?  2.  Have  you  ever  had  surgery?  3.  Do  you  take  any  medications?  4.  Do  you  take  any  nutritional  supplements?  5.  Do  you  have  any  allergies:  food,  insects,  medicine,  pollen?  6.  Have  you  ever  been  dizzy  or  passed  out?  7.  Have  you  ever  had  chest  pain?  8.  Do  you  have  a  heart  murmur?  9.  Has  any  member  of  your  family  died  a  sudden  death  before  age  50?  10.  Have  you  ever  had  a  concussion,  been  knocked  out,  or  become  unconscious?  11.  Have  you  ever  had  a  seizure/convulsion?  12.  Have  you  ever  had  a  burner/stinger?  13.  Do  you  have  asthma?  14.  Do  you  have  any  skin  problems?  15.  Do  you  have  diabetes?  16.  Have  you  ever  broken/fractured  a  bone?  17.  Do  you  wear  contacts?  18.  Do  you  have  any  dental  appliances?  19.  Do  you  wear  any  special  equipment  to  participate  in  sports?  20.  Have  you  had  a  tetanus  shot  within  5  years?  21.  Do  you  have  nose  bleeds?  22.  Do  you  have  headaches?  23.  ♀:  Is  your  menstrual  cycle  regular?  Source:  Anderson  MK,  Hall  SJ  &  Martin  M  (2000);  Lillegard  WA,  Burcher  JD  &  Rucker  KS  (1999).