Bezza123
Active Member
I am a student currently studying Sports Therapy in my final year at University. This questionnaire has been designed to help me with my independent study and i want to see how people feel about it and respones! So if you have 5 minutes to fillin this questionnaire for me to gain an idea on how it goes i would really appriciate it. If you would like to email me your information then please send to deano-1990@hotmail.co.uk. All information is confidential and asks for no names or anything meaning you could be identified.
Discipline: Showjumping XC Dressage
Level: Affiliated/Unaffiliated 2ft3-2ft6 2ft9-3ft 3ft3-3ft6
Optimum time YES/NO
Rider Details:
Gender: Male Female
Age: <20 20-29 30-3 40-49 >50
Years of Competing: 1-5 6-10 11-15 16-20 >20
Have you had any injuries in the last 2 years from falls whilst competing? YES/NO
If more than one fall has occurred please state the worst injury.
If YES where did you injure? :
Face
Neck
Back
Shoulders
Arms
Legs
Other (please specify).......................................... .................................................. ....................
Was this injury:
Break
Concussion
Sprain/strain
Cuts
Bruises
Internal Injury
Other (please specify).......................................... .................................................. ....................
Were you hospitalised? YES/NO
How did this fall/s occur?
On the flat
Before a fence
Over a fence
After a fence
If you can remember how you fell please state (i.e. horse refused rider fell off side) .................................................. .................................................. .................................................. .........................
Do you feel this fall was preventable? (I.e. jump design, equipment, weather, rider error, horse going too fast/slow, fatigue.) .................................................. .................................................. ........................................
Any other information about the injury .................................................. .................................................. .................................................. .................................................. .................................................. .................................................. .................................................. ......
Riding hat kite mark.............................................. .........................
Were you wearing a body protector? YES/NO
Body protector make and level............................................. .................................................. ..
Were you using a body cage? YES/NO
Were you using an inflatable protector i.e. point two air jackets? YES/NO
Do you feel if you have had a fall whilst wearing the body cage or air jacket it has prevented you from a more serious injury? YES/NO
thank you for your time!
Discipline: Showjumping XC Dressage
Level: Affiliated/Unaffiliated 2ft3-2ft6 2ft9-3ft 3ft3-3ft6
Optimum time YES/NO
Rider Details:
Gender: Male Female
Age: <20 20-29 30-3 40-49 >50
Years of Competing: 1-5 6-10 11-15 16-20 >20
Have you had any injuries in the last 2 years from falls whilst competing? YES/NO
If more than one fall has occurred please state the worst injury.
If YES where did you injure? :
Face
Neck
Back
Shoulders
Arms
Legs
Other (please specify).......................................... .................................................. ....................
Was this injury:
Break
Concussion
Sprain/strain
Cuts
Bruises
Internal Injury
Other (please specify).......................................... .................................................. ....................
Were you hospitalised? YES/NO
How did this fall/s occur?
On the flat
Before a fence
Over a fence
After a fence
If you can remember how you fell please state (i.e. horse refused rider fell off side) .................................................. .................................................. .................................................. .........................
Do you feel this fall was preventable? (I.e. jump design, equipment, weather, rider error, horse going too fast/slow, fatigue.) .................................................. .................................................. ........................................
Any other information about the injury .................................................. .................................................. .................................................. .................................................. .................................................. .................................................. .................................................. ......
Riding hat kite mark.............................................. .........................
Were you wearing a body protector? YES/NO
Body protector make and level............................................. .................................................. ..
Were you using a body cage? YES/NO
Were you using an inflatable protector i.e. point two air jackets? YES/NO
Do you feel if you have had a fall whilst wearing the body cage or air jacket it has prevented you from a more serious injury? YES/NO
thank you for your time!