Sports-Related Facial Injuries and Protective Gear Survey

1. What is your nationality?

2. What is your gender?

3. How old are you? (You need to have parental consent if younger than 18 years old to

participate in this survey).

4. What is your primary sport?

5. How many years have you played your sport? (e.g., 5.5 years)

6. Have you ever received a facial injury playing this sport? (i.e., a broken nose)

7. At the time of your injury, what state did you live in?

8. How long ago did your facial injury happen? (i.e., 6 months ago)

9. How long did it take you to return to play after your facial injury? (i.e., if you returned

immediately to game play and did not sit out)

10. How did your facial injury happen?

11. At the time of your facial injury, what was your playing level?

Recreational
High School
University
Semi professional
Professional
International
International and professional

12. Have you ever seen a teammate receive a facial injury?