Sport Participation Study

Please answer the following questions to the best of your ability. If you have only a son or daughter, please only respond to those
questions regarding them. If you have both a son and daughter, please respond to all questions. You have the option to withhold
answers to any of the following questions without any repercussions.

Have you ever had a concussion? Yes No

How aware are you about the effects of concussion? (not aware) 1 2 3 4 5 (very aware)

Have you participated in sport? Yes No

What is your child’s gender? Male Female

How old is your child? _____________

How worried are you about your child’s risk for concussion?

(not worried) 1 2 3 4 5 (very worried)

How likely are you to encourage your child to participate in a sport?

(not likely at all) 1 2 3 4 5 (very likely)

How likely are you to allow your daughter to participate in soccer?

(not likely at all) 1 2 3 4 5 (very likely)

How likely are you to allow your son to participate in soccer?

(not likely at all) 1 2 3 4 5 (very likely)

How likely are you to allow your daughter to participate in football?

(not likely at all) 1 2 3 4 5 (very likely)

How likely are you to allow your son to participate in football?

(not likely at all) 1 2 3 4 5 (very likely)

How likely are you to allow your daughter to participate in hockey?

(not likely at all) 1 2 3 4 5 (very likely)

How likely are you to allow your son to participate in hockey?

(not likely at all) 1 2 3 4 5 (very likely)

How likely are you to allow your daughter to participate in dance?

(not likely at all) 1 2 3 4 5 (very likely)

How likely are you to allow your son to participate in dance?

(not likely at all) 1 2 3 4 5 (very likely)

How likely are you to allow your daughter to participate in tennis?

(not likely at all) 1 2 3 4 5 (very likely)

How likely are you to allow your son to participate in tennis?

(not likely at all) 1 2 3 4 5 (very likely)

How likely are you to allow your daughter to participate in golf?

(not likely at all) 1 2 3 4 5 (very likely)

How likely are you to allow your son to participate in golf?

(not likely at all) 1 2 3 4 5 (very likely)

Please list any sport(s) you would not want your child to participate in and briefly explain why.

What do you believe to be the top 3 benefits of sports?

What do you think to be the top 3 negatives of sport participation?