QUESTIONNAIRE

PREVALENCE AND RISK FACTORS OF KNEE PAIN IN ATHLETES OF

UNIVERSITY OF LAHORE
1. Name: __________________________________ Date: ______________
2. (a) Age: ______
(b) Gender

Male

Female

3. Occupation:
Student

Professional

Business

Others

4. Socio-Economic Status

Lower Middle

Middle

Upper Middle

Elite

5) Marital Status:

Married

Single

6) Any Past Medical History:

Yes

No

7) Any Past Surgical History:

A) Yes

B) No

8) You are related to which category of sports?

a) Football

b) cricket

c) badminton

d) track and field

9) Are You Suffering From Knee Pain:

Yes

No

10) Is it:
a) uni-lateral

b) bi-lateral

11) From How long do you have this Knee Pain:

A) 1 Month

B) 4 Month

C) 6 Month

D) More Than 6 Months

12) Score your pain level:

a) 1-3

b) 4-6

c) 7-10

13) What factors did cause this knee pain?

A) Over-Exertion

B) Poor playing mechanics

C) Over weight

____kg

D) Old Injury

14) Any Other Complaint:

Hyper-Tension

Diabetes

Other _________

15) Is The Pain Relieved By Rest?

a) Yes

b) No

16) Does this pain aggravate during game or not?

a) YES

b) NO

17) Did you take any physical therapy intervention For This Knee Pain?
A) YES

B) NO

18) Did you take any medication for this knee pain:
A) YES

B) NO