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Name: ____________________________________________ Age: ________

Year and Section: _______________ Team Event: ________________

Direction: Check the following injuries that you have encountered while playing team
sports.

____ Dislocation

____ Fracture

____ Sprain

____ Strain

____ Others (pls state) ____________________________

Direction: Encircle the answer that corresponds to the given question.

1. I have encountered an injury while playing sports.

YES NO

2. I started playing sports at the age of 6-10.

YES NO

3. I started playing sports at the age of 11-15.

YES NO

4. I started playing sports at the age of 16-20.

YES NO

5. I encountered an injury because of poor physical condition.

YES NO

Direction: In your opinion, what can an athlete do to prevent himself/herself from


encountering and injury in playing sports especially in team events?

______________________________________________________________________
______________________________________________________________________
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