SurveySI

Yes/no -dancing -horseback riding -soccer -volleyball -basketball -swimming -gymnastics -other (please specify)
 * Do you practice a sport? (Circle one)**
 * If yes, which sport do you practice? (Check the ones that you practice)**

Yes/no
 * Have you had an injury with this sport? (Circle one)**
 * **What type?** || **How severe?**
 * (gentle, mild or severe)** || **During practice or game?** || **How many times during one year?** ||
 * sprain ||  ||   ||   ||
 * Broken leg ||  ||   ||   ||
 * Twisted finger ||  ||   ||   ||
 * Broken arm ||  ||   ||   ||
 * Back problems ||  ||   ||   ||
 * Neck complications ||  ||   ||   ||
 * hospitalized ||  ||   ||   ||
 * Head injuries ||  ||   ||   ||
 * Knee problems ||  ||   ||   ||
 * Broken toes ||  ||   ||   ||
 * Need of surgery ||  ||   ||   ||
 * other ||  ||   ||   ||