Parent Interview: Brain Injury Screening Questions

Ask the parent:  "Has your child ever…"

• Been involved in an ATV or motorcycle or motor vehicle crash?
• Been hit in head during sports or play?
• Seemed dazed, confused, unlike “normal” self for period of time?
• Had a concussion, been knocked out, or lost consciousness?
• Had difficulty understanding a question, depending on the wording used?
• Had whiplash?
• Been in the hospital for a severe illness or high fever?
• Had seizures?
• Boxed, or played other sports which involve contact with the head?
• Had radiation or chemotherapy?
• Been hit on the head and seemed confused or had changes in vision, hearing, tired easily or had memory problems afterward?
• Fallen from a height over 8 feet?
• Been hospitalized for a blow to the head?