Brown University equestrian injury survey
Hans
I am a 4th year Brown Medical Student conducting a review board
approved survey regarding the
injuries that people sustain while horseback riding. Since you seem to
be
connected in the equestrian network I was hoping you could help
me distribute the survey below. It's only a page long and easy to fill
out. Once you have done so please just reply to this post at
hans.vanlanc...@gmail.com or send them to me at the address below,
whichever is easier.
Hans Van Lancker
96 Gano St. Apt 6
Providence, RI 02906
I would be happy to repay shipping.
If you have any questions please email me.
All the Best,
Hans
BROWN UNIVERSITY
EQUESTRIAN INJURY SURVEY
1. What is your gender? Male Female
2. What is your age? ______
3. Which choice best describes the type of interaction you primarily
have with horses?
____Hacking ____Show
jumping ____Veterinarian
____Polo
____Farrier ____Eventing
____Dressage
____Driving ____Show hunters
____Fox hunting ____Racing
____Breeding
____Endurance riding
Other: ______________________
4. Have you had any formal riding instruction?
Yes No
5. Do you have any competition experience?
Yes No
6. If so, has it been at a professional level?
Yes No
7. How many years have you been working with horses? _______
8.On average, how many hours a week do you spend working with horses?
______
9. With which type(s) of horses have you spent time working with?
____Older, well broken horses _____Green horses _____
Young, unbroken horses _____ Stallions
10. Have you had any horse related injuries or infections? (if not,
please skip to question 16) Yes No
11.If so, please indicate below the type of injuries and/or infections
you have sustained (rashes, cuts, bruises, sprains, muscle/ligament
tears, broken bones, tooth injuries, loss of digits, dislocations,
concussions, etc.) where it occurred on your body and what you were
doing at the time (hacking, competing, vet work etc.) Please use the
back of this page if you need more space.
Injury/infection type Location on your
body What you
were doing
12. Did any of your injuries or infections require surgery or
hospitalization? Yes No
13. If so, please explain: (again, feel free to use the back of this
page for additional space)
14. Did you miss work or school? Yes
No If so how much?
_________
15. Did you miss time working with horses?
Yes No If so how much?
_________
16. Do you use safety equipment or ride with someone
else? Yes No
17. If so, how often to you use or do the following?
Helmet Always Most times
Sometimes Occasionally Never
Safety vest Always Most times
Sometimes Occasionally Never
Proper riding boots Always Most times
Sometimes Occasionally Never
Ride with someone else Always Most times
Sometimes Occasionally Never
Other_____________________
Thank you