ACL Return to Sport Questionnaire - Short Version

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* 1. Client name: Surname, First Name

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* 2. Who is your Physiotherapist?

Please answer the following questions referring to your main sport prior to injury. For each question, tick a box between the two descriptions to indicate how you feel right now relative to the two extremes.

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* 9. Interpretation of scores (for office use only)

Score: (add up score from each question)/6 = _______ 

Score Range: 0%-100% on psychological readiness to RTS 
A score > 60 at 6 months post injury is correlated with good likelihood of RTS

Webster, K. E., & Feller, J. A. (2018). Development and Validation of a Short Version of the Anterior Cruciate Ligament Return to Sport After Injury (ACL-RSI) Scale. Orthopaedic journal of sports medicine, 6(4).