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* 1. Are you

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* 2. What state and County do you live in?

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* 3. What is your grade level?

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* 4. What is your age group

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* 5. What is your ethnicity/Race

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* 6. Have you ever had Baseline Concussion Testing

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* 7. What sport(s) do you play

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* 8. Have you ever been diagnosed with a concussion?

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* 9. If yes, check all that apply

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