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* 1. Name of rowing program/team

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* 2. Year in school

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* 3. Gender

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* 4. Age

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* 5. Weight

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* 6. Height

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* 7. How long have you been rowing?

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* 8. Is the majority of your rowing (greater than 50%) sculling or sweep rowing?

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* 9. If you answered sweeping to the question above, which side do you row on the majority of the time (greater than 50%)?

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* 10. How many hours per week do you participate in training/practice for rowing?

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* 11. Approximately what percentage of those training hours are spent on the water?

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* 12. 7. Please check the following activities that you participate in as part of your training? (Choose all that apply)

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* 13. Do you participate in any other sports?

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* 14. If you do participate in other sports, please list them below.

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* 15. Have you experienced an injury to the wrist or forearm related to rowing (ex: fracture, extensor tenosynovitis, etc.)?

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* 16. If you responded ‘yes’ to the above question, what was the injury and list the symptoms you experienced due to the injury.

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* 17. Have you experienced an injury to the elbow related to rowing (ex: fracture, extensor tenosynovitis, etc.)?

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* 18. If you responded ‘yes’ to the above question, what was the injury and please list the symptoms you experienced due to the injury.

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* 19. Have you experienced an injury to the knee related to rowing (ex: IT band syndrome, chondromalacia patella, patellar tendonitis etc.)?

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* 20. If you responded ‘yes’ to the above question, what was the injury and please list the symptoms you experienced due to the injury.

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* 21. Have you experienced an injury to the low back related to rowing (ex: disc herniation, spondylosis, SI joint dysfunction, etc.)?

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* 22. If you responded ‘yes’ to the above question, what was the injury and please list the symptoms you experienced due to the injury.

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* 23. Have you experienced an injury to the shoulder related to rowing?

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* 24. If you responded ‘yes’ to the above question, what was the injury and please list the symptoms you experienced due to the injury.

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* 25. Have you experienced any other injury related to rowing?

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* 26. If you responded ‘yes’ to the above question, what was the injury and please list the symptoms you experienced due to the injury.

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