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PLAYERS NAME: ADAM HASTINGS COUNTY:OXFORDSHIRE INJURY QUESTIONNAIRE Please indicate below the nature and site (e.g. left/ right) of any current or recent injury, including when this happened and the treatment required. In the past 12 months have you had any serious problem with any of the following which has prevented you from playing for three weeks or more. Please indicate if the injury requires attention (e.g. strapping, ultrasound, consultation etc) SPECIAL DETAILSAny relevant information concerning the participant’s health requiring special attention, but which does not prevent him or her taking part. Delete as applicable. IF YES YOU MUST GIVE DETAILS. Do you suffer, or have you suffered from any of the following?
Approximate Word count = 410
Approximate Pages = 1.6
(250 words per page double spaced)
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