Sports & Recreation · community shared

Concussion Incident Report — shared by the community

Dev A. shared this 29-question build with 4 conditional rules already wired up. Test it below, then take a copy.

A ready-to-use sports & recreation form for small teams who need a reliable intake process: 29 questions, 2 pages, 4 conditional rules.

Shared by
Dev A. · Freelance consultant
Questions
29
Replies
22
Copies taken
87
See the library version

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Live preview and test console

This is the real form. Answer it to test the flow — nothing is sent or stored.

Page 1 of 2Athlete and incident

What happened, recorded today

Is the athlete under 18?
Setting
Did anyone see it happen?
Was there any loss of consciousness?
Signs observed by others
Symptoms the athlete reported

This template runs as a straight sequence — no branching rules.

Works for you? Take Dev A.'s copy into your own workspace — questions, rules and settings included.

Who this template is for

Concussion Incident Report is built for small teams who need a reliable intake process who need to collect the same complete information from everyone.

  • Small teams who need a reliable intake process working in sports & recreation.
  • Teams who need to collect the same complete information from everyone without writing code or paying for a custom build.
  • Anyone replacing chasing missing details over email with one structured record per enquiry.
  • Respondents are the people you send it to — the form asks them 29 questions across 2 screens.

Why this form is useful

It removes the cost of chasing missing details over email and turns each submission into a record your team can act on immediately.

  • 21 questions are required, so submissions arrive complete instead of needing a follow-up email.
  • It records a signature you can keep as proof of agreement.
  • It pins the request to a specific date.
  • It allows multiple selections without free text.
  • Conditional logic hides 4 questions until they are relevant — shorter forms convert better than long ones.
  • Splitting the form across 2 pages keeps each screen short and shows respondents how much is left.
  • Every response is stored, searchable and exportable, so nothing depends on one person's inbox.

How to use this template

From copy to live form is a few minutes of work, and every step is reversible.

  1. 1Press “Use this template” — a fresh copy of Concussion Incident Report lands in your workspace, ready to edit.
  2. 2Rename or delete any question, and change what is required. Nothing here is fixed.
  3. 3Open Notifications and add the email addresses that should be alerted on each submission; add an auto-reply to the respondent if the form collects an email address.
  4. 4Publish it, then either share the link directly or paste the embed snippet into your site — the embedded form resizes to fit and loads no marketing or advertising trackers.
  5. 5Watch responses land in Submissions, where you can filter, label and export them to CSV or PDF.

Logic and conditions blueprint

Exactly how this form behaves as it is answered — 4 conditional rules ship with it.

  • Features conditional validation: if “Was the athlete removed from play immediately?” is No, “Why they were not removed immediately” becomes mandatory before the form can be sent.
  • Features conditional validation: if “Was there any loss of consciousness?” is Yes, “How long, as near as known” becomes mandatory before the form can be sent.
  • Features conditional validation: if “Is the athlete under 18?” is Yes, “When a parent or guardian was told” becomes mandatory before the form can be sent.
  • Features conditional validation: if “Has the athlete been assessed by a clinician?” is Yes, “Clinician name and date assessed” becomes mandatory before the form can be sent.
  • All 4 rules are editable in the Logic tab, and the built-in checker warns about rules that contradict each other.

What this form asks

Page 1 — Athlete and incident

  • Athlete full namerequired
  • Date of birthrequired
  • Is the athlete under 18?required
  • Team or squadrequired
  • Sportrequired
  • Date of the incidentrequired
  • Approximate time
  • Settingrequired
  • How the injury happenedrequired
  • Did anyone see it happen?required
  • Was there any loss of consciousness?required
  • How long, as near as known
  • Signs observed by othersrequired
  • Symptoms the athlete reportedrequired

Page 2 — Action taken and return to play

  • Was the athlete removed from play immediately?required
  • Why they were not removed immediately
  • Who made the decision to remove themrequired
  • Was emergency care called?required
  • Was the athlete left alone after the incident?required
  • When a parent or guardian was told
  • Who reported the incidentrequired
  • Has the athlete been assessed by a clinician?required
  • Clinician name and date assessed
  • Return-to-play stages completedrequired
  • Date of written clinical clearance
  • Who signed off the return to play
  • Anything else that should be on the record
  • Reported byrequired
  • Date recordedrequired

Conditional logic in this build

  • WhenWas the athlete removed from play immediately?is No, requireWhy they were not removed immediately”.
  • WhenWas there any loss of consciousness?is Yes, requireHow long, as near as known”.
  • WhenIs the athlete under 18?is Yes, requireWhen a parent or guardian was told”.
  • WhenHas the athlete been assessed by a clinician?is Yes, requireClinician name and date assessed”.

Questions about this shared form

Does this diagnose a concussion?

No. It records a suspected concussion, what was observed and what was done. Diagnosis and clearance come from a clinician.

Who should complete it?

Whoever was present, usually a coach or athletic trainer. A parent can add what they saw afterwards in the notes.

How is this different from a workplace incident report?

It is built around head injury in sport: signs versus symptoms, removal from play, parental notification and staged return to play.

What protocol should we follow?

The one set by your governing body and clinicians. This form records what happened and who signed off each stage, whatever protocol applies.

Is the Concussion Incident Report template free to use?

Yes. You can preview and test Concussion Incident Report on this page without an account, and take a copy into your own HelloForms workspace on the free plan. There is nothing to install and no card required to publish it.

What does the Concussion Incident Report template ask for?

It asks 29 questions across 2 pages, 21 of which are required. Every question is listed in full further down this page, and each one can be renamed, reordered, made optional or deleted after you copy the template.

Can I edit the Concussion Incident Report form after copying it?

Yes — the copy is entirely yours. Change wording, add or remove questions, switch between the classic layout, restyle it to match your brand, and set who gets notified on each submission.

How does the conditional logic in this sports & recreation form work?

4 conditional rules ship with the template: Features conditional validation: if “Was the athlete removed from play immediately?” is No, “Why they were not removed immediately” becomes mandatory before the form can be sent. Features conditional validation: if “Was there any loss of consciousness?” is Yes, “How long, as near as known” becomes mandatory before the form can be sent. Features conditional validation: if “Is the athlete under 18?” is Yes, “When a parent or guardian was told” becomes mandatory before the form can be sent. All rules are editable in the Logic tab.

Where do responses to the Concussion Incident Report form go?

Submissions land in your workspace under Submissions, where you can search, filter, label and export them to CSV or PDF. You can also email a notification to your team on every submission and send the respondent an auto-reply.

Can I embed the Concussion Incident Report form on my own website?

Yes. Publish the form and paste the embed snippet into any page or share the direct link. The embedded form resizes to fit its container and loads no advertising or marketing trackers inside the iframe.

Is the signature on this form legally usable?

The template captures a drawn signature and stores it with the submission, along with the timestamp, so you keep evidence of who agreed and when. Whether that is sufficient depends on your jurisdiction and the agreement itself.