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Please take the time to fill out this HEALTH QUESTIONNAIRE, if you ever participated in any type of contact sports in the past.

What type of contact sports did you participate in, i.e., boxing, kick-boxing,
full-contact karate, or other?

How long ago did you participate in that sport(s)?

How many years did you participated in contact sports?      

Did you wear any type of breast/chest protector while training in the gym?     

How many hours a day you trained?

How many days in a week did you train? (Use a number i.e., 1, 2, etc.

 How many miles did you jog/run per week?

After training in the above mentioned sport(s), did you develop any type
of health problem, i.e., breast cancer, brain injuries, TMJ, bone tumors, etc.,
please give as much detail as possible?

 Were you ever told by your doctor that the health problem(s) was caused by the contact sport(s), hereditary factors, and/or unknown factors?

Email address   

 Your name (optional)   

  Questions for women boxers only: 
If you had it to do all over again, would you have boxed?   
  Yes or No

If you boxed professionally, was it worth the time and effort it took
to compete?  


After thinking about it in retrospect, would you have chosen another professional sport to compete in?     

SECURITY CODE: Below type 4444 in the box -(This is to help prevent spammers)

  <type the number: 4444

 

 
 
 
     
     
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