Get Graded Symptom Checklist

The Graded Symptom Checklist is a valuable tool used to assess symptoms following a concussive injury. This guide provides step-by-step instructions on how to accurately fill out this checklist online, ensuring that each user's needs are met effectively.

Follow the steps to successfully complete the Graded Symptom Checklist.

1. Press the ‘Get Form’ button to access the Graded Symptom Checklist online.
2. Begin by reviewing each symptom listed on the form. These symptoms include blurred vision, dizziness, fatigue, and more. Make sure to familiarize yourself with all the symptoms before proceeding.
3. For each symptom, evaluate your experience and rank the severity on a scale from 0 to 6. Remember that 0 represents no symptoms, while 6 indicates severe symptoms.
4. Establish a baseline score by filling out the checklist before the start of the athletic season. This score will be crucial for comparison after any concussive injury.
5. After a concussive injury occurs, reassess each symptom using the checklist again. Input your new rankings to compare against your baseline score.
6. Add any necessary columns to compare your scores over time. This allows for an effective tracking of symptom resolution.
7. Evaluate if it is appropriate to return to activity based on the comparison of current scores to the baseline score. Only consider returning if the scores are comparable.
8. Continue monitoring the symptoms every 2 to 3 days if they do not resolve, and fill out the checklist accordingly.
9. Finally, once you have completed filling out the checklist, you can save your changes, download a copy, or print the form for your records.

Complete your Graded Symptom Checklist online today to ensure a safe return to activity.