Malone University ImPACT Concussion Baseline Test Go to https ...
Malone University ImPACT Concussion Baseline Test Go to https://www.impacttestonline.com/colleges Follow the steps below: 1.) Click Ohio on the drop down then launch baseline test Malone University ID Code: A8974ED2A7 1. Select Ohio from the drop down menu. Click Launch Baseline Test.
2. Select the language you are most comfortable with in which to take the test. If you need a language not listed please contact the athletic training staff to arrange to take the test with them in another language. Other available languages are: English Swedish German Spanish Czech
Portuguese Norwegian French Italian
Afrikaans Finnish Mandarin Russian
3. Read the instructions CAREFULLY so that you fully understand the test and testing environment prior to beginning the test.
4. Familiarize yourself with the test components.
5. Select the following options: School/Organization: Malone University Date of Birth: Fill in your date of birth.
6. Complete the health history information as requested with as accurate information as possible. Please note: do not select ambidextrous unless you can write with your right and left hands equally well.
7. Select your native country (the country in which you were born/raised) and language. Only choose a second language if you are FLUENT in that language.
8. Select your years of education. Note: this does not include kindergarten or the year you are heading into. It only includes years you have COMPLETED. 12= college freshman 13= college sophomore 14= college junior 15= college senior 9. Check any of the educational options that apply to you and note what type of student you are. Above Average=A/B student Average= B/C student Below Average=C/D student 10. Select your main sport. Noting position is optional. 11. Select current level of participation 12. Years of experience at that level includes only years completed. 0= freshman 1= sophomore 2= junior 3= senior
13. Note past concussion history to the best of your knowledge. If you have no concussion history mark all as 0 and move on to the next page.
14. List the dates (month/year) of your 5 most recent concussions. If you have no history of concussion please leave this page blank and continue to the next page.
15. Indicate previous history of treatment for all issues noted.
16. Mark yes or no as to whether you have been diagnosed with any of the conditions listed.
17. Note to the best of your knowledge you’re most recent concussion date. If you have no previous history of concussion please leave this section blank. 18. Note how many hours you slept last night. 19. Please list ALL medications (prescription and over the counter) you are currently taking. This includes inhalers, supplements, etc…
20. Throughout the symptom section, please note the level of each symptom you normally feel on a daily basis. Note: 1 being the least and 6 being the most.
21. At this point you will begin the actual test. Please read ALL instructions carefully so that you know exactly what will be expected from you for each section.
2. Select the language you are most comfortable with in which to take the test. If you need a language not listed please contact the athletic training staff to arrange to take the test with them in another language. Other available languages are: English Swedish German Spanish Czech
Portuguese Norwegian French Italian
Afrikaans Finnish Mandarin Russian
3. Read the instructions CAREFULLY so that you fully understand the test and testing environment prior to beginning the test.
4. Familiarize yourself with the test components.
5. Select the following options: School/Organization: Malone University Date of Birth: Fill in your date of birth.
6. Complete the health history information as requested with as accurate information as possible. Please note: do not select ambidextrous unless you can write with your right and left hands equally well.
7. Select your native country (the country in which you were born/raised) and language. Only choose a second language if you are FLUENT in that language.
8. Select your years of education. Note: this does not include kindergarten or the year you are heading into. It only includes years you have COMPLETED. 12= college freshman 13= college sophomore 14= college junior 15= college senior 9. Check any of the educational options that apply to you and note what type of student you are. Above Average=A/B student Average= B/C student Below Average=C/D student 10. Select your main sport. Noting position is optional. 11. Select current level of participation 12. Years of experience at that level includes only years completed. 0= freshman 1= sophomore 2= junior 3= senior
13. Note past concussion history to the best of your knowledge. If you have no concussion history mark all as 0 and move on to the next page.
14. List the dates (month/year) of your 5 most recent concussions. If you have no history of concussion please leave this page blank and continue to the next page.
15. Indicate previous history of treatment for all issues noted.
16. Mark yes or no as to whether you have been diagnosed with any of the conditions listed.
17. Note to the best of your knowledge you’re most recent concussion date. If you have no previous history of concussion please leave this section blank. 18. Note how many hours you slept last night. 19. Please list ALL medications (prescription and over the counter) you are currently taking. This includes inhalers, supplements, etc…
20. Throughout the symptom section, please note the level of each symptom you normally feel on a daily basis. Note: 1 being the least and 6 being the most.
21. At this point you will begin the actual test. Please read ALL instructions carefully so that you know exactly what will be expected from you for each section.
