ImPACT Version 4 Post Concussion Symptom Inventory

ImPACT Version 4 Post Concussion Symptom Inventory
The symptom section is designed to obtain information helpful in identifying whether the test taker is experiencing symptoms characteristic of a concussion. The administrator may read the questions to the test taker but the administrator should never provide the test taker with answers to the questions.
Click “OK” to start the section. As you move through each screen of the section, select “Continue” to move to the next screen or “Back” to go to a previous screen to make changes. All questions must be answered before continuing to the next screen.
The symptoms are:

• Headache
• Trouble Falling Asleep
• Nausea
• Sleeping More than Usual
• Vomiting
• Sleeping Less than Usual
• Balance Problems
• Drowsiness
• Dizziness
• Sensitivity to Light
• Sensitivity to Noise
• Irritability
• Feeling Mentally Foggy
• Sadness
• Difficulty Concentrating
• Nervousness
• Difficulty Remembering
• Feeling More Emotional
• Visual Problems
• Numbness or Tingling
• Feeling Slowed Down
• Fatigue