In this study, athletes' knowledge scores ranged from 20 to 34. Higher scores indicated greater knowledge of concussions. Total athlete overall attitude scores toward concussion ranged from 40 to 98. A higher score indicated the athlete had a better attitude in reporting their concussion-like event. A total of 182 athletes (53.3%) recalled having at least 1 possible concussion or concussion. concussion-like event. Of these 182, only 31 (16.9%) indicated that they reported all concussive events they experienced to a coach or doctor. Participants recalled 84 concussions, and in only 41 (48.8%) of these events did the athlete indicate having reported the event. Additionally, athletes recalled 584 concussion-like events (bell ringing), and in only 72 of these (12.3%) did the respondent indicate that they reported the event to a doctor or coach. The researchers noted that the main reasons for not reporting a concussion or bell were as follows: • The athlete did not think the event was serious enough to report (70.2%) • The athlete did not want be removed from the game (36.5%) • The athlete did not want to disappoint his teammates (27.0%) • The athlete did not want to disappoint his coaches (23.0%) Other reasons for not report events were: the athlete did not know it was a concussion (14.9%) and the athlete did not want to be removed from training (13.5%). In addition to these reasons, 37.7% of athletes responded that they continued to participate in a practice or game at least once while experiencing signs and symptoms of a concussion. Greater knowledge of athletes was not associated with the prevalence of athletes indicating they continued to participate......middle of paper......school athletes did not show up. Furthermore, the findings suggest that improving sports culture, increasing knowledge of concussion symptoms, and increasing understanding of the serious nature of concussion injuries should be goals for future interventions. Furthermore, these findings support policies for the education of both coaches and athletes, as well as parents of athletes. Recommendations In the future, researchers should investigate how external factors, such as pressure from a coach, parents, and teammates, influence concussion reporting among high school athletes. They should also include other high-risk sports, such as ice hockey, basketball and wrestling. Another area to investigate is how long after the traumatic event the athlete waited to report the incident to a doctor or coach, as this was not addressed in the present study.