While individual talent is essential for sporting success, an optimal environment is also necessary for elite athletes to develop their full potential. In the context of a project aimed at designing a Sports Performance Centre for use by several Southeast European countries, the purpose of this study was to identify relevant issues relating to injury prevention and dual careers among active elite athletes through the Active Elite Athletes Career Questionnaire. 428 active elite athletes from 44 different sports disciplines and different European nationalities (Bosnian, Croatian, Macedonian, Montenegrin, Russian, Serbian, Slovenian and Spanish) participated, providing a global perception of dual career and injury in active athletes from different European countries. A descriptive study of central tendency was used to explain the distribution of the variables under study. The Mann-Whitney U test showed some significant differences between the countries (p<0.05), carrying out independently analysis for these cases. The fact that most of European athletes (n= 283, 66.1%) do not have an interdisciplinary team around them, highlights the need for athlete care considerations. This study contributes to foster new sports performance centers within an integrative perspective on the athletes’ careers.