Get Neck Index

Filling out the Neck Index is a key step in providing your healthcare provider with information about how your neck condition impacts your daily life. This guide will help you understand each section of the form and how to accurately fill it out to reflect your experiences.

Follow the steps to complete the Neck Index online effectively.

1. Press the ‘Get Form’ button to access the Neck Index questionnaire online. This will allow you to open the form and start filling it out electronically.
2. Begin with the 'Patient Name' field. Enter your full name as you would like it to appear on the form.
3. In the 'Date' field, input the current date or the date you are completing the form.
4. Move to the 'Pain Intensity' section. Review the statements provided and select the one that best describes your current pain level.
5. Proceed to the 'Sleeping' section and choose the statement that most accurately reflects your recent sleep disturbances related to neck pain.
6. In the 'Personal Care' section, indicate how your neck condition affects your ability to perform daily self-care activities.
7. Continue to the 'Lifting' section and select the statement that describes your capability of lifting weights and any associated pain.
8. Fill out the 'Reading' section by choosing the statement that best describes how your neck pain impacts your ability to read.
9. In the 'Concentration' section, mark the statement that correlates to the level of difficulty you experience while trying to concentrate.
10. Move on to the 'Work' section. Indicate your work capacity and any limitations you face due to neck pain.
11. Complete the 'Driving' section by selecting the appropriate statement regarding your ability to drive and any pain experienced while doing so.
12. In the 'Recreation' section, share how neck pain affects your ability to participate in leisure activities.
13. Lastly, address the 'Headaches' section by marking the statement that best describes the frequency and intensity of headaches you experience.
14. After you have completed all sections, calculate your Index Score using the formula provided in the document.
15. Once satisfied with your responses, you have the option to save your changes, download the completed form, print it out, or share it as necessary.

Complete the Neck Index online today to provide your healthcare provider with critical information about your condition.