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NECK DISABILITY INDEX QUESTIONNAIRE Please Read: This questionnaire is designed to enable us to understand how much your neck pain has affected your ability to manage everyday activities. Please answer.

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How to fill out the Neck Disability Index online

The Neck Disability Index is a crucial questionnaire designed to assess how neck pain affects your daily activities. This guide will provide you with step-by-step instructions to complete the form online effectively.

Follow the steps to complete the Neck Disability Index efficiently.

  1. Press the ‘Get Form’ button to access the Neck Disability Index questionnaire and open it in your preferred document editor.
  2. Read the instructions carefully at the beginning of the questionnaire to ensure you understand the requirement of circling only one option that best describes your current situation.
  3. Begin with Section 1 on Pain Intensity. Review the options from A to F and circle the one that most closely aligns with your current pain level.
  4. Move to Section 2, Personal Care. Select your response by circling one of the options A to F that best describes your ability to manage your personal care in light of your neck pain.
  5. Proceed to Section 3, Lifting. As with previous sections, choose the option that reflects your lifting capabilities by circling the applicable choice.
  6. Continue to Section 4, Reading, and indicate your experience with reading while dealing with neck pain by circling the best fit from the given selections.
  7. Next, address Section 5, Headache. Circle one option that best captures your experience with headaches in relation to your neck discomfort.
  8. In Section 6, Concentration, evaluate how well you can concentrate and select the statement that resonates most with your current ability.
  9. Proceed to Section 7, Work, where you will assess your work capabilities and choose the most accurate description of your ability to work.
  10. In Section 8, Driving, reflect on your driving experience and circumscribe the appropriate option concerning your neck pain.
  11. Next, fill out Section 9, Sleeping. Express how your neck pain impacts your sleep by selecting the option that best describes your situation.
  12. Finally, address Section 10, Recreation, where you will outline how neck pain affects your ability to engage in recreational activities. Circle the answer that most accurately reflects your condition.
  13. Once all sections are completed, calculate your Disability Index Score and write it in the designated field.
  14. Sign and date the questionnaire at the end to confirm your responses.
  15. Save your changes, and download, print, or share the completed form as needed.

Complete your Neck Disability Index online today to help assess your neck pain accurately.

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The sum of the seven items equals the total score of the PDI, which ranges from 0 to 70, with higher scores reflecting higher interference of pain with daily activities. The PDI measures family / home responsibilities, recreation, social activity, occupation, sexual behavior, self-care and life support activity [3].

The items of the questionnaire are assessed on a 0–10 numeric rating scale in which 0 means no disability and 10 is maximum disability. The sum of the seven items equals the total score of the PDI, which ranges from 0 to 70, with higher scores reflecting higher interference of pain with daily activities.

The NDI has become a standard instrument for measuring self-rated disability due to neck pain and is used by clinicians and researchers alike. Each of the 10 items is scored from 0 - 5. The maximum score is therefore 50. The obtained score can be multiplied by 2 to produce a percentage score.

Overview: The Pain Disability Index (PDI) a simple and rapid instrument for measuring the impact that pain has on the ability of a person to participate in essential life activities. This can be used to evaluate patients initially to monitor them over time and to judge the effectiveness of interventions.

The NDI is scored in the same way as the Oswestry Disability Index. 2. Using this system, a score of 10-28% (i.e., 5-14 points) is considered by the authors to constitute mild disability; 30-48% is moderate; 50-68% is severe; 72% or more is complete.

The final score/index ranges from 0-100. A score of 0-20 reflects minimal disability, 21-40 moderate disability, 41-60 severe disability, 61-80 crippled, and 81-100 bed-bound. Minimal clinical difference has been evaluated across numerous types of spinal surgery, and has been shown to vary significantly.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Your Privacy Choices
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Help Portal
Legal Resources
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
altaFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232