Get Pain Disability Index

The Pain Disability Index is a valuable tool designed to assess the impact of neck pain on daily activities. This guide will help users accurately complete the form online to ensure a comprehensive evaluation of their condition.

Follow the steps to fill out the Pain Disability Index online.

1. Press the ‘Get Form’ button to access the Pain Disability Index questionnaire and open it in your preferred online form editor.
2. In Section 1, Pain Intensity, circle the ONE choice that describes your current pain level from 0 (no pain) to 5 (the worst pain imaginable).
3. Move to Section 2, Personal Care, and again circle the ONE statement that best describes how neck pain affects your personal care activities.
4. In Section 3, Lifting, choose the ONE option that reflects your ability to lift weights and circle that choice.
5. Proceed to Section 4, Reading, and identify how neck pain influences your reading abilities by circling the ONE most applicable choice.
6. In Section 5, Headaches, indicate the severity and frequency of any headaches caused by neck pain by circling the appropriate number.
7. Next, in Section 6, Concentration, choose the ONE statement that best represents your ability to concentrate given your neck pain.
8. In Section 7, Work, circle the ONE choice that reflects how neck pain impacts your work capabilities.
9. For Section 8, Driving, indicate how your ability to drive is affected by neck pain by selecting the ONE most suitable option.
10. Follow with Section 9, Sleeping, and choose the ONE statement that describes your sleep quality in relation to neck pain.
11. Finally, in Section 10, Recreation, circle the ONE choice that reflects how neck pain affects your recreational activities.
12. In the COMMENTS section, provide any additional information that may help clarify your situation, if necessary.
13. Complete the form by filling in your name, date, and score at the end of the questionnaire. After reviewing your selections, save your changes, then download, print, or share the form as needed.

Start filling out the Pain Disability Index online today to better understand your situation.