Get Neck Disability Index

The Neck Disability Index is a valuable questionnaire designed to assess how neck pain impacts daily activities. Completing this form online can help healthcare providers understand your situation better.

Follow the steps to fill out the Neck Disability Index with ease.

1. Press the ‘Get Form’ button to acquire the form and open it in your preferred digital platform.
2. Begin by entering your full name in the designated field at the top of the form. This identifies your responses.
3. Enter today’s date in the provided space. This helps keep track of when the questionnaire is completed.
4. In Section 1, 'Pain Intensity,' select the box that best describes your current pain level. Remember to choose the statement that most closely reflects your situation.
5. Continue to Section 2, 'Personal Care,' and mark the option that indicates how your neck pain affects your ability to perform self-care tasks.
6. Proceed to Section 3, 'Lifting,' where you will select the response that accurately reflects your capacity to lift objects considering your neck pain.
7. In Section 4, 'Work,' identify how your neck pain impacts your work capabilities by selecting the most appropriate option.
8. Move on to Section 5, 'Headaches,' and indicate the frequency and severity of any headaches you experience related to neck pain.
9. For Section 6, 'Concentration,' choose the statement that reflects the extent of concentration difficulties you encounter due to neck pain.
10. In Section 7, 'Sleeping,' select the box that describes your sleep disturbances associated with neck discomfort.
11. Continue with Section 8, 'Driving,' and mark your ability to drive in relation to your neck pain.
12. For Section 9, 'Reading,' choose the response that indicates how neck pain affects your reading activities.
13. Finally, in Section 10, 'Recreation,' select the answer that best describes your ability to engage in recreational activities due to neck pain.
14. After completing all sections, review your selections for accuracy. You can then save the changes, download the completed form, print it, or share it with your healthcare provider.

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