• The Neck Disability Index

  • Click to edit*
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  • Please read instructions:

    This questionnaire has been designed to give the doctor information as to how your neck pain has affected your ability to manage everyday life.  Please answer every section and mark in each section only the ONE box that applies to you.  We realize that you may consider that two of the statements in any one section relate to you, but please just mark the box the MOST closely describes your problem.

  • Section 1-Pain Intensity*
  • Section 2-Personal Care (Washing & Dressing)*
  • Section 3-Lifting*
  • Section 4- Reading*
  • Section 5- Headaches*
  • Section 6 - Concentration*
  • Section 7 - Work*
  • Section 8 - Driving*
  • Section 9 - Sleeping*
  • Section 10 - Recreation*
  • Should be Empty: