Neck Disability Index

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

Step 1 of 14

7%
  • Name
  • Date Format: MM slash DD slash YYYY
  • Section Break

  • Please select your case manager