Neck Disability Index Questionnaire Template Page 2
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2Section 7: Work
Section 9: Sleeping
£ I can do as much work as I want to
£ I have no trouble sleeping
£ I can only do my usual work, but no more
£ My sleep is slightly disturbed (less than 1 hr sleepless)
£ I can do most of my usual work, but no more
£ My sleep is mildly disturbed (1-2 hrs sleepless)
£ I cannot do my usual work
£ My sleep is moderately disturbed (2-3 hrs sleepless)
£ I can hardly do any work at all
£ My sleep is greatly disturbed (3-5 hrs sleepless)
£ I can’t do any work at all
£ My sleep is completely disturbed (5-7 hrs sleepless)
Section 8: Driving
Section 10: Recreation
£ I can drive my car without any neck pain
£ I am able to engage in all my recreation activities with no neck pain at all
£ I can drive my car as long as I want with slight pain in my neck
£ I am able to engage in all my recreation activities, with some pain in my neck
£ I can drive my car as long as I want with moderate pain in my neck
£ I am able to engage in most, but not all of my usual recreation activities because of
pain in my neck
£ I can’t drive my car as long as I want because of moderate pain in my neck
£ I am able to engage in a few of my usual recreation activities because of pain in
£ I can hardly drive at all because of severe pain in my neck
my neck
£ I can’t drive my car at all
£ I can hardly do any recreation activities because of pain in my neck
£ I can’t do any recreation activities at all
Score:
/50
Transform to percentage score x 100 =
%points
Scoring: For each section the total possible score is 5: if the first statement is marked the section score = 0, if the last statement is marked it = 5. If all ten sections are
completed the score is calculated as follows:
Example:16 (total scored)
50 (total possible score) x 100 = 32%
If one section is missed or not applicable the score is calculated:
16 (total scored)
45 (total possible score) x 100 = 35.5%
Minimum Detectable Change (90% confidence): 5 points or 10 %points
NDI developed by: Vernon, H. & Mior, S. (1991). The Neck Disability Index: A study of reliability and validity. Journal of Manipulative and Physiological Therapeutics. 14, 409-415
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