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NECK PAIN AND DISABILITY INDEX (Vernon-Mior)

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 in everyday life. Please answer every section and mark in each section only ONE box which applies to you. We realize you may consider that two of the statements in any one section relate to you, but just mark the box which most closely describes your problem.
SECTION 1 - PAIN INTENSITY(Required)
SECTION 6 - CONCENTRATION(Required)
SECTION 2 - PERSONAL CARE (Washing, Dressing, etc.)(Required)
SECTION 7 - WORK(Required)
SECTION 3 - LIFTING(Required)
SECTION 8 - DRIVING(Required)
SECTION 4 - READING(Required)
SECTION 9 - SLEEPING(Required)
SECTION 5 - HEADACHES(Required)
SECTION 10- RECREATION(Required)
Rate the severity of your pain on the following scale. 0=No Pain, 10=Excruciating Pain