Loading...

Neck Disability Index (NDI) Scoring Sheet

Neck Disability Index (NDI) Scoring Sheet

Administer and score the Neck Disability Index for patients with neck pain to track functional status at evaluation and discharge.

Assessment Details

  • Assessment date
  • Assessment type
  • Patient identifier
    Use the minimum necessary identifier used in your workflow, such as medical record number or chart ID. Do not collect SSN.
  • Clinician name
  • Care setting

NDI Item Responses

  • 1. Pain intensity
  • 2. Personal care
  • 3. Lifting
  • 4. Reading
  • 5. Headaches
  • 6. Concentration
  • 7. Work
  • 8. Driving
  • 9. Sleeping
  • 10. Recreation

Scoring and Interpretation

  • Total NDI score
    Sum of the 10 item scores. Range: 0 to 50.
  • Percentage disability
    Calculated as total score × 2. Range: 0% to 100%.
  • Score interpretation
  • Comparison to previous NDI
    Document change from the prior assessment, if available.

Clinical Notes and Follow-Up

  • Clinical notes
    Brief notes on functional limitations, relevant changes, or factors affecting the score.
  • Follow-up plan
    Document planned reassessment, discharge instructions, or care plan updates.
Ask AI Template Studio

Let's customize Neck Disability Index (NDI) Scoring Sheet.

Tell me how you'd like to adapt it. For example:

  • Add a question about delivery time.
  • Make it shorter — 5 questions max.
  • Tailor it for the hospitality industry.
  • Translate the labels into Spanish.