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