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Run: Neck Disability Index (NDI) Scoring Sheet

The Neck Disability Index (NDI) Scoring Sheet captures neck-pain functional status, item-by-item responses, and the final disability score in one place. Use ...

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Assessment Details

Assessment date (required)

Assessment type (required)

Patient identifier (required)

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 (required)

2. Personal care (required)

3. Lifting (required)

4. Reading (required)

5. Headaches (required)

6. Concentration (required)

7. Work (required)

8. Driving (required)

9. Sleeping (required)

10. Recreation (required)

Scoring and Interpretation

Total NDI score (required)

Sum of the 10 item scores. Range: 0 to 50.

Percentage disability (required)

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.

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