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picture1_Neck Disability Index 229559 | Spine Neck Disability Index


 97x       Filetype PDF       File size 0.16 MB       Source: www.mercy.net


File: Neck Disability Index 229559 | Spine Neck Disability Index
NECK DISABILITY INDEX Name: ___________ DOB: ___ / ___ / ___ Date: __/ __ / __ Please read: This questionnaire is designed to enable us to better understand how much ...

icon picture PDF Filetype PDF | Posted on 02 Mar 2023 | 2 years ago
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...Neck disability index name dob date please read this questionnaire is designed to enable us better understand how much your pain has affected ability manage everyday activities answer each section by circling only one choice that most applies you we realize on statement may not exactly related but circle the closely describes at time intensity i have no moment very mild moderate fairly severe worst imaginable two headache all slight headaches which come infrequently frequently almost three reading can as want with in my t because of hardly cannot four concentration concentrate fully when difficulty a fair degree concentrating lot great deal five sleeping trouble sleep slightly disturbed less than hour loss mildly moderately hours greatly completely continued back six personal care dressing washing etc do change way wash and dress myself avoid normally or even though it causes some increases without changing doing find necessary am partially unable help seven lifting lift heavy weights ...
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