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Oswestry Neck Pain Disability Questionnaire


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January 17, 2020
Date of completion

Clinician's name (or ref)

Patient's name (or ref)


Please answer each section below by choosing the choice that applies the most to you at this time.

Section 1: Pain Intensity   Section 6: Concentration
I have no pain at the moment.   I can concentrate fully when I want to with no difficulty.
The pain is very mild at the moment.   I can concentrate fully when I want to with slight difficulty.
The pain is moderate at the moment.   I have a fair degree of difficulty in concentrating when I want to.
The pain is fairly severe at the moment.   I have a lot of difficulty in concentrating when I want to.
The pain is very severe at the moment.   I have a great deal of difficulty in concentrating when I want to.
The pain is the worst imaginable at the moment.   I cannot concentrate at all.

Section 2: Personal Care (washing, dressing, etc.)   Section 7: Work
I can look after myself normally without causing extra pain.   I can do as much work as I want to.
I can look after myself normally, but it causes extra pain.   I can only do my usual work, but no more.
It is painful to look after myself; I am slow and careful.   I can do most of my usual work, but no more.
I need some help but manage most of my personal care.   I cannot do my usual work.
I need help every day in most aspects of self-care.   I can hardly do any work at all.
I do not get dressed; I wash with difficulty and stay in bed.   I can't do any work at all.

Section 3: Lifting   Section 8: Driving
I can lift heavy weights without extra pain.   I can drive my car without any neck pain.
I can lift heavy weights, but it gives me extra pain.   I can drive my car as long as I want with slight pain in my neck.
Pain prevents me from lifting heavy weights off the floor, but I can manage if they are conveniently positioned-for example on a table.   I can drive my car as long as I want with moderate pain in my neck.
Pain prevents me from lifting heavy weights, but I can manage light to medium weights if they are conveniently positioned.   I can't drive my car as long as I want because of moderate pain in my neck.
I can lift only very light weights.   I can hardly drive at all because of severe pain in my neck.
I cannot lift or carry anything at all.   I can't drive my car at all.

Section 4: Reading   Section 9: Sleeping
I can read as much as I want to with no pain in my neck.   I have no trouble sleeping.
I can read as much as I want to with slight pain in my neck.   My sleep is slightly disturbed (less than 1 hour sleepless).
I can read as much as I want with moderate neck pain.   My sleep is mildly disturbed (1-2 hours sleepless).
I can't read as much as I want because of moderate neck pain.   My sleep is moderately disturbed (2-3 hours sleepless).
I can hardly read at all because of severe pain in my neck.   My sleep is greatly disturbed (3-5 hours sleepless).
I cannot read at all.   My sleep is completely disturbed (5-7 hours sleepless).

Section 5: Headaches   Section 10: Recreation
I have no headaches at all.   I am able to engage in all my recreation activities with no neck pain at all.
I have slight headaches that come infrequently.   I am able to engage in all my recreation activities, with some pain in my neck.
I have moderate headaches that come infrequently.   I am able to engage in most, but not all of my usual recreation activities because of pain in my neck.
I have moderate headaches that come frequently.   I am able to engage in a few of my recreation activities because of pain in my neck.
I have severe headaches that come frequently.   I can hardly do any recreation activities because of pain in my neck
I have headaches almost all the time.   I can't do any recreation activities at all.


Oswestry Neck Disability Index Score: Benchmark -5 =


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Reference: FRONT RANGE CENTER for BRAIN & SPINE SURGERY, P.C., 1313 Riverside Ave., Ft. Collins, CO 80524, (970) 493-1292