This questionnaire has been designed to provide you with information as to how your neck injury has affected your ability to manage your everyday life.
PLEASE CIRCLE THE NUMBER TO INDICATE HOW FAR FROM NORMAL TOWARD THE WORST POSSIBLE SITUATION YOUR ACCIDENT NECK INJURY PROBLEM HAS TAKEN YOU.
MOBILE PHONE USERS: ROTATE YOUR SCREEN TO LANDSCAPE ORIENTATION FOR BEST RESULTS IN COMPLETING THE ASSESSMENT BELOW.
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