NECK INJURY ACCIDENT SCORE

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.

Note

This questionnaire should not be utilized in place of a qualified medical professional. All users agree to the disclaimer, which can be found at www.epainhealth.com/disclaimer, when using any content made available through this site. All information provided on www.epainhealth.com is for informational purposes only.