Neck Pain Assessment Quiz
Answer these questions to help assess your neck pain and its impact on your daily life.
How long have you been experiencing neck pain?
*
Less than 1 week
1-4 weeks
1-3 months
More than 3 months
How would you rate your neck pain on average?
*
No pain
0
1
2
3
4
5
6
7
8
9
Worst possible pain
10
0 is No pain, 10 is Worst possible pain
Where do you feel the pain? (Select all that apply)
*
Neck only
Shoulders
Upper back
Arms or hands
Head
Other
Does your neck pain interfere with your daily activities?
*
Not at all
A little
Moderately
Severely
Which of the following activities worsen your neck pain? (Select all that apply)
Sitting for long periods
Looking down at a phone or screen
Turning your head
Physical activity/exercise
Lifting objects
Other
Do you experience any of the following symptoms along with neck pain? (Select all that apply)
Stiffness
Tingling or numbness in arms/hands
Headaches
Weakness in arms/hands
Dizziness
None of the above
Have you had any recent injuries or accidents that may have caused your neck pain?
Yes
No
How old are you?
What is your gender?
Male
Female
Other / Prefer not to say
Submit Assessment
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