Please input your full name
Please input your age
This questionnaire has been designed to give us information as to how your neck pain has affected your ability to manage in everyday life. Please answer every section and mark in each section only the one box that applies to you. We realise you may consider that two or more statements in any one section relate to you, but please just mark the box that most closely describes your problem right now.
Please enter your age and answer all the questions above.
Below is a list of difficulties people sometimes have after stressful life events. Please read each item, and then indicate how distressing each difficulty has been for you DURING THE PAST SEVEN DAYS with respect to the motor vehicle accident. How much were you distressed or bothered by these difficulties?
e.g. forgetting what you have read; losing track of a story or movie