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Ancestry Neck Disability QuestionnaireInstructions: Please circle the ONE NUMBER in each section which most closely describes your problem. Section 1 Pain Intensity0 I have no pain at the moment.1
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To fill out the instructionspleasecircleformonenumberineachsectionwhichmostcloselydescribesyourproblem form, follow these steps:
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Begin by reading the instructions carefully to understand the purpose of the form.
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For each identified problem, locate the corresponding number on the form.
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Circle the number that best describes your problem in each section.
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