> For the complete documentation index, see [llms.txt](https://newton-metrics.gitbook.io/newtonmetrics/llms.txt). Markdown versions of documentation pages are available by appending `.md` to page URLs; this page is available as [Markdown](https://newton-metrics.gitbook.io/newtonmetrics/modules/surveys.md).
# Surveys
The Surveys module allows you to administer, track, and analyze standardized assessments for your clients. Surveys can be completed directly on your device during sessions or sent to clients via email for remote completion.
#### Key Features
* Real-time survey administration during sessions
* Email survey distribution for remote completion
* Automatic scoring and trend analysis
* MCID (Minimal Clinically Important Difference) tracking
* Historical results viewing with graphical representation
#### Accessing Surveys
1. Select a client from your client list
2. Navigate to the Surveys section
3. Choose between viewing past results or starting a new survey
#### Survey Administration Methods
**In-Person/On Device**
1. Select "Surveys" from the main navigation
2. Choose the desired outcome measure
3. Tap "Start" to begin administration
4. Questions appear one at a time with appropriate response options
5. Navigate between questions using "Previous" and "Next" buttons
6. Submit the survey when all questions are completed
**Remote Administration (Email)**
1. Select the desired outcome measure
2. Tap "Send" to open the email dialog
3. Verify or modify the client's email address
4. Send the survey link to your client
5. Results will automatically sync when the client completes the survey
#### Understanding Survey Results
**Results Dashboard**
* View all completed surveys for a client
* Each entry shows:
* Survey name
* Completion date
* Total score
* Score change indicator (↑ or ↓)
* MCID achievement badge when applicable
**Score Interpretation**
* Trending arrows indicate score changes:
* Green: Improvement (based on whether higher or lower scores are better)
* Red: Decline
* Grey: No change
* MCID badge appears when score change meets clinically significant threshold
* Detailed view shows:
* Question-by-question responses
* Individual question scores
* Total score
* Score trend graph
#### Progress Tracking
**Trend Visualization**
* Interactive line graph shows score progression over time
* Tap points on the graph to view specific assessment details
* View score changes relative to baseline
* Track progress toward clinical goals
**MCID Monitoring**
* System automatically calculates if MCID threshold is met
* Visual indicators show clinically significant improvements
* Helps inform clinical decision-making and treatment planning
#### Survey Features
**Question Types**
* Likert scales: Multiple choice with defined response options
* Slider scales: Continuous scale with defined anchors
* Conditional questions: Display based on previous responses
**Scoring**
* Automatic calculation of:
* Individual question scores
* Total scores
* Score changes from previous assessments
* MCID achievement
#### Best Practices
**When to Administer**
* At initial evaluation
* At regular intervals during treatment
* Prior to progress notes/reports
* At discharge
* Follow-up periods as clinically indicated
**Selecting Outcome Measures**
* Choose measures validated for your client's condition
* Consider:
* Administration time
* Complexity level
* Clinical relevance
* Progress tracking needs
**Documentation Integration**
* Use results to inform clinical documentation
* Reference objective data in progress notes
* Include trend analysis in progress reports
* Document clinical significance of score changes
#### Privacy and Security
* All survey data is encrypted
* Results are securely stored within the client's record
* Email links are single-use and expire after completion
* Compliance with healthcare privacy regulations
#### Regular Updates
The outcome measures module is regularly updated to:
* Add new standardized assessments
* Improve scoring algorithms
* Enhance user interface
* Add new features based on clinical feedback
#### Available Outcome Measures
**Neck & Back Assessments**
* **Neck Disability Index (NDI)**
* Gold standard measure for neck pain and disability
* 10-item questionnaire covering pain intensity, personal care, lifting, reading, headaches, concentration, work, driving, sleeping, and recreation
* Scored 0-50, with higher scores indicating greater disability
* MCID: 5-10 points or 10% change
* **Roland-Morris Low Back Pain and Disability Questionnaire**
* 24-item assessment for low back pain impact on daily activities
* Yes/no responses to statements about physical functions
* Scored 0-24, with higher scores indicating greater disability
* MCID: 2-3 points for acute low back pain
* **Modified Oswestry Low Back Pain Disability Questionnaire**
* 10-section questionnaire assessing impact of low back pain
* Covers pain intensity, personal care, lifting, walking, sitting, standing, sleeping, social life, traveling, and employment
* Scored as percentage of disability (0-100%)
* MCID: 10-12 percentage points
**Upper Extremity Assessments**
* **QuickDASH**
* Shortened version of the Disabilities of the Arm, Shoulder, and Hand questionnaire
* 11 items assessing upper extremity function and symptoms
* Scored 0-100, with higher scores indicating greater disability
* MCID: 15.91 points
* **Shoulder Pain and Disability Index (SPADI)**
* 13-item questionnaire with pain and disability subscales
* Assesses shoulder pain and difficulty with activities
* Scored 0-100, with higher scores indicating greater impairment
* MCID: 8-13 points
**Lower Extremity Assessments**
* **Lower Extremity Functional Scale (LEFS)**
* 20-item questionnaire for lower extremity conditions
* Assesses difficulty with various activities
* Scored 0-80, with higher scores indicating better function
* MCID: 9 points
* **Knee Injury and Osteoarthritis Outcome Scale (KOOS-12)**
* Shortened version of KOOS
* 12 items covering pain, symptoms, ADL, sport/recreation, and QOL
* Scored 0-100 for each subscale, with higher scores indicating better function
* MCID varies by subscale: 8-10 points
**Specialized Assessments**
* **Central Sensitization Inventory (CSI)**
* Screens for presence of central sensitization syndromes
* 25 items assessing various symptoms
* Scored 0-100, with higher scores indicating greater central sensitization
* Clinical significance: scores ≥ 40 suggest central sensitization
* **Dizziness Handicap Inventory (DHI)**
* 25-item assessment of dizziness impact
* Covers physical, emotional, and functional domains
* Scored 0-100, with higher scores indicating greater handicap
* MCID: 18 points
* **VISA-A (Victorian Institute of Sport Assessment - Achilles)**
* Specific to Achilles tendinopathy
* 8 questions covering pain, function, and activity
* Scored 0-100, with higher scores indicating better function
* MCID: 6.5 points
* **VISA-P (Victorian Institute of Sport Assessment - Patella)**
* Specific to patellar tendinopathy
* 8 questions assessing symptoms and functional limitations
* Scored 0-100, with higher scores indicating better function
* MCID: 13 points
---
# Agent Instructions
This documentation is published with GitBook. GitBook is the documentation platform designed so that both humans and AI agents can read, navigate, and reason over technical content effectively. Learn more at gitbook.com.
## Querying This Documentation
If you need additional information that is not directly available in this page, you can query the documentation dynamically by asking a question.
Perform an HTTP GET request on the current page URL with the `ask` query parameter, and the optional `goal` query parameter:
```
GET https://newton-metrics.gitbook.io/newtonmetrics/modules/surveys.md?ask=&goal=
```
`ask` is the immediate question: it should be specific, self-contained, and written in natural language.
`goal` is optional and describes the broader end goal you are ultimately trying to accomplish on behalf of the user. GitBook uses it to tailor the answer towards what is most useful for that goal.
The response will contain a direct answer to the question and relevant excerpts and sources from the documentation.
Use this mechanism when the answer is not explicitly present in the current page, you need clarification or additional context, or you want to retrieve related documentation sections.