Use our readymade template to create your Shoulder Pain and Disability Index (SPADI) assessment tool
Create your care assessments
| SPADI score | Pain Severity | Disability Severity |
|---|---|---|
| 0-20 | Minimal | Minimal |
| 21-40 | Mild | Mild |
| 41-60 | Moderate | Moderate |
| 61-80 | Severe | Severe |
| 81-100 | Very Severe | Very Severe |
- Prebuilt template with SPADI scoring to assess the presence of shoulder pain and measure its severity
- 13-item questionnaire that scores each of the 13 criteria as “0” (no pain/no difficulty) to “10” (worst pain imaginable/so difficult it requires help)
- Real-time calculation of SPADI Score and pain and disability severity based on the form responses
- Collect patient data and other sensitive healthcare data using our HIPAA compliant online assessment forms
- Compare the scores from the initial screening with that of the followup to track the progression of shoulder pain and disability
- Easily create responsive forms that allow patients to complete their assessments on any device at any time
Collect responses from your patients
| Patient ID | 1004 |
| Patient Name | John W |
| Patient Email | johnw@ymail.com |
| Patient Phone Number | 0987654321 |
| Doctor's Name | Dr. Smith |
| Location | New York |
| At its worst? | 5 |
| When lying on the involved side? | 4 |
| Reaching for something on a high shelf? | 6 |
| Touching the back of your neck? | 3 |
| Pushing with the involved arm? | 7 |
| Washing your hair? | 4 |
| Washing your back? | 5 |
| Putting on an undershirt or jumper? | 6 |
| Putting on a shirt that buttons down the front? | 5 |
| Putting on your pants? | 4 |
| Placing an object on a high shelf? | 6 |
| Carrying a heavy object of 10 pounds (4.5 kilograms). | 5 |
| Removing something from your back pocket? | 4 |
| Pain score (in %) | 50 |
| Disability score (in %) | 50 |
| SPADI score (in %) | 50 |
- Pre-populate patient details such as patient id, name, email etc in the SPADI assessment form before sharing it with the patients
- Send an email invitation with a secure link for patients to complete their SPADI assessment form prior to their visit
- Allow patients to save their progress and complete their SPADI assessment form at a later time without losing any responses
- Set up an email template for your SPADI assessment and automatically send invitation emails to multiple patients with ease
- Send a confirmation email to the patients with their SPADI score, diagnosis, next steps when they submit their SPADI assessment
Track patient responses in Google Sheets
| A | B | C | D | E | |
|---|---|---|---|---|---|
| 1 | Name | Question | Answer | Score | Total Score |
| 2 | John W | At its worst? | 5 | 5 | 50 |
| 3 | John W | When lying on the involved side? | 4 | 4 | 50 |
| 4 | John W | Reaching for something on a high shelf? | 6 | 6 | 50 |
| 5 | John W | Touching the back of your neck? | 3 | 3 | 50 |
| 6 | John W | Pushing with the involved arm? | 7 | 7 | 50 |
| 7 | John W | Washing your hair? | 4 | 4 | 50 |
| 8 | John W | Washing your back? | 5 | 5 | 50 |
| 9 | John W | Putting on an undershirt or jumper? | 6 | 6 | 50 |
| 10 | John W | Putting on a shirt that buttons down the front? | 5 | 5 | 50 |
| 11 | John W | Putting on your pants? | 4 | 4 | 50 |
| 12 | John W | Placing an object on a high shelf? | 6 | 6 | 50 |
| 13 | John W | Carrying a heavy object of 10 pounds (4.5 kilograms). | 5 | 5 | 50 |
| 14 | John W | Removing something from your back pocket? | 4 | 4 | 50 |
- Export patient responses including the calculated SPADI score and pain and disability severity to Google Sheets for easy record-keeping
- Export individual points for 13 criteria to Google Sheets for data manipulation and analysis for comprehensive insights
- Use pre-built reports to easily keep track of patient progress over time and monitor changes in their shoulder pain and disability symptoms
- Receive a copy of the response and the calculated SPADI score by email whenever a patient submits their SPADI assessment
- Use data in Google Sheets to integrate with external EHR systems for seamless data transfer
HIPAA compliance
| Patient ID: | 1004 |
| Patient Name: | ****** |
| Patient Email: | ****** |
| Patient Phone Number: | ****** |
| Doctor's Name: | Dr. Smith |
| Location: | New York |
| At its worst? : | 5 |
| When lying on the involved side? : | 4 |
| Reaching for something on a high shelf?: | 6 |
| Touching the back of your neck?: | 3 |
| Pushing with the involved arm? : | 7 |
| Washing your hair?: | 4 |
| Washing your back? : | 5 |
| Putting on an undershirt or jumper?: | 6 |
| Putting on a shirt that buttons down the front? : | 5 |
| Putting on your pants? : | 4 |
| Placing an object on a high shelf? : | 6 |
| Carrying a heavy object of 10 pounds (4.5 kilograms).: | 5 |
| Removing something from your back pocket?: | 4 |
| Pain score (in %): | 50 |
| Disability score (in %): | 50 |
| SPADI score (in %): | 50 |
| SPADI score (in %): | 50 |
- Create a HIPAA compliant SPADI assessment form to safely collect, store and access patient responses
- Mark fields as Protected Health Information (PHI) to secure sensitive patient data and limit access to PHI
- Automatically mask PHI fields when exporting SPADI form responses to Google Sheets and sending them on email
- Prepopulate patient details in SPADI assessments by creating secure prefill links without exposing PHI
- Limit access to patient data only for authorized personnel and minimize the risk of data breaches
These reviews are reproduced without modification from Google Workspace Marketplace.
July 23, 2023
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February 16, 2024
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October 31, 2023
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November 27, 2023
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