The VISA-A questionnaire: An index of the severity of Achilles tendinopathy
IN THIS QUESTIONNAIRE, THE TERM PAIN REFERS SPECIFICALLY TO PAIN IN THE ACHILLES
TENDON REGION
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Full Name *
Date of Birth *
1. For how many minutes do you have stiffness in the Achilles region on first getting up? *
100 minutes
0 minutes
2. Once you are warmed up for the day, do you have pain when stretching the Achilles tendon fully over the edge of a step? (keeping knee straight) *
strong severe pain
no pain
3. After walking on flat ground for 30 minutes, do you have pain within the next 2 hours? (If unable to walk on flat ground for 30 minutes because of pain, score 0 for this question). *
strong severe pain
no pain
4. Do you have pain walking downstairs with a normal gait cycle? *
strong severe pain
no pain
5. Do you have pain during or immediately after doing 10 (single leg) heel raises from a flat surface? *
strong severe pain
no pain
6. How many single leg hops can you do without pain? *
7. Are you currently undertaking sport or other physical activity? *
8. Please complete EITHER A, B or C in this question
If you have no pain while undertaking Achilles tendon loading sports please
complete Q8a only.

If you have pain while undertaking Achilles tendon loading sports but it does
not stop you from completing the activity, please complete Q8b only.

If you have pain that stops you from completing Achilles tendon loading sports,
please complete Q8c only.
8a. If you have no pain while undertaking Achilles tendon loading sports, for how long can you train/practice?
Clear selection
Or....
8b.  If you have some pain while undertaking Achilles tendon loading sport, but it does not stop you from completing your training/practice for how long can you train/practice?
Clear selection
Or...
8c. If you have pain that stops you from completing your training/practice in Achilles tendon loading sport, for how long can you train/practice?
Clear selection
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