VISA-A (Sedentary)

A modified version of the VISA-A questionnaire designed specifically for sedentary/non-sporting patients with Achilles tendinopathy. Replaces sport-specific questions (hopping, sporting activity) with daily functional activity questions. Two dimensions: Symptoms (Q1-5, 0-50) and Activity (Q6-8, 0-50). Total Score: 0-100.

Instructions:

This questionnaire assesses the severity of your Achilles tendon problem. "Pain" refers specifically to pain in the Achilles tendon region. For Question 8, complete only ONE section (A, B, or C) based on your current pain level during Achilles loading activities.

Symptoms (Questions 1-5)

0
1
2
3
4
5
6
7
8
9
10
100 mins
0 mins
0
1
2
3
4
5
6
7
8
9
10
Strong severe pain
No pain
0
1
2
3
4
5
6
7
8
9
10
Strong severe pain
No pain
0
1
2
3
4
5
6
7
8
9
10
Strong severe pain
No pain
0
1
2
3
4
5
6
7
8
9
10
Strong severe pain
No pain

Activity (Questions 6-8)

0
1
2
3
4
5
6
7
8
9
10
Unable to walk
A few minutes
10-15 minutes
20-30 minutes
30-45 minutes
Unlimited
0
Not at all
4
Very limited daily activities
7
Most daily activities with some limitation
10
Fully without limitation

Please complete EITHER A, B or C. If you have no pain during these activities, complete 8A only. If you have pain but it does not stop you, complete 8B only. If pain stops you from completing the activity, complete 8C only.

A. No pain

0
7
14
21
30
0 minutes
1-10 minutes
11-20 minutes
21-30 minutes
>30 minutes

B. Pain but does not stop

0
4
10
14
20
0 minutes
1-10 minutes
11-20 minutes
21-30 minutes
>30 minutes

C. Pain stops activity

0
2
5
7
10
0 minutes
1-10 minutes
11-20 minutes
21-30 minutes
>30 minutes

Patient Watch Form - 4/2/2026