VISA-G

An index of the severity of greater trochanteric pain syndrome

Instructions:

In this questionnaire, the term "pain" refers specifically to your hip pain. Please answer each question based on your experiences with hip pain during your typical activities and any limitations you face.

Main Assessment (Questions 1-6)

0100

0/10 = worst pain | 10/10 = no pain

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WorstBest

Select the option that best describes your situation

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10
WorstBest

Select the option that best describes your situation

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10
WorstBest

Select the option that best describes your situation

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10
WorstBest

Select the option that best describes your situation

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10
WorstBest

Select the option that best describes your situation

Activity Level (Questions 7-8)

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WorstBest

Select the option that best describes your situation

8. Do you have pain undertaking weight bearing activities?

Type: visa-g-8

8. Please complete EITHER A, B or C in this question. If you have no pain while undertaking weight bearing activities please complete Q8a only. If you have pain while undertaking weight bearing activities but it does not stop you from completing the activity, please complete Q8b only. If you have pain that stops you from completing weight bearing activities, please complete Q8c only.

Patient Watch Form - 10/31/2025