In this questionnaire, the term "pain" refers specifically to pain in the buttock region. Please answer every question with one response that most closely describes your condition. If you have never had pain, then you would score the highest possible score of 100.

The VISA-H consists of 8 questions with a total possible score ranging from 0 to 100, where higher scores indicate better function and less pain. Questions 1-6 use a Visual Analogue Scale (VAS) where patients mark their response on a 10cm line, with 0 representing the worst possible outcome and 10 representing optimal health (each question worth up to 10 points). Question 7 assesses sports participation and contains four categorical responses scored as 0, 4, 7, or 10 points depending on the level of participation and pain experienced. Question 8 evaluates training duration despite pain, scored based on the number of minutes patients can train (0-10 points for 0 minutes, up to 30 points for >100 minutes). The maximum score of 100 represents an asymptomatic individual with no functional limitations, while a score of 0 indicates severe symptoms and complete inability to participate in activities.

Developed by Angelo Cacchio and colleagues in 2014 at the University of L'Aquila, Italy. Published in the British Journal of Sports Medicine (BJSM). The VISA-H was developed following the methodology of other VISA questionnaires (VISA-A for Achilles, VISA-P for patella) to provide a condition-specific outcome measure for proximal hamstring tendinopathy.

In this questionnaire, the term "pain" refers specifically to pain in the buttock region. Please answer every question with one response that most closely describes your condition. If you have never had pain, then you would score the highest possible score of 100.

A systematic review has identified very-low-quality evidence for the content and structural validity of VISA questionnaires, including the VISA-H, indicating the need for further validation studies. Specific limitations include: (1) The questionnaire relies on self-reported data which may be subject to recall bias and reporting bias; (2) It is specific to proximal hamstring tendinopathy and not validated for other hamstring conditions or injuries; (3) The sports-specific questions (items 7-8) may be less relevant for sedentary individuals or those not engaged in regular sporting activities; (4) Cultural and language variations may affect interpretation despite validated translations; (5) The questionnaire does not assess psychosocial factors such as fear avoidance or kinesiophobia which can influence outcomes; (6) Limited evidence exists for the questionnaire's responsiveness to change over short time periods.