VISA-H

An index of the severity of proximal hamstring tendinopathy

Instructions:

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.

Main Assessment (Questions 1-6)

0100

0/10 = 0 minutes | 10/10 = 100 minutes

0100

Strong severe pain = 0/10 | No pain = 10/10

0100

Strong severe pain = 0/10 | No pain = 10/10

0100

Strong severe pain = 0/10 | No pain = 10/10

0100

Strong severe pain = 0/10 | No pain = 10/10

0100

Strong severe pain = 0/10 | No pain = 10/10

Activity Level (Questions 7-8)

0100

Not at all = 0 | Competing at the same or higher level = 10

8. Do you have pain undertaking sport?

Type: visa-h-8

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

Patient Watch Form - 10/31/2025