VISA-P

An index of the severity of patellar tendinopathy

Instructions:

In this questionnaire, the term "pain" refers specifically to pain in the knee cap region. Please answer each question honestly based on your symptoms over the past week.

Main Assessment (Questions 1-6)

1. For how many minutes can you sit pain free?

0100

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

2. Do you have pain walking downstairs with a normal gait cycle?

0100

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

3. Do you have pain at the knee with full active non-weightbearing knee extension?

0100

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

4. Do you have pain when doing a full weight bearing lunge?

0100

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

5. Do you have problems squatting?

0100

Unable to do = 0/10 | No problems = 10/10

6. Do you have pain during or immediately after doing 10 single leg hops?

0100

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

Activity Level (Questions 7-8)

7. Are you currently undertaking sport or other physical activity?

WorstBest

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

8. Do you have pain undertaking sport?

Type: visa-p-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 sporting activities, please complete Q8c only.

Patient Watch Form - 10/31/2025