Personal Information

0

For how many minutes do you have stiffness in the Achilles region on first getting up?

0 being 100 minutes, and 10 being 0 minutes

 0 1 2 3 4 5 6 7 8 9 10

0

Once you are warmed up for the day, do you have pain when stretching the Achilles tendon fully over the edge of a step? (keeping knee straight)

0 being strong severe pain, and 10 being no pain

 0 1 2 3 4 5 6 7 8 9 10

0

After walking on flat ground for 30 minutes, do you have pain within the next 2 hours? (If unable to walk on flat ground for 30 minutes because of pain, score 0 for this question).

0 being strong severe pain, and 10 being no pain

 0 1 2 3 4 5 6 7 8 9 10

0

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

0 being strong severe pain, and 10 being no pain

 0 1 2 3 4 5 6 7 8 9 10

0

Do you have pain during or immediately after doing 10 (single leg) heel raises from a flat surface?

0 being strong severe pain, and 10 being no pain

 0 1 2 3 4 5 6 7 8 9 10

0

How many single leg hops can you do without pain?

 0 1 2 3 4 5 6 7 8 9 10

0

Are you currently undertaking sport or other physical activity?

 0 Not at all 1 Modified training ± modified competition 2 Full training ± competition but not at same level as when symptoms began 3 Competing at the same or higher level as when symptoms began

0

Please complete EITHER A, B or C in this question

 A. If you have no pain while undertaking Achilles tendon loading sports please complete Q8a only. B. If you have pain while undertaking Achilles tendon loading sports but it does not stop you from completing the activity, please complete Q8b only. C. If you have pain that stops you from completing Achilles tendon loading sports, please complete Q8c only.