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Modified Baecke Questionnaire For Older Adults

Questionnaires:

About This Database

You are browsing a database of standardized questionnaires that ask about respondents' walking and bicycling habits.

The survey on this page is presented for informational purposes only, and is not intended to be filled out by visitors to this Web site.

The Applied Research Program maintains this database, but, except where noted, did not create and does not maintain the questionnaires themselves. For more information about a specific questionnaire, please contact its author(s). When possible, we cite the source of each questionnaire near the top of the page.

In: Pereira MA, FitzGerald SJ, Gregg EW, Joswiak ML, Ryan WJ, Suminski RR, Utter AC, Zmuda JM. A collection of Physical Activity Questionnaires for health-related research. Med Sci Sports Exerc 1997 Jun;29(6 Suppl):S1-205.

  1. How many flights of stairs do you walk up per day? One flight is 10 steps.
    1. I never walk stairs
    2. 1-5
    3. 6-10
    4. More than 10
  2. If you go somewhere in your hometown, what kind of transportation do you use?
    1. I never go out
    2. Car
    3. Public transportation
    4. Bicycle
    5. Walking
  3. If you go out for shopping, what kind of transportation do you use?
    1. I never go out
    2. Car
    3. Public transportation
    4. Bicycle
    5. Walking

Last Modified: 11 Apr 2014