Canada Fitness Survey Questionniare
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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.
- Daily Activities
For those daily activities which you do most days of the week (such as work, school and housework) how much time do you spend...
Almost all of the time About 3/4 of the time About 1/2 of the time About 1/4 of the time Almost none of the time -Walking -Walking up stairs
- Weekly Activities
The participant refers to the reference card for a list of activities and indicates the number of occasions, time and intensity of activities performed each week, no specific walking/ bicycling questions.
- Activities in the Last Month
The participant refers to the reference card for a list of activities and indicates the number of occasions, time and intensity of activities performed at least once in the last month, no specific walking/ bicycling questions.
- Activities in the Last Year
Please refer to the reference card of a list of activities. Answer the following for the physical activities you have done in the last 12 months.
Months in which activity was done :
J F M A M J J A S O N D
# of occasions in last 12 months Average # of minutes spent on each occasion:
15 or less, 16-30, 31-60, 61 +
-Walking for exercise -Bicycling
Last Modified: 11 Apr 2014