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International Physical Activity Questionnaire (Long, Self-administered)

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.

All four versions found at: http://www.ipaq.ki.se/downloads.htmExternal Web Site Policy

(October 2002)

LONG: LAST 7 DAYS SELF-ADMINISTERED FORMAT

For use with Young and Middle-aged Adults (15-69 years)

  1. During the last 7 days, on how many days did you walk for at least 10 minutes at a time as part of your work? Please do not count any walking you did to travel to or from work.
    _____ days per week ____ No job-related walking
  2. How much time did you usually spend on one of those days walking as part of your work?
    _____ hours per day _____ minutes per day

Now think only about the bicycling and walking you might have done to travel to and from work, to do errands, or to go from place to place.

  1. During the last 7 days, on how many days did you bicycle for at least 10 minutes at a time to go from place to place?
    _____ days per week No bicycling from place to place
  2. How much time did you usually spend on one of those days to bicycle from place to place?
    _____ hours per day _____ minutes per day
  3. During the last 7 days, on how many days did you walk for at least 10 minutes at a time to go from place to place?
    _____ days per week No walking from place to place Skip to PART 3: HOUSEWORK, HOUSE MAINTENANCE, AND CARING FOR FAMILY
  4. How much time did you usually spend on one of those days walking from place to place?
    _____ hours per day _____ minutes per day
  5. Not counting any walking you have already mentioned, during the last 7 days, on how many days did you walk for at least 10 minutes at a time in your leisure time?
    _____ days per week No walking in leisure time Skip to question 22
  6. How much time did you usually spend on one of those days walking in your leisure time?
    _____ hours per day _____ minutes per day
  7. Think about only those physical activities that you did for at least 10 minutes at a time. During the last 7 days, on how many days did you do vigorous physical activities like aerobics, running, fast bicycling, or fast swimming in your leisure time?
    _____ days per week No vigorous activity in leisure time Skip to question 24
  8. How much time did you usually spend on one of those days doing vigorous physical activities in your leisure time?
    _____ hours per day _____ minutes per day
  9. Again, think about only those physical activities that you did for at least 10 minutes at a time. During the last 7 days, on how many days did you do moderate physical activities like bicycling at a regular pace, swimming at a regular pace, and doubles tennis in your leisure time?
    _____ days per week No moderate activity in leisure time Skip to PART 5: TIME SPENT SITTING
  10. How much time did you usually spend on one of those days doing moderate physical activities in your leisure time?
    _____ hours per day _____ minutes per day

Last Modified: 11 Apr 2014