International Physical Activity Questionnaire (Short, Telephone)
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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.
(August 2002 version)
SHORT: LAST 7 DAYS TELEPHONE FORMAT
For use with Young and Middle-aged Adults (15-69 years)
- During the last 7 days, on how many days did you walk for at least 10 minutes at a time?
____ Days per week [WDAY; Range: 0-7, 8, 9] 8. Don't Know/Not Sure 9. Refused
[Interviewer clarification: Think only about the walking that you do for at least 10 minutes at a time.]
[Interviewer Note: If respondent answers zero, refuses or does not know, skip to Question 7]
- How much time did you usually spend walking on one of those days?
__ __ Hours per day [WDHRS; Range: 0-16] __ __ __ Minutes per day [WDMIN; Range: 0-960, 998, 999] 998. Don't Know/Not Sure 999. Refused
[Interviewer probe: An average time for one of the days on which you walk is being sought. If the respondent can't answer because the pattern of time spent varies widely from day to day, ask: "What is the total amount of time you spent walking over the last 7 days?"
__ __ __ Hours per week [WWHRS; Range: 0-112] __ __ __ __Minutes per week [WWMIN; Range: 0-6720, 9998, 9999] 9998. Don't Know/Not Sure 9999. Refused
Last Modified: 11 Apr 2014