International Physical Activity Questionnaire (Short, Self-administered)
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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 SELF-ADMINISTERED FORMAT
For use with Young and Middle-aged Adults (15-69 years)
Think about all the moderate activities that you did in the last 7 days. Moderate activities refer to activities that take moderate physical effort and make you breathe somewhat harder than normal. Think only about those physical activities that you did for at least 10 minutes at a time.
Think about the time you spent walking in the last 7 days. This includes at work and at home, walking to travel from place to place, and any other walking that you might do solely for recreation, sport, exercise, or leisure.
- During the last 7 days, on how many days did you walk for at least 10 minutes at a time?
_____ days per week No walking Skip to question 7
- How much time did you usually spend walking on one of those days?
_____ hours per day _____ minutes per day Don't know/Not sure
Last Modified: 11 Apr 2014