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The Monica Optional Study of Physical Activity (MOSPA)

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.

OCCUPATIONAL PHYSICAL ACTIVITY:

  1. On a typical day at work, how much time do you spend walking?
    __ __ (hrs) __ __ (mins)

TRANSPORTATION TO AND FROM WORK, SCHOOL, AND SHOPPING:

  1. Going to and from work, school or shopping, how much time do you spend walking each day? (Do not include hiking or walking for sport, exercise or pleasure)
    __ __ (hrs) __ __ (mins)
  2. Going to and from work, school, or shopping, how much time do you spend bicycling each day? (Do not include bicycling for sport, exercise or pleasure)
    __ __ (hrs) __ __ (mins)

WALKING DURING LEISURE-TIME FOR PLEASURE OR EXERCISE

  1. During an average week, how many hours do you spend walking? (Do not include time spent at work or going to and from work, school or shopping.
    __ __ (hrs) __ __ (mins)
  2. When you are walking, what usually happens to the rate or depth or your breathing?
    1. no change
    2. small increase
    3. moderate increase
    4. large increase

LEISURE TIME SPORT, SPORT TRAINING OR EXERCISE

  1. During the past 12 months, did you play any sports or do any exercises such as running, skiing, soccer, table tennis, gardening, aerobics, cycling, etc for exercise or pleasure at least 12 times?
  2. PRIOR to the past 12 months, did you play any sports or do any exercises such as running, skiing, soccer, table tennis, gardening, aerobics, or cycling for exercise or pleasure at least 12 times in one year?

Last Modified: 11 Apr 2014