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Perceived Functional Ability (PFA) Questionnaire/Physical Activity Rating (PA-R) Questionnaire

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.

George JD, Stone WJ, Burkett LN. Non-exercise VO2max estimation for physically active college students. Med Sci Sports Exerc 1997 Mar;29(3):415-23.

PFA Questions:

Suppose you were going to exercise continuously on an indoor track for 1 mile. Which exercise pace is just right for you -- not too easy and not too hard?

Circle the appropriate number (any number 1 to 13).

  1. Walking at a slow pace (18 minutes per mile or more)
  2. Walking at a medium pace (16 minutes per mile)
  3. Walking at a fast pace (14 minutes per mile)

How fast could you cover a distance of 3 miles and NOT become breathless or overly fatigued? Be realistic.

Circle the appropriate number (any number 1 to 13).

  1. I could walk the entire distance at a slow pace (18 minutes per mile or more)
  2. I could walk the entire distance at a medium pace (16 minutes per mile)
  3. I could walk entire distance at a fast pace (14 minutes per mile)

Last Modified: 11 Apr 2014