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The Short Questionnaire to Assess Health - Enhancing Physical Activity (SQUASH)

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: Wendel-Vos GC, Schuit AJ, Saris WH, Kromhout D. Reproducibility and relative validity of the short questionnaire to assess health-enhancing physical activity. J Clin Epidemiol 2003 Dec;56(12):1163-9.

Think about an average week in the past months. Please indicate how many days per week you performed the following activities, how much time on average you were engaged in this, and (if applicable) how strenuous this activity was for you?

COMMUTING ACTIVITIES Days per week Average time per day Effort (circle please)
Walking to/from work or school days hour minutes slow/moderate/fast
Bicycling to/from work or school days hour minutes slow/moderate/fast
Not applicable      

LEISURE TIME ACTIVITIES Days per week Average time per day Effort (circle please)
Walking days hour minutes slow/moderate/fast
Bicycling days hour minutes slow/moderate/fast

 

Last Modified: 11 Apr 2014