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The Leisure Time Physical Activity Instrument (LTPAI)

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: Mannerkorpi K, Hernelid C. Leisure Time Physical Activity Instrument and Physical Activity at Home and Work Instrument. Development, face validity, construct validity and test-retest reliability for subjects with fibromyalgia. Disabil Rehabil 2005 Jun 17;27(12):695-701. [View Abstract]

We would like to obtain information about your average activity level during your leisure time over the past month. In leisure time, we also include walking to work, to the shops and so on. You can select more than one alternative if you take part in exercise on several activity levels. We will then add up the total number of hours.

  1. Sedentary leisure time activities
    • Mostly sedentary activities
  2. Light physical activities which do not increase your breathing rate, such as slow walking or cycling, light swimming-pool exercise, swimming or gardening.
    1. Light exercise for 0.5-1.5 hours a week
    2. Light exercise for 2-4 hours a week
    3. Light exercise for more than 4 hours a week. Give the number of hours
  3. Moderate physical activity or exercise that increases your breathing rate or body temperature (perspiration), even if you can still keep talking while exercising. This includes brisk walking or cycling, walking on paths in nature, light jogging, moderately intensive gardening, pool exercise, aerobics and so on.
    1. Moderate exercise for 0.5-1.5 hours a week
    2. Moderate exercise for 2-4 hours a week
    3. Moderate exercise for more than 4 hours a week. Give the number of hours
  4. Vigorous exercise that noticeably increases your breathing rate and perspiration, such as fast walking, jogging, other strenuous aerobic or weight training, ball games, gardening and so on.
    1. Vigorous exercise for 0.5-1.5 hours a week
    2. Vigorous exercise for 2-4 hours a week
    3. Vigorous exercise for more than 4 hours a week. Give the number of hours

Last Modified: 11 Apr 2014