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NHANES 2005 Physical Activity and Physical Fitness - PAQ

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.

At: http://www.cdc.gov/nchs/data/nhanes/nhanes_05_06/mi_paq_d.pdf

The next series of questions are about physical activities that {you/SP} {have/has} done over the past 30 days. First I will ask about activities that are related to transportation. Then I'll ask about physical activities that {you/he/she} {do/does} at school or in{your/his/her} leisure time.

Over the past 30 days, {have/has} {you/SP} walked or bicycled as part of getting to and from work, or school, or to do errands?

CODE 'UNABLE TO DO' ONLY IF RESPONDENT VOLUNTEERS.

YES...........................................1
NO............................................2
UNABLE TO DO ACTIVITY...3
REFUSED.................................
DON'T KNOW.........................9

PAQ.050

[Over the past 30 days], how often did {you/SP} do this? [Walk or bicycle as part of getting to and from Q/U work, or school, or to do errands.]

How many times per day, per week, or per month did {you/s/he} do these activities?

ENTER NUMBER OF TIMES (PER DAY, WEEK OR MONTH)

REFUSED.................................
DON'T KNOW.....................999
ENTER UNIT DAY..................1
REFUSED.................................
DON'T KNOW.........................9
WEEK.......................................2
MONTH....................................3

PAQ.080

On those days when {you/SP} walked or bicycled, about how long did {you/s/he} spend altogether doing Q/U this?

ENTER NUMBER (OF MINUTES OR HOURS)

REFUSED...........................777
DON'T KNOW.....................999
ENTER UNIT MINUTES........1
HOURS....................................2
REFUSED...............................7
DON'T KNOW.........................9

PAQ.206

The next questions are about physical activities including exercise, sports, and physically active hobbies that you/SP} may have done in {your/his/her} leisure time or at school over the past 30 days. First I will ask you about vigorous activities that cause heavy sweating or large increases in breathing or heart rate. Then I will ask you about moderate activities that cause only light sweating or a slight to moderate increase in breathing or heart rate. Over the past 30 days, did {you/SP} do any vigorous activities for at least 10 minutes that caused heavy sweating, or large increases in breathing or heart rate? Some examples are running, lap swimming, aerobics classes, or fast bicycling. Here are some other examples of these types of activities.

HAND CARD PAQ2

CODE 'UNABLE TO DO' ONLY IF RESPONDENT VOLUNTEERS

YES...........................................1
NO............................................2 (PAQ.326)
UNABLE TO DO ACTIVITY...3
REFUSED...............................7
DON'T KNOW.........................9

[Over the past 30 days], what vigorous activities did {you/SP} do?

CODE ALL THAT APPLY
(24 ACTIVITIES LISTED)

BICYCLING..........................................13
JOGGING.............................................23
RUNNING............................................29
OTHER (SPECIFY) ......73

PAQ.281

[Over the past 30 days], how often did {you/SP} {ACTIVITY}?

Q/U PROBE: How many times per day, per week, or per month?

CAPI INSTRUCTION:

FILLS FOR ACTIVITY SHOULD BE AS FOLLOWS: 10. do aerobics, 12. play basketball, 13. bicycle, 17. play football, 20. hike, 21. play hockey, 23. jog, 24. kayak, 26. play racquetball, 27. rollerblade, 28. row, 29. run, 31. skate, 32. cross country ski (use the Nordic Track), 33. downhill ski, 34. play soccer, 36. climb stairs, 8. swim, 39. play tennis, 40. use a treadmill, 41. play volleyball, 50. box, 53. practice martial arts, 54. wrestle

ENTER NUMBER OF TIMES (PER DAY, WEEK OR MONTH)

REFUSED...........................777
DON'T KNOW.....................999
ENTER UNIT DAY..................1
WEEK.......................................2
MONTH....................................3
REFUSED...............................7
DON'T KNOW.........................9

PAQ.300

[Over the past 30 days], on average about how long did {you/SP} {ACTIVITY} each time?
Q/U

ENTER NUMBER (OF MINUTES OR HOURS)

REFUSED...........................777
DON'T KNOW.....................999
ENTER UNIT MINUTES........1
HOURS....................................2
REFUSED...............................7
DON'T KNOW.........................9

PAQ.326

Over the past 30 days], did {you/SP} do moderate activities for at least 10 minutes that cause only light sweating or a slight to moderate increase in breathing or heart rate? Some examples are brisk walking, bicycling for pleasure, golf, or dancing. Here are some other examples of these types of activities.

HAND CARD PAQ3

YES...........................................1
NO............................................2 (PAQ.440)
UNABLE TO DO ACTIVITY...3
REFUSED...............................7
DON'T KNOW.........................9

PAQ.341

[Over the past 30 days], what moderate activity or activities did {you/SP} do?

CODE ALL THAT APPLY
(32 ACTIVITIES LISTED)

REFUSED...........................................77
DON'T KNOW.....................................99
BICYCLING.........................................13
HIKING.................................................20
HOCKEY..............................................21
HUNTING............................................22
JOGGING............................................23
STAIR CLIMBING...............................36
WALKING............................................42
OTHER (SPECIFY) ......73

PAQ.401

[Over the past 30 days], how often did {you/SP}{ACTIVITY}?

Q/U PROBE: How many times per day, per week, or per month?

CAPI INSTRUCTION:

FILLS FOR ACTIVITY SHOULD BE AS FOLLOWS: 10. do aerobics, 11. play baseball, 12. play basketball, 13. bicycle, 14. bowl, 15. dance, 16. fish, 17. play football, 19. play golf, 20. hike, 21. play hockey, 22. hunt, 23. jog, 24. kayak, 27. rollerblade, 28. row, 31. skate, 33. downhill ski, 34. play soccer, 35. play softball, 36. climb stairs, 37. stretch, 38. swim, 39. play tennis, 40. use a treadmill, 41. play volleyball, 42. walk, 43. lift weights, 51. play frisbee, 52. horseback ride, 53. practice martial arts, 55. do yoga

71. DISPLAY ACTIVITY IN 'OTHER SPECIFY', 72. DISPLAY ACTIVITY IN 'OTHER SPECIFY', 73. DISPLAY ACTIVITY IN 'OTHER SPECIFY'.

ENTER NUMBER OF TIMES (PER DAY, WEEK OR MONTH)

REFUSED...........................777
DON'T KNOW.....................999
ENTER UNIT DAY..................1
WEEK.......................................2
MONTH....................................3
REFUSED...............................7
DON'T KNOW.........................9

PAQ.420

[Over the past 30 days], on average about how long did {you/SP} {ACTIVITY} each time?
Q/U

ENTER NUMBER (OF MINUTES OR HOURS)

REFUSED...........................777
DON'T KNOW.....................999
ENTER UNIT MINUTES........1
HOURS....................................2
REFUSED...............................7
DON'T KNOW.........................9

Last Modified: 11 Apr 2014