Physical Activity Recall Instrument
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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: Timperio A, Salmon J, Crawford D. Validity and reliability of a physical activity recall instrument among overweight and non-overweight men and women. J Sci Med Sport 2003 Dec;6(4):477-91. [View Abstract]
In the past week, how many times have you WALKED for recreation or exercise and/or to get to and from places for at least 10 minutes continuously? Please estimate the total time you spent walking in the past week.
In the past week, how many times did you do VIGOROUS exercise or other physical activity (around the house or at work) which made you breathe harder or puff and pant? (e.g., Jogging or running, heavy gardening, netball, chopping wood, vigorous swimming, heavy laboring). Please estimate the total time spent doing vigorous exercise or physical activity in the past week.
In the past week, how many times did you do MODERATE exercise or other physical activity (around the house or at work) which DID NOT make you breathe harder or puff and pant? (e.g., digging in the garden, moderate cycling, raking leaves, dancing). Please estimate the total time spent doing moderate exercise or physical activity in the past week.
Last Modified: 11 Apr 2014