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Telephone Assessment of Physical Activity (TAPA) Questionnaire for Older Adults

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: Mayer CJ, Steinman L, Williams B, Topolski TD, LoGerfo J. Developing a Telephone Assessment of Physical Activity (TAPA) questionnaire for older adults. Prev Chronic Dis 2008 Jan;5(1):A24. [View Abstract]

I will read a statement about activities, and you can tell me whether the statement describes you by answering yes or no. For example,

SAMPLE

I am over 50 years old. Does this describe you?

  • Yes
  • No
  • Not Sure

Do the best you can to answer using the yes/no format; at the end of the survey we can talk about specific activities.

The first statement is:

1. I rarely or never do any physical activities. Does this describe you?

  • Yes
  • No
  • Not Sure

The next statements are about three types of activities: light, moderate, and vigorous. Light activities are activities when your heart beats only slightly faster than normal and you can still talk and sing during them. Some examples of light activities are walking leisurely, light vacuuming, light yard work, or light exercise such as stretching. Here are two statements about light activity.

2a. I do some light physical activities, but not every week. Does this describe you?

  • Yes
  • No
  • Not Sure

3. I do some light physical activity every week. Does this describe you?

  • Yes
  • No
  • Not Sure

Next are moderate activities. Moderate activities are activities when your heart beats faster than normal. You can still talk but not sing during such activities. Some examples of moderate activities are fast walking, aerobics class, strength training, or swimming gently. I have four statements about moderate activities. The first one is:

2b. I do some moderate physical activities, but not every week. Does this describe you?

  • Yes
  • No
  • Not Sure

4a. I do some moderate physical activities every week, BUT less than 30 minutes per day. Does this describe you?

  • Yes
  • No
  • Not Sure

4b. I do some moderate physical activities every week, BUT less than 5 days per week. Does this describe you?

  • Yes
  • No
  • Not Sure

6. I do 30 minutes or more per day of moderate physical activities, 5 or more days per week. Does this describe you?

  • Yes
  • No
  • Not Sure

The next three statements are about vigorous activities. Vigorous activities are activities when your heart rate increases a lot. You typically can't talk or your talking is broken up by large breaths. Some examples of vigorous activities are jogging, running, using a stair machine, or playing tennis, racquetball, badminton, or pickleball. The first statement is:

5a. I do some vigorous physical activities every week, BUT less than 20 minutes per day. Does this describe you?

  • Yes
  • No
  • Not Sure

5b. I do some vigorous physical activities every week, BUT less than 3 days per week. Does this describe you?

  • Yes
  • No
  • Not Sure

7. I do 20 minutes or more per day of vigorous physical activities, 3 or more days per week. Does this describe you?

  • Yes
  • No
  • Not Sure

Are there activities that you do that reflect physical activity that we may have not captured in this survey?

  • (Write in response)

This concludes my questions. Thank you.

Last Modified: 11 Apr 2014