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Australian Women's Activity Survey

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: Fjeldsoe BS, Marshall AL, Miller YD. Measurement properties of the Australian Women's Activity Survey. Med.Sci Sports Exerc. 2009;41:1020-33

Part 1: Planned Activity

The first category is about any PLANNED ACTIVITY you do. There are five intensity levels in this category; sitting, light effort, brisk walking, moderate effort which doesn't include brisk walking and vigorous effort.

2. In a typical week do you do any planned activities of LIGHT EFFORT such as slow walking, stretching, fishing, playing in water or playing golf with a cart?

yes no

2a. If Yes. Just thinking about the weekdays from Monday to Friday. How many days would you do this activity? On an average weekday how long would you spend doing this activity?

<=5 __ # days __ hrs/day __ mins/day

2b. Just thinking about the weekend from Saturday to Sunday. How many days would you do this activity? On an average weekend day how long would you spend doing this activity?

<=2 __ # days __ hrs/day __ mins/day

3. In a typical week do you do any planned activities that involve BRISK WALKING such as walking for exercise or walking the dog?

yes no -- Move to next question.

3a. If Yes. Just thinking about the weekdays from Monday to Friday. How many days would you do this activity? On an average weekday how long would you spend doing this activity?

<=5 __ # days __ hrs/day __ mins/day

3b. Just thinking about the weekend from Saturday to Sunday. How many days would you do this activity? On an average weekend day how long would you spend doing this activity?

<=2 __ # days __ hrs/day __ mins/day

4. In a typical week do you do any planned activities MODERATE EFFORT that do not include brisk walking such as social sports, tai chi, doubles tennis, slow cycling, low-impact aerobics, ballroom dancing or play golf without a cart?

yes no -- Move to next question.

4a. If Yes. Just thinking about the weekdays from Monday to Friday. How many days would you do this activity? On an average weekday how long would you spend doing this activity?

<=5 __ # days __ hrs/day __ mins/day

4b. Just thinking about the weekend from Saturday to Sunday. How many days would you do this activity? On an average weekend day how long would you spend doing this activity?

<=2 __ # days __ hrs/day __ mins/day

9. In a typical week do you do any work-related activities of MODERATE EFFORT such as mostly brisk walking like teaching, nursing or waiting tables?

<=5 __ # days __ hrs/day __ mins/day

9a. If Yes. Just thinking about the weekdays from Monday to Friday. How many days would you do this activity? On an average weekday how long would you spend doing this activity?

<=5 __ # days __ hrs/day __ mins/day

9b. Just thinking about the weekend from Saturday to Sunday. How many days would you do this activity? On an average weekend day how long would you spend doing this activity?

<=2 __ # days __ hrs/day __ mins/day

Part 4: Transport-Related Activity

The final category is the TRANSPORT CATEGORY. There are five intensity levels in this category; sitting, light effort, brisk walking, moderate effort which doesn't include brisk walking and vigorous effort.

21. In a typical week do you do any transport-related activities of LIGHT EFFORT such walking slowly?

1 = yes
0 = no -- Move to next question.

21a. If Yes. Just thinking about the weekdays from Monday to Friday. How many days would you do this activity? On an average weekday how long would you spend doing this activity?

<=5 __ # days __ hrs/day __ mins/day

21b. Just thinking about the weekend from Saturday to Sunday. How many days would you do this activity? On an average weekend day how long would you spend doing this activity?

<=2 __ # days __ hrs/day __ mins/day

22. In a typical week do you do any transport-related activities that involve BRISK WALKING such as walking to get places or walking to the bus?

1 = yes
0 = no -- Move to next question.

22a. If Yes. Just thinking about the weekdays from Monday to Friday. How many days would you do this activity? On an average weekday how long would you spend doing this activity?

<=5 __ # days __ hrs/day __ mins/day

22b. Just thinking about the weekend from Saturday to Sunday. How many days would you do this activity? On an average weekend day how long would you spend doing this activity?

<=2 __ # days __ hrs/day __ mins/day

23. In a typical week do you do any transport-related activities of MODERATE EFFORT such as riding a bike or riding a push scooter?

1 = yes
0 = no -- Move to next question.

23a. If Yes. Just thinking about the weekdays from Monday to Friday. How many days would you do this activity? On an average weekday how long would you spend doing this activity?

<=5 __ # days __ hrs/day __ mins/day

23b. Just thinking about the weekend from Saturday to Sunday. How many days would you do this activity? On an average weekend day how long would you spend doing this activity?

<=2 __ # days __ hrs/day __ mins/day

Last Modified: 11 Apr 2014