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Arab Teens Lifestyle Study (ATLS) Questionnaire

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: http://faculty.ksu.edu.sa/hazzaa/DocLib31/ATLS%20Questionnaire.pdfExternal Web Site Policy

PART ONE: Physical Activity/Inactivity

  1. How many times per week do you regularly walk?
  2. None 3 times 6 times
    Once 4 times 7 times or more
    Twice 5 times

  3. If you regularly walk, what is the pace of your walk?
  4. None 3 times 6 times

  5. If you regularly walk, how many minutes do you walk each time?
  6. Number of minutes: ___

  7. How many times per DAY you use the stairs in school, home, or elsewhere? (one floor of stair counts as 1 time)
  8. None 3 times more than 5
    Once 4 times
    Twice 5 times

    If more than 5 times, how many? ____

  1. How many times per week do you regularly cycle (either on an outdoor or a stationary cycle)?

    None 3 times 6 times
    Once 4 times 7 times or more
    Twice 5 times

  2. If you use an outdoor or a stationary cycle regularly, how many minutes do you cycle each time?
  3. Number of minutes: ___

  4. How many times per week do you regularly swim?
  5. None 3 times 6 times
    Once 4 times 7 times or more
    Twice 5 times

Last Modified: 11 Apr 2014