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Standardized Questionnaires of Walking & Bicycling Database:
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Arizona Activity Frequency Questionnaire
From author, Lisa Staten, via fax.
Please note:
- Record only the amount of time you spent actually doing an activity. For example, if you take an aerobics class for exercise do not count the time you spend changing clothes or chatting before or after the class.
- Remember if you select a Yes for an activity, THREE CIRCLES MUST BE FILLED IN ON THAT LINE. If you select NO, no other columns need to be marked on that line.
Recreational Activities |
Did you do it in the last 4 weeks? |
How many times did you do it in the last 4 weeks? |
How much time did you spend on this activity each time (on average)? |
Yes |
No |
1-3 |
5-10 |
11-19 |
≥20 |
<12 mins |
13-29 mins |
30-44 mins |
≥45 mins |
| Walking upstairs or using a stair climber |
O |
O |
O |
O |
O |
O |
O |
O |
O |
O |
| Walking (include on a treadmill and walking to the store) |
O |
O |
O |
O |
O |
O |
O |
O |
O |
O |
| Other Recreational Activities |
Did you do it in the last 4 weeks? |
How many times did you do it in the last 4 weeks? |
How much time did you spend on this activity each time (on average)? |
Yes |
No |
1-2 |
3-5 |
6-11 |
≥12 |
<30 mins |
>30 mins but <1.5 hrs |
>1.5 hrs but < 3 hrs |
≥3 hrs |
| Bicycling for pleasure or transportation (include riding exer-cycle or stationary bike) |
O |
O |
O |
O |
O |
O |
O |
O |
O |
O |
| Hiking |
O |
O |
O |
O |
O |
O |
O |
O |
O |
O |
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