This page links to some files in Portable Document Format (PDF).

Auckland Heart Study (AHS) Physical Activity Questionnaire

http://www.rnzcgp.org.nz/assets/Uploads/NZFP/June2003/Elley_June03.pdfExternal Web Site Policy

  1. How many minutes per day would you spend walking to and from work? _______
    (e.g. from home, car, bus). And how many days per week? ____________________
  2. Have you done any (other) brisk walking on a regular basis, (that is at least once per 2 weeks) in the last 3 months? e.g. to or around shops, library, or church?
    YES NO

    OFFICE USE
    If YES, minutes per day ________ Number of days walked per week ___________
  3. How many hours did you spend on the following activities in an average week?
    Hours
    Minutes

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Last modified:
20 Aug 2009
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