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

About This Database

You are browsing a database of standardized questionnaires that ask about respondents' walking and bicycling habits. 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.

Modified Baecke Questionnaire For Older Adults

In: Pereira MA, FitzGerald SJ, Gregg EW, Joswiak ML, Ryan WJ, Suminski RR, Utter AC, Zmuda JM. A collection of Physical Activity Questionnaires for health-related research. Med Sci Sports Exerc 1997 Jun;29(6 Suppl):S1-205.

  1. How many flights of stairs do you walk up per day? One flight is 10 steps.
    1. I never walk stairs
    2. 1-5
    3. 6-10
    4. More than 10
  2. If you go somewhere in your hometown, what kind of transportation do you use?
    1. I never go out
    2. Car
    3. Public transportation
    4. Bicycle
    5. Walking
  3. If you go out for shopping, what kind of transportation do you use?
    1. I never go out
    2. Car
    3. Public transportation
    4. Bicycle
    5. Walking

Footer begins
Last modified:
14 Mar 2013
Search | Contact Us | Accessibility | Privacy Policy  
Division of Cancer Control and Population Sciences National Cancer Institute Department of Health and Human Services National Institutes of Health USA.gov: The US government's official web portal