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Standardized Questionnaires of Walking & Bicycling Database:
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Breast Cancer Detection Demonstration Project (BCDDP)
http://dceg.cancer.gov/modules/Physical.pdf
No true validation studies were found for this group of questionnaires.
SECTION D. PHYSICAL ACTIVITY
D2. The following is a list of activities with which some people have difficulty because of a health or physical reason. Please read the activity, and then check for each activity whether you currently have no difficulty, some difficulty, much difficulty, or are unable to do the activity at all, when you are by yourself and without aid. (PLEASE CHECK ONE BOX FOR EACH ACTIVITY.)
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1.
NO
DIFFICULTY |
2.
SOME
DIFFICULTY |
3.
MUCH
DIFFICULTY |
4.
UNABLE
TO DO |
5.
NEVER
DO THIS ACTIVITY |
| a. Walk a quarter of a mile (that is, two or three blocks) |
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| b. Walk up 10 steps without resting |
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