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Standardized Questionnaires of Walking & Bicycling Database:
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Health Insurance Plan of New York City Activity Questionnaire
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.
The individual is asked to complete six occupational activity and five leisure time activity questions. The questions may be administered by an interviewer.
Calculations: each possible response on the questionnaire is assigned a weight. Occupational-related scores are obtained by summing the weights of the different categories and determining the class in which the total score falls. A similar system is used for leisure activities.
Physical Activity Connected with Job:
| Question |
Answer |
Assigned weight |
| Time on job spent walking |
Almost none |
0 |
| Less than ½ |
1 |
| About ½ |
2 |
| More than ½ |
3 |
| Practically all |
4 |
| Walking to get to and from work |
None or less than 1 block |
0 |
| 1 or 2 blocks |
1 |
| 3 or 4 blocks |
2 |
| 5 to 9 blocks |
3 |
| 10 to 19 blocks |
4 |
| 20 to 39 blocks |
5 |
| 40+ blocks (2+ miles) |
6 |
| Hours on job |
Less than 25 |
1 |
| 25-34 |
2 |
| 35-40 |
3 |
| 41-50 |
4 |
| 50+ |
5 |
Physical Activity Off the Job
:
| Item |
Frequently |
Sometimes |
Very
infrequently or never |
| Takes walks in good weather |
2 |
1 |
0 |
| Walks around house or
apartment |
2 |
1 |
0 |
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