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Standardized Questionnaires of Walking & Bicycling Database:
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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.
Historical Physical Activity Survey - 1988
In:
Kriska AM, Sandler RB, Cauley JA, LaPorte RE, Hom DL, Pambianco G.
The assessment of historical physical activity and its relation to adult bone parameters.
Am J Epidemiol 1988 May;127(5):1053-63.
- How many miles did you normally walk each day...
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Under 1 mile |
1-2 miles |
3-5 miles |
Greater
than 5 miles |
| Back and forth to grade school? |
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| Back and forth to high school and college? |
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| Back and forth to work during your 20s and 30s? |
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| your 40s? |
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| 50s+? |
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Remember: 12 blocks or 20 minutes of brisk walking is equivalent to approximately 1 mile.
- Please indicated in the first section below all activities you have ever participated in with any regularity by placing a check in the YES column next to the activity. Fro each activity that you have identified participation , go across the entire row and answer for each time period: 1) the number of years you performed the activity out of the total number of years I that time period; 2) the average number of months per year you participated; 3) the average number of hours per month. If no regular participation in the activity in a particular time period, please indicate this by drawing a line through that time period.
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Participate regularly?
Yes No |
Age period 14-21
(8 years total)
If yes, number of
Yrs Mo/yr Hrs/mo |
Age period 23-34
(8 years total)
If yes, number of
Yrs Mo/yr Hrs/mo
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Age period 35-50
(8 years total)
If yes, number of
Yrs Mo/yr Hrs/mo
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50+
If yes, number of
Yrs Mo/yr Hrs/mo |
| Activity |
| Walking for exercise |
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| Bicycling |
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