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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.
International Physical Activity Questionnaire (Long, Self-administered)
All four versions found at: http://www.ipaq.ki.se/downloads.htm
(October 2002)
LONG: LAST 7 DAYS SELF-ADMINISTERED FORMAT
For use with Young and Middle-aged Adults (15-69 years)
- During the last 7 days, on how many days did you walk for at least 10 minutes at a time as part of your work? Please do not count any walking you did to travel to or from work.
_____ days per week
____ No job-related walking
- How much time did you usually spend on one of those days walking as part of your work?
_____ hours per day
_____ minutes per day
Now think only about the bicycling and walking you might have done to travel to and from work, to do errands, or to go from place to place.
- During the last 7 days, on how many days did you bicycle for at least 10 minutes at a time to go from place to place?
_____ days per week
No bicycling from place to place
- How much time did you usually spend on one of those days to bicycle from place to place?
_____ hours per day
_____ minutes per day
- During the last 7 days, on how many days did you walk for at least 10 minutes at a time to go from place to place?
_____ days per week
No walking from place to place Skip to PART 3: HOUSEWORK, HOUSE MAINTENANCE, AND CARING FOR FAMILY
- How much time did you usually spend on one of those days walking from place to place?
_____ hours per day
_____ minutes per day
- Not counting any walking you have already mentioned, during the last 7 days, on how many days did you walk for at least 10 minutes at a time in your leisure time?
_____ days per week
No walking in leisure time Skip to question 22
- How much time did you usually spend on one of those days walking in your leisure time?
_____ hours per day
_____ minutes per day
- Think about only those physical activities that you did for at least 10 minutes at a time. During the last 7 days, on how many days did you do vigorous physical activities like aerobics, running, fast bicycling, or fast swimming in your leisure time?
_____ days per week
No vigorous activity in leisure time Skip to question 24
- How much time did you usually spend on one of those days doing vigorous physical activities in your leisure time?
_____ hours per day
_____ minutes per day
- Again, think about only those physical activities that you did for at least 10 minutes at a time. During the last 7 days, on how many days did you do moderate physical activities like bicycling at a regular pace, swimming at a regular pace, and doubles tennis in your leisure time?
_____ days per week
No moderate activity in leisure time Skip to PART 5: TIME SPENT SITTING
- How much time did you usually spend on one of those days doing moderate physical activities in your leisure time?
_____ hours per day
_____ minutes per day
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