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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.
KIHD 12-Month Leisure-time Physical Activity History
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.
Which of the following activities have you performed during the last 12 months? Please estimate the most usual intensity category of each activity by choosing one of the following classes:
| Class |
Activity |
Breathlessness |
Sweating |
| 0 |
recreational, outdoor activities |
no |
no |
| 1 |
conditioning exercise |
yes |
no |
| 2 |
brisk conditioning exercise |
yes |
some |
| 3 |
competitive, strenuous exercise |
yes |
a lot |
| |
How Many Times per Month? |
Duration
hr, min |
Intensity class (0-3) |
| J |
F |
M |
A |
M |
J |
J |
A |
S |
O |
N |
D |
| Walking on work trips |
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| Conditioning walking |
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| Bicycling |
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| Bicycling on work trips |
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