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Standardized Questionnaires of Walking & Bicycling Database:
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Lifetime Physical Activity Questionnaire
http://dceg.cancer.gov/modules/Lifetime_PA.pdf
Note: reliability, but not validity, studies are available for this questionnaire.
STEP 1: Please place a check mark in the first column next to each activity that you have ever participated in more than 10 times during your lifetime.
STEP 2: For those activities you have checked, proceed to the right answering the questions in the columns above.
| Have you ever participated in any of the following? |
During the Past Year |
During ages 51-65 years (a 15-year span)
If younger than 51, skip to next column |
During ages 35-50 years (a 15-year span) |
During ages 22-34 years (a 12-year span) and Between age of onset of menstruation to 21 years |
Between age of onset of menstruation to 21 years |
| Check if yes ↓ |
# of months |
Typical # of hours per week |
# of years (15 max) |
Typical # of months per year |
Typical # of hours per week |
# of years (15 max) |
Typical # of months per year |
Typical # of hours per week |
# of years (12 max) |
Typical # of months per year |
Typical # of hours per week |
# of years (10 max) |
Typical # of months per year |
Typical # of hours per week |
| Leisure Time Activities: |
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| Walking for exercise (outdoor, indoor at mall, treadmill) |
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| Bicycling (stationery/outdoor) |
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