|
|
Standardized Questionnaires of Walking & Bicycling Database:
|
|
|
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.
The Modifiable Activity Questionnaire/Pima Indian
In:
Kriska AM, Knowler WC, LaPorte RE, Drash AL, Wing RR, Blair SN, Bennett PH, Kuller LH.
Development of questionnaire to examine relationship of physical activity and diabetes in Pima Indians.
Diabetes Care 1990 Apr;13(4):401-11.
Activity Survey - occupational activities
| Occupational activity -
Past year |
Age at start of job |
Walk or bike to work? |
Job schedule
Average past year
mo/yr |
| |
|
min/day |
mo/yr |
days/wk |
hr/dy |
Job title*
List all jobs held over past year for more than 1 mo (account for full 12 mo) |
|
|
|
|
|
Activity Survey - leisure activities
| Leisure activity code |
12-18 yr
(7 yr total) |
19-34 yr
(15 yr total) |
35-49 yr
(16 yr total) |
>50 yr
(__ yr total) |
Past year |
Past week |
| |
No. yr |
Mo/yr |
hr/wk |
No. yr |
Mo/yr |
hr/wk |
No. yr |
Mo/yr |
hr/wk |
No. yr |
|
|
|
|
|
|
| 04
(bicycling) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 19
(walking for exer-cise) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
