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About This Database
You are browsing a database of standardized questionnaires that ask about respondents' walking and bicycling habits.
The survey on this page is presented for informational purposes only, and is not intended to be filled out by visitors to this Web site.
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.
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.
Exercise (ages 17+ years)
T1. In the past month, how often did you walk a mile or more at a time without stopping?
______ times number per-----1. day 2. week 3. month
The next questions are about your leisure time physical activity during the past month. We are interested in the following exercises, sports, or physically active hobbies that you might have done. In the past month did you...
T4. Ride a bicycle or exercise bicycle?
1. Y 2. N ______ times number per-----1. day 2. week 3. month
Last Modified: 18 Oct 2013