This page links to some files in Portable Document Format (PDF).

Zutphen Physical Activity Questionnaire

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.

The questions asked on this part concern your daily activities.

  1. Can you walk indoors?
    • Yes
    • No, because I use a wheelchair
    • No, because I am bed ridden
    • No, for a different reason, namely __________

      If you are unable to walk or cycle, go to question 7.
  2. How often did you take a walk during the last week?   ___ times
  3. How long did such a walk last?   ___ minutes
  4. How would you describe your walking pace?   __Calm __Normal __Firm
  5. Did you take a walk that lasted longer than 1 hour during the last month?   NO   YES
    1. How often did you do that?   ____ times
  6. Do you bicycle?   NO   YES
    1. If yes, how often did you bicycle last week?   ___ times
    2. How long did you bicycle?   ____ minutes
    3. How would you describe your bicycling pace?   __Calm __Normal __Fast

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03 Aug 2009
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