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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.
Active Australia Survey: Physical Activity Survey: From the National Physical Activity Survey
The Hunter Valley Research Foundation
A.C.N. 000 185 393
Downie Street, Maryville, NSW 2293
Telephone: (049) 69 4566
Facsimile: (049) 61 4981
We would like to ask you about the physical activity you did in the last week:
- Q8. IN THE LAST WEEK how many times have you walked continuously, for at least 10 minutes, for recreation, exercise or to get to or from places?
- Content: # number of times
- 99 = Don't know -- use only as an absolute last resort
- If: Q8 = 0, skip to Q12
- Q9. What do you estimate was the total time that you spent walking in this way IN THE LAST WEEK? [INTERVIEWER: THIS IS ‘CONTINUOUS' WALKING]
- Content: Minutes Hours
- 77 = Don't know 777 = Don't know
- If: Q9M < 1 AND Q9H < 1, skip to Q9m
- Q12. IN THE LAST WEEK how many times did you do any vigorous gardening or heavy work around the yard, which made you breathe harder or puff and pant?
- Content: # number of times
- 99 = Don't know -- use only as an absolute last resort
- If: Q12 = 0, skip to Q14
- Q14. N THE LAST WEEK, how many times did you do any vigorous physical activity which made you breathe harder or puff and pant?
- (e.g., jogging, cycling, aerobics, competitive tennis)
- Content: # number of times
- 99 = Don't know -- use only as an absolute last resort
- If: Q14 = 0, skip to Q16
- Q15. What do you estimate was the total time that you spent doing this vigorous physical activity IN THE LAST WEEK?
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