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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.
Multi-Dimensional Health Assessment Questionnaire (R791-NP2)
In: www.MDHAQ.org
This questionnaire includes information not available from blood tests, X-rays, or any source other than you. Please try to answer each question, even if you do not think it is related to you at this time. Try to complete as much as you can yourself, but if you need help, please ask.
There are no right or wrong answers. Please answer exactly as you think or feel. Thank you.
Please check (✓) the ONE best answer for your abilities at this time:
| d. Walk outdoors on flat ground? |
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| i. Walk two miles or three kilometers, if you wish? |
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How often do you exercise aerobically (sweating, increased heart rate, shortness of breath) for at least one-half hour (30 minutes)? Please check (✓) only one:
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