| Questions
|
Year(s) Asked on Long Forms (Click on year to view PDF of questionnaire.) |
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|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Physical Activity: On an average weekday/weekend day, how much time did you spend on: - Vigorous activity (eg. Jogging) - Moderate activity (eg. Walking) |
x | |||||||||||||
| Does your health now limit you in any of these activities? (a lot, a little, none at all) -Vigorous activities (running, etc.) -Moderate activities (bowling, etc.) -Lifting groceries -Climbing stairs -Bending/kneeling -Walking more than a mile -Walking several blocks -Walking one block -Bathing/dressing yourself |
x | x | x | |||||||||||
| How often do you engage in any regular activity enough to break a sweat? (# of times per week, duration) | x | x | ||||||||||||
| How many flights of stairs do you climb daily? | x | x | x | x | x | x | x | x | ||||||
| How many blocks do you walk daily? | x | |||||||||||||
| What is your walking pace? | x | x | x | x | x | x | x | |||||||
| During past year, average time/week you participated in: walking, jogging, running, bicycling, swimming, tennis, aerobics, racquet ball. (chart) | x | x | x | x | x | x | x | x | ||||||
| Hours per week spent sitting (home, work) | x | x | x | |||||||||||
| Hours per week spent standing (home, work) | x | x | x | |||||||||||
| Hours per week "other" sitting | x | x | ||||||||||||
| Between 18-22, how often did you participate in strenuous physical activity (>twice/week) | x | |||||||||||||