"*" indicates required fields INTERNATIONAL PHYSICAL ACTIVITY QUESTIONNAIRE We are interested in finding out about the kinds of physical activities that people do as part of their everyday lives. The questions will ask you about the time you spent being physically active in the last 7 days. Please answer each question even if you do not consider yourself to be an active person. Please think about the activities you do at work, as part of your house and yard work, to get from place to place, and in your spare time for recreation, exercise or sport. Name* Age*Weight (kg/lb)*Please enter recent measurement Weight unit (kg/lb)*kg or lbkglbHeight (cm/ft)*Please enter recent measurement Height unit (cm/ft)*cm or ftcmft Think about all the vigorous activities that you did in the last 7 days. Vigorous physical activities refer to activities that take hard physical effort and make you breathe much harder than normal. Think on/y about those physical activities that you did for at least 10 minutes at a time.During the last 7 days, on how many days did you do vigorous physical activities like heavy lifting, digging, aerobics, or fast bicycling?days per week1 day2 days3 days4 days5 days6 days7 daysUntitled No vigorous physical activities How much time did you usually spend doing vigorous physical activities on one of those days? hours per dayUntitled Don't know/Not sure Think about all the moderate activities that you did in the last 7 days. Moderate activities refer to activities that take moderate physical effort and make you breathe somewhat harder than normal. Think only about those physical activities that you did for at least 10 minutes at a time.During the last 7 days, on how many days did you do moderate physical activities like carrying light loads, bicycling at a regular pace, or doubles tennis? Do not include walking.days per week1 day2 days3 days4 days5 days6 days7 daysUntitled No moderate physical activities How much time did you usually spend doing moderate physical activities on one of those days?hours per dayUntitled Don't know/Not sure Think about the time you spent walking in the last 7 days. This includes at work and at home, walking to travel from place to place, and any other walking that you have done solely for recreation, sport, exercise, or leisure.During the last 7 days, on how many days did you walk for at least 10 minutes at a time?days per week1 day2 days3 days4 days5 days6 days7 days No walking How much time did you usually spend walking on one of those days?hours per dayUntitled Don't know/Not sure The last question is about the time you spent sitting on weekdays during the last 7 days. lnclude time spent at work, at home, while doing course work and during leisure time. This may include time spent sitting at a desk, visiting friends, reading, or sitting or lying down to watch television.During the last 7 days, how much time did you spend sitting on a week day?hours per dayUntitled Don't know/Not sure Email* Phone numberCommentPlease check me Δ
