Question 1.
Do
you take the stairs instead of the lift?
don't select this choice
always
sometimes
never,
or hardly ever
don't have access to stairs
Question 2.
Do you ever walk or
ride a bike instead of driving?
don't select this choice .
don't select this choice
always
sometimes
never, or hardly ever.
Question 3.
Do you ever go for
a walk at lunchtime?
don't select this choice
don't select this choice .
always
sometimes
never, or hardly ever.
Question 4.
How
many organised sport activities do you
participate in?
don't select this choice
three or
more
two
one
none
Question 5.
How many hours per
week would you spend participating in organised
team, individual sport or physical activity?
don't select this choice
more
than 2 hours.
one to
two hours
less
than one hour
zero
Question 6.
How many days per
week would you exercise moderately
for at least 30 minutes? (Moderate exercise means
energetic activity that does not leave you out of
breath)
every
day
almost
every day
2-3 days
per week
once a
week
rarely or never
Question 7.
How many days per
week would you exercise vigorously
for a minimum of 20 minutes?
every
day.
almost
every day
2-3 days
per week
once a
week
rarely or never
Question 8.
How
would you describe the activity levels in your
daily occupation?
don't select this choice
highly
active
moderately active
slightly
active
sedentary
Question 9.
How would you
describe the activity levels in your overall
lifestyle?
don't select this choice
highly
active.
moderately active.
slightly
active
sedentary
Question 10.
If
you had a spare afternoon, would you most likely
(tick one response only);
play
a high intensity sport (eg:
tennis, squash, aerobics, running, cycling)
play a
moderate intensity sport (eg:
golf, bowling, lawn bowls)
do gardening or go for a walk
do
housework or domestic chores
read a book, or sit and relax, or sleep