Adapted from International Physical Activity Questionnaire 2002
PHYSICAL ACTIVITY QUESTIONNAIRE
INTERNATIONAL PHYSICAL ACTIVITY QUESTIONNAIRE (15 – 69 years old)
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.
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 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 vigorous physical activities like heavy lifting, digging, aerobics, or fast bicycling?
_____ days per week
No vigorous physical activities Skip to question 3
- How much time did you usually spend doing vigorous physical activities on one of those days?
_____ hours per day
_____ minutes per day
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 week
No moderate physical activities Skip to question 5
- How much time did you usually spend doing moderate physical activities on one of those days?
_____ hours per day
_____ minutes per day
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 week
No walking Skip to question 7
- How much time did you usually spend walking on one of those days?
_____ hours per day
_____ minutes per day
Don’t know/Not sure
The last question is about the time you spent sitting on weekdays during the last 7 days. Include 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 day
_____ minutes per day
Don’t know/Not sure
INTERNATIONAL PHYSICAL ACTIVITY QUESTIONNAIRE (IPAQ-E)
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.
To describe the intensity of the physical activity, two terms (Moderate and Vigorous) are used:
Moderate activities refer to activities that take moderate physical effort and make you breathe somewhat harder than normal.
Vigorous physical activities refer to activities that take hard physical effort and make you breathe much harder than normal.
- The first question is about the time you spent sitting during the last 7 days. Include 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 during a day?
____ hours ___ minutes
2 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 might do 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 | Þ | How much time did you usually spend walking on one of those days? |
| or No day | ____ hours ___ minutes |
- During the last 7 days, on how many days did you do moderate physical activities like gardening, cleaning, bicycling at a regular pace, swimming or other fitness activities.
Think only about those physical activities that you did for at least 10 minutes at a time. Do not include walking.
| ________ Days | Þ | How much time did you usually spend doing moderate physical activities on one of those days? |
| or No day | ____ hours ___ minutes |
- During the last 7 days, on how many days did you do vigorous physical activities like heavy lifting, heavier garden or construction work, chopping woods, aerobics, jogging/running or fast bicycling?
Think only about those physical activities that you did for at least 10 minutes at a time.
| ________ Days | Þ | How much time did you usually spend doing vigorous physical activities on one of those days? |
| or No day | ____ hours ___ minutes |
NASA/JSC Physical Activity Scale (PA-R)
Instructions: Please select the number than best corresponds to your physical activity level during the previous month:
| 0 | Avoid physical activities whenever possible |
| 1 | Light physical activities done occasionally |
| 2 | Moderate physical activities done regularly for less than 1 hour per week |
| 3 | Moderate physical activities done regularly for more than 1 hour per week |
| 4 | Heavy physical activities done regularly for less than 30 min per week |
| 5 | Heavy physical activities done regularly between 30 and 60 min per week |
| 6 | Heavy physical activities done regularly between 1 and 3 hours per week |
| 7 | Heavy physical activities done regularly for more than 3 hours per week |
CURHAN Physical Activity Protocol, March 9, 2016