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2014
February
P
Physical Activity Assessment pre-module
Physical Activity Assessment pre-module
0%
Exit Survey
How often do you engage in low intensity activity in one week? (e.g., walking dog, basic house chores, taking stairs)
less than once
one to two times
three times
four to five times
more than five times
What are total minutes in a week that you engage in low intensity activity? (e.g., walking, taking stairs, house chores)
less than 20 minutes
20 to 40 minutes
40 to 80 minutes
80 to 120 minutes
more than 120 minutes
What are your 3 preferred forms of low intensity activity?
walking (e.g., shopping, stairs)
biking
mediation yoga
low intensity individual sports (pool, ping pong, bowling etc.)
low intensity team sports (volleyball, baseball etc.)
basic house chores (e.g., cleaning, gardening etc.)
How often do you engage in moderate to vigorous exercise in one week? (e.g., running, strength training, spin class, complex house chores, sports)
Less than once
one to two times
three times
four to five times
more than five times
What are the total minutes in a week that you engage in moderate to vigorous exercise? (e.g., e.g., running, strength training, spin class, high intensity sports)
less than 20 minutes
20 to 40 minutes
40 to 80 minutes
80 to 120 minutes
more than 120 minutes
What are you three most preferred forms of moderate to vigorous exercise?
walking
hiking
jogging
running
biking
eliptical
swimming
strength training
intense yoga
pilates
high intensity team sports (hockey, basketball, soccer etc.)
high intensity individual sports (squash, tennis, racquet ball etc.)
complex house chores (e.g., shoveling snow, house renovations)
other
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