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 and moderate 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. Moderate activities refer to activities that take moderate physical effort and make you breathe somewhat harder than normal.
PART 1: JOB-RELATED PHYSICAL ACTIVITY
The first section is about your work. This includes paid jobs, farming, volunteer work, course work, and any other unpaid work that you did outside your home. Do not include unpaid work you might do around your home, like housework, yard work, general maintenance, and caring for your family. These are asked in Part 3.
1. Do you currently have a job or do any unpaid work outside your home?
Yes
No Skip to PART 2: TRANSPORTATION
The next questions are about all the physical activity you did in the last 7 days as part of your paid or unpaid work. This does not include traveling to and from work.
2. During the last 7 days, on how many days did you do vigorous physical activities like heavy lifting, digging, heavy construction, or climbing up stairs as part of your work? Think about only those physical activities that you did for at least 10 minutes at a time.
_____ days per week
No vigorous job-related physical activity Skip to question 4
3. How much time did you usually spend on one of those days doing vigorous physical activities as part of your work?
_____ hours per day
_____ minutes per day
4. Again, think about only 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 as part of your work? Please do not include walking.
_____ days per week
No moderate job-related physical activity Skip to question 6
5. How much time did you usually spend on one of those days doing moderate physical activities as part of your work?
_____ hours per day
_____ minutes per day
6. During the last 7 days, on how many days did you walk for at least 10 minutes at a time as part of your work? Please do not count any walking you did to travel to or from work.
_____ days per week
No job-related walking Skip to PART 2: TRANSPORTATION
7. How much time did you usually spend on one of those days walking as part of your work?
_____ hours per day
_____ minutes per day
PART 2: TRANSPORTATION PHYSICAL ACTIVITY
These questions are about how you traveled from place to place, including to places like work, stores, movies, and so on.
8. During the last 7 days, on how many days did you travel in a motor vehicle like a train, bus, car, or tram?
_____ days per week
No traveling in a motor vehicle Skip to question 10
9. How much time did you usually spend on one of those days traveling in a train, bus, car, tram, or other kind of motor vehicle?
_____ hours per day
_____ minutes per day
Now think only about the bicycling and walking you might have done to travel to and from work, to do errands, or to go from place to place.
10. During the last 7 days, on how many days did you bicycle for at least 10 minutes at a time to go from place to place?
_____ days per week
No bicycling from place to place Skip to question 12
11. How much time did you usually spend on one of those days to bicycle from place to place?
_____ hours per day
_____ minutes per day
12. During the last 7 days, on how many days did you walk for at least 10 minutes at a time to go from place to place?
_____ days per week
No walking from place to place Skip to PART 3: HOUSEWORK, HOUSE MAINTENANCE, AND CARING FOR FAMILY
13. How much time did you usually spend on one of those days walking from place to place?
_____ hours per day
_____ minutes per day
PART 3: HOUSEWORK, HOUSE MAINTENANCE, AND CARING FOR FAMILY
This section is about some of the physical activities you might have done in the last 7 days in and around your home, like housework, gardening, yard work, general maintenance work, and caring for your family.
14. Think about only 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, chopping wood, shoveling snow, or digging in the garden or yard?
_____ days per week
No vigorous activity in garden or yard Skip to question 16
15. How much time did you usually spend on one of those days doing vigorous physical activities in the garden or yard?
_____ hours per day
_____ minutes per day
16. Again, think about only 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 activities like carrying light loads, sweeping, washing windows, and raking in the garden or yard?
_____ days per week
No moderate activity in garden or yard Skip to question 18
17. How much time did you usually spend on one of those days doing moderate physical activities in the garden or yard?
_____ hours per day
_____ minutes per day
18. Once again, think about only 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 activities like carrying light loads, washing windows, scrubbing floors and sweeping inside your home?
_____ days per week
No moderate activity inside home Skip to PART 4: RECREATION, SPORT AND LEISURE-TIME PHYSICAL ACTIVITY
19. How much time did you usually spend on one of those days doing moderate physical activities inside your home?
_____ hours per day
_____ minutes per day
PART 4: RECREATION, SPORT, AND LEISURE-TIME PHYSICAL ACTIVITY
This section is about all the physical activities that you did in the last 7 days solely for recreation, sport, exercise or leisure. Please do not include any activities you have already mentioned.
20. Not counting any walking you have already mentioned, during the last 7 days, on how many days did you walk for at least 10 minutes at a time in your leisure time?
_____ days per week
No walking in leisure time Skip to question 22
21. How much time did you usually spend on one of those days walking in your leisure time?
_____ hours per day
_____ minutes per day
22. Think about only 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 aerobics, running, fast bicycling, or fast swimming in your leisure time?
_____ days per week
No vigorous activity in leisure time Skip to question 24
23. How much time did you usually spend on one of those days doing vigorous physical activities in your leisure time?
_____ hours per day
_____ minutes per day
24. Again, think about only 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 bicycling at a regular pace, swimming at a regular pace, and doubles tennis in your leisure time?
_____ days per week
No moderate activity in leisure time Skip to PART 5: TIME SPENT SITTING
25. How much time did you usually spend on one of those days doing moderate physical activities in your leisure time?
_____ hours per day
_____ minutes per day
PART 5: TIME SPENT SITTING
The last questions are about the time you spend sitting while 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. Do not include any time spent sitting in a motor vehicle that you have already told me about.
26. During the last 7 days, how much time did you usually spend sitting on a weekday?
_____ hours per day
_____ minutes per day
27. During the last 7 days, how much time did you usually spend sitting on a weekend day?
_____ hours per day
_____ minutes per day
This is the end of the questionnaire, thank you for participating.
APPENDIX II
EXERCISE BARRIERS ITEMS
Internal Barriers
1. I've been thinking about exercise is difficult and too tiring.
2. I have never energy as much as to able to do exercise
3. I've been thinking about other recreational activities with my friends are more
entertaining than exercise.
4. I have not been thinking about exercise has positive effects on my health.
5. I've been worried about my looks when I exercise
6. I have not been thinking about my ability to exercise.
External barriers:
7. There is no fitness center that I could get to.
8. I have no exercise equipment at home that I use.
9. My family or friends do not encourage me to exercise.
10. My parents give academic success priority over exercise.
11. I have no leisure time for exercise because of my busy lesson schedule
12. I have no leisure time for exercise because of my social and family responsibilities.
APPENDIX- III
INFORMED CONSENT TO PARTICIPATE IN THE RESEARCH STUDY
I ____________ voluntarily consent to participate in the research study, "PREVALENCE OF PHYSICAL ACTIVITY AMONG PHYSIOTHERAPY STUDENTS".
The researcher has explained to me about the research in brief, the risk of participation and has answered the questions related to the research to my satisfaction.
Signature of the applicant:
Signature of the researcher:
Signature of the witness:
