Physical Activity Questionnaire, Offspring Cohort Exam 5: Annotated Form
Table of Contents
Physical Activity Questionnaire - Framingham Heart Study
We would like to ask you several questions about your current exercise habits. Please answer as accurately as possible. Circle your answers or supply a specific number on the line when asked (only one answer per question).
General Questions
2. How would you compare last week's activity to your usual
activity during the year?1 = Less active2 = Same as usual3 = More active
How would you compare your activity level to others your age?1 = Less active2 = Same as usual3 = More active
4. What is your occupation now?
(If working outside the home less than 20 hours/week put retired or homemaker. Specify part-time if only work part-time.)
5. During the last seven days how much total time did you spend
doing the activities included on the attached reference sheet? Record only time
actually engaged in the activity (ignore breaks, rest periods, etc.). Be sure to
remember job, home and recreation activities, and please take special care to
include "VERY HARD" and "HARD" activities from the
list (if they apply).
6. During the Last Year how much time did you spend
doing the activities included on the attached reference sheet? Record only time
actually engaged in the activity (ignore breaks, rest periods, etc.).
** Note: If activity is done every week, 52 should be written here. Seasonal activity might be less.
Walking and Jogging
Rest and Activity for a Typical Day
Moderate Activity - Number of hours with activities such as house
work (vacuum, dust, yard chores, climbing stairs; light sports such as bowling,
golf)?
Heavy Activity - Number of hours with activities such as heavy
household work, heavy yard work such as stacking or chopping wood, exercise such
as intensive sport - jogging, swimming, etc.?