General Practice Physical Activity Questionnaire

Your Contact Details

Please provide an email address where possible
Please tell us the type and amount of physical activity involved in your work.
During the last week, how many hours did you spend on each of the following activities?
Please answer whether you are in employment or not
None Some but less than 1 hour 1 hour but less than 3 hours 3 hours or more
Your Walking Pace
(less than 3 mph)
Steady or
Brisk Fast
(more than 4 mph)
How would you describe your usual walking pace?

About This Form

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Personal Information

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