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.
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
Physical exercise such as swimming, jogging, aerobics, football, tennis, gym, workout etc.
Cycling, including cycling to work and during leisure time.
Walking, including walking to work, shopping, for pleasure etc.
Housework / childcare.
Gardening / DIY.
Your Walking Pace
How would you describe your usual walking pace?
  

About This Form

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Personal Information

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