The RJ4All Rotherhithe Community Centre

+44(0)7708758600 Plough Way London SE16 2LJ, UK
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General Practice Physical Activity Questionnaire

General Practice Physical Activity Questionnaire

Welcome to your General Practice Physical Activity Questionnaire

Date
Email
Name and surname
Please tell us the type and amount of physical activity involved in your work. Please tick one box that is closest to your present work from the following five possibilities:
Please mark one box only
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
How would you describe your usual walking pace? Please mark one box only.
Please mark one box only.
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