Scottish Physical Activity Questionnaire

The following questions relate to your physical activity over previous week. Please mark in the appropriate bow the number on minutes spent doing a particular activity.

Please try and think carefully and be as accurate as possible with you answers.

Only include activities of either moderate or vigourous activity.

Examples are given of what should and should not be included.

Do not include LIGHT INTENSITY - Your heart rate and breathing rate are no different from what they are when you are standing, sitting etc.
Inmclude MODERATE INTENSITY - Your heart rate and breathing are faster than normal. You may also sweat a little. Brisk walking or sweeping and mopping are good examples of how you might feel
Inmclude VIGOUROUS INTENSITY - Your h.eart rate is much faster and you have to breathe deeper and faster than normal. You will probably swear. Playing football or squash are good examples of how you might feel.

 

LEISURE TIME PHYSICAL ACTIVITY - Remember, do not include any light intensity activities.
In the past week how many minutes did you spend each day: Mon Tue Wed Thu Fri Sat Sun Total
Walking outwith work? Include:
walking to the shops, walking to work, walking the dog, stairwalking
Cycling outside work? Include:
cycling to school/work/shops, other non-leisure/sport/training cycling
Manual Labour outwith work?
Active Housework?
Dancing?
Participating in a sport, leisure activity or training other than cycling?
Cycling as a sport, leisure activity or Training?
Other Physical Activity not already covered?
              Total:
PHYSICAL ACTIVITY AT WORK - Only complete if you are currently employed and remember not to include any light intensity activities.
In the past week how many minutes did you spend each day: Mon Tue Wed Thu Fri Sat Sun Total
Walking at work?
Cycling at work?
Manual Labour whilst at work?
              Total:
Was last week typical of the amount of physical activity you usually do?

Please make a selection.
If NO, how much more/less?:
If NO, of which activity?:
The organisation which you have participated with: