Physical Activity Assessment pre-module

How often do you engage in low intensity activity in one week? (e.g., walking dog, basic house chores, taking stairs)

less than once

one to two times

three times

four to five times

more than five times

What are total minutes in a week that you engage in low intensity activity? (e.g., walking, taking stairs, house chores)

What are your 3 preferred forms of low intensity activity?

walking (e.g., shopping, stairs)

biking

mediation yoga

low intensity individual sports (pool, ping pong, bowling etc.)

low intensity team sports (volleyball, baseball etc.)

basic house chores (e.g., cleaning, gardening etc.)

How often do you engage in moderate to vigorous exercise in one week? (e.g., running, strength training, spin class, complex house chores, sports)

What are the total minutes in a week that you engage in moderate to vigorous exercise? (e.g., e.g., running, strength training, spin class, high intensity sports)

What are you three most preferred forms of moderate to vigorous exercise?