Shape-Up Sister

exercise class
Physical Activity Checklist

  5 times
a week
or more
3-4
times
a week

Twice
a week

Once
a week


Never
1 How often over the past week did you do a total of 30 minutes of physical activity that made you feel warm and breath more heavily?
  Less than
twice
a week
2-3
times
a week
4-5
times
a week
6-7
times
a week
More than
once
a day
2 How often over the past week did you spend more than 1 hour at a time sitting down?
 
All the
time
Most
of the
time
Some
of the
time


Rarely


Never
3 How often over the past week did you use the stairs instead of the lifts?
 
All the
time
Most
of the
time
Some
of the
time


Rarely


Never
4 How often over the past week did you walk or cycle instead of taking the bus or car for short journeys (under a mile)?
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©Weight Concern 2007