INCIDENTAL AND PLANNED PHYSICAL ACTIVITY QUESTIONNAIRE (IPAQ)
READ: Now I would like to ask you a few questions about your activity levels.
1. In the past three months, how much time did you spend in the following activities on average per week?
(Use examples as prompts if needed: eg. bowls, golf, tennis, swimming, dancing , jogging, bicycling etc)
( ) Never (go to question 15)
Number of
Activity type
times /week
<30
Number of minutes per session
30-45
45+
1-2hrs
2-4hrs
Low
Level of exertion *
Moderate High
Activity in class (specify
activity)
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Home activity (e.g.stationary
bicycle, stretching) (specify)
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Other activity 1 (specify)
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Other activity 2 (specify)
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Other activity 3 (specify)
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* Level of exertion definition
Low – breathing normally, able to carry on a conversation
Moderate – slightly out of breath but still able to carry on a conversation
High –too out of breath to carry on a conversation
2. During the past three months, how often have you been on walks specifically for
exercise on average per week? (i.e. walking in the park, walking the dog, a walk
in the neighbourhood, cross-country walking, etc). (circle answer)
a. Every day
b. 3-6 times/week
c. Twice/week
d. Once/week
e. Less than once/week
f. Never (Please go to question 16)
3. In these walks for activity, how long did you walk for? (circle answer)
a. Less than 15mins/day
b. 15mins to less than 30mins/day
a. 30mins to less than 1 hour/day
b. 1 hour to less than 2 hours/day
c. 2 hours to less than 4 hours/day
d. 4 or more hours/day
4. During the past three months, how often have you been on other walks (i.e. walk
to general practitioner, pharmacy, or store) on average per week? (circle answer)
a. Every day
b. 3-6 times/week
c. Twice/week
d. Once/week
e. Less than once/week
f. Never (go to question 18)
5. In these other walks, how long did you walk for? (circle answer)
a. Less than 15mins/day
b. 15mins to less than 30mins/day
c. 30mins to less than 1 hour/day
d. 1 hour to less than 2 hours/day
e. 2 hours to less than 4 hours/day
f. 4 or more hours/day
6. In the past three months, in addition to the walking you mentioned above, how
much time did you spend each day out of your house doing other physical activity
such as house maintenance and gardening? (Excluding housework and activities
inside the house). (circle answer)
a. Never (i.e. no garden)
b. Less than 15mins/day
c. 15mins to less than 30mins/day
d. 30mins to less than 60mins/day
e. 1 hour to less than 2 hours/day
f. 2 hours to less than 4 hours/day
g. 4 or more hours/ day
7. In the past three months, how many hours did you spend on your feet each day
indoors at home doing tasks like housework, self care or care for another
person? (circle answer)
a. Never (i.e. living in hostel, assisted living)
b. Less than 15mins/day
c. 15mins to less than 30mins/day
d. 30mins to less than 60mins/day
e. 1 hour to less than 2 hours/day
f. 2 hours to less than 4 hours/day
g. 4 or more hours/day