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Forms
Active Lichfield Health Par Q
Active Lichfield Health Par Q
Exercise done
Participant name
(Required)
In the past 7 days, have you done any of these activities?
(Required)
A continuous walk lasting at least 10 minutes
A cycle ride
A sport, fitness activity (such as gym or fitness classes), or dance
None of these
In the past 7 days, on how many days did you do a walk lasting at least ten minutes?
(Required)
1 day
2 days
3 days
4 days
5 days
6 days
7 days
How much time did you usually spend walking on each day that you did the activity?
(Required)
Was the effort you put into walking usually enough to raise your breathing rate?
(Required)
Yes
No
In the past 7 days, on how many days did you do a cycle ride?
(Required)
1 day
2 days
3 days
4 days
5 days
6 days
7 days
How much time did you usually spend cycling on each day that you did the activity?
(Required)
Was the effort you put into cycling usually enough to raise your breathing rate?
(Required)
Yes
No
In the past 7 days, on how many days did you sport, fitness activity or dance?
(Required)
1 day
2 days
3 days
4 days
5 days
6 days
7 days
How much time did you usually spend doing sport, fitness activity or dance on each day that you did the activity?
(Required)
Was the effort you put into sport, fitness activities, or dance usually enough to raise your breathing rate?
(Required)
Yes
No