General Practice Physical Activity Questionnaire

If you want more information about your score at the end of the questionnaire, please contact St Helens Wellbeing to talk to one of our Social Prescribing Link Workers. Your score will be visible underneath the percentage mark at the end of the survey.

Question Title

* 1. Please tell us the type and amount of physical activity involved in your work. Please tick one box that is closest to your present work from the following five possibilities:

I am not in employment (e.g. retired, retired for health reasons, unemployed, full-time carer etc.)

I spend most of my time at work sitting (such as in an office)

I spend most of my time at work standing or walking. However, my work does not require much intense physical effort (e.g. shop assistant, hairdresser, security guard, childminder, etc.)

My work involves definite physical effort including handling of heavy objects and use of tools (e.g. plumber, electrician, carpenter, cleaner, hospital nurse, gardener, postal delivery workers etc.)

My work involves vigorous physical activity including handling of very heavy objects (e.g. scaffolder, construction worker, refuse collector, etc.)

Question Title

* 2. During the last week, how many hours did you spend on each of the following activities?

Physical exercise such as swimming, jogging, aerobics, football, tennis, gym workout etc.

None

Some but less than 1hr

1hr but less than 3hrs

3hrs or more

Question Title

* 3. Cycling, including cycling to work and during leisure time

None

Some but less than 1hr

1hr but less than 3hrs

3hrs or more

Question Title

* 4. Walking, including walking to work, shopping, for pleasure etc.

None

Some but less than 1hr

1hr but less than 3hrs

3hrs or more

Question Title

* 5. Housework/Childcare

None

Some but less than 1hr

1hr but less than 3hrs

3hrs or more

Question Title

* 6. Gardening/DIY

None

Some but less than 1hr

1hr but less than 3hrs

3hrs or more

Question Title

* 7. How would you describe your usual walking pace? Please tick one box only.

Slow pace (i.e. less than 3 mph)

Steady average pace

Brisk pace

Fast pace (i.e. more than 4 mph)

General Practice Physical Activity Questionnaire

Question Title

* 1. Please tell us the type and amount of physical activity involved in your work. Please tick one box that is closest to your present work from the following five possibilities:

Question Title

* 2. During the last week, how many hours did you spend on each of the following activities?Physical exercise such as swimming, jogging, aerobics, football, tennis, gym workout etc.

Question Title

* 3. Cycling, including cycling to work and during leisure time

Question Title

* 4. Walking, including walking to work, shopping, for pleasure etc.

Question Title

* 5. Housework/Childcare

Question Title

* 6. Gardening/DIY

Question Title

* 7. How would you describe your usual walking pace? Please tick one box only.

* 2. During the last week, how many hours did you spend on each of the following activities?

Physical exercise such as swimming, jogging, aerobics, football, tennis, gym workout etc.