CHIS Physical Activity Questions
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1 Adult PA Questions: walking only CHIS Physical Activity Questions QA11_C1 AD37W The next questions are about walking for transportation. I will ask you separately about walking for relaxation or exercise. During the past 7 days, did you walk to get some place that took you at least 10 minutes? UNABLE TO WALK...3 [GO TO QA11_C4] [GO TO QA11_C7] [GO TO QA11_C4] [GO TO QA11_C4] QA05_C2 AD38W In the past 7 days, how many times did you do that? [IF NEEDED, SAY: Walk for at least 10 minutes to get some place. ] TIMES PER WEEK [IF 0, GO TO QA11_C4] [GO TO QA11_C4] [GO TO QA11_C4] PROGRAMMING NOTE QA11_C3: IF QA11_C2 = 1 DISPLAY How long did that walk take ; IF QA11_C2 > 1 DISPLAY On average, how long did those walks take QA11_C3 AD39W {How long did that walk take/on average, how long did those walks take}? MINUTES PER DAY HOURS PER DAY PROGRAMMING NOTE QA11_C4: IF QA11_C1 = 1 (WALK FOR TRANSPORTATION) DISPLAY Please do not include walking for transportation. QA05_C4 AD40W QA11_C5 Sometimes you may walk for fun, relaxation, exercise, or to walk the dog. During the past 7 days did you walk for at least 10 minutes for any of these reasons? {Please do not include walking for transportation.} In the past 7 days, how many times did you do that? [GO TO QA11_C7] [GO TO QA11_C7] [GO TO QA11_C7]
2 AD41W [IF NEEDED, SAY: Walk for at least 10 minutes for fun, relaxation, exercise, or to walk the dog. ] TIMES PER WEEK [IF 0, GO TO QA11_C7] [GO TO QA11_C7] [GO TO QA11_C7] PROGRAMMING NOTE QA11_C6: IF QA11_C5 = 1 DISPLAY How long did that walk take ; IF QA11_C5 > 1 DISPLAY On average, how long did those walks take QA11_C6 AD42W {How long did that walk take/on average, how long did those walks take}? MINUTES PER DAY HOURS PER DAY CHIS 2009 Adult PA included walking + moderate activity + vigorous activity QA09_C7 AE26 The next questions are about physical activities or exercise you may do in your free time for at least 10 minutes, other than walking. First, think about activities that take moderate physical effort, such as bicycling, dancing, swimming, and gardening. During the last 7 days, did you do any moderate physical activities in your free time for at least 10 minutes, other than walking? [IF NEEDED, SAY: Moderate physical activities make you breathe somewhat harder than normal. ] [IF NEEDED, SAY: Think about only those physical activities that you did for at least 10 minutes at a time. ] [GO TO QA09_C10] [GO TO QA09_C10] [GO TO QA09_C10] QA09_C8 AE27 On how many days did you do this? DAYS PER WEEK[IF 0, GO TO QA09_C10] [GO TO QA09_C10] [GO TO QA09_C10] PROGRAMMING NOTE QA09_C9: IF QA09_C8 = 1 DO NOT DISPLAY usually AND that day ; IF QA09_C8 > 1 DISPLAY usually and one of those days
3 QA09_C9 AE27A QA09_C10 AE24 QA09_C11 AE25 How much time did you {usually} spend on {one of those days/that day} doing moderate physical activities in your free time? [IF NEEDED, SAY: Think about only those physical activities that you did for at least 10 minutes at a time. ] HOURS PER DAY MINUTES PER DAY [HR: 0-480, SR:0-120] Now think about vigorous activities you did in your free time that take hard physical effort, such as aerobics, running, soccer, fast bicycling, or fast swimming. Again, do not include walking. During the last 7 days, did you do any vigorous physical activities in your free time? [IF NEEDED, SAY: Vigorous activities make you breathe much harder than normal. ] [IF NEEDED, SAY: Think about only those vigorous physical activities that you did for at least 10 minutes at a time. ] On how many days did you do this? [GO TO QA09_C13] [GO TO QA09_C13] [GO TO QA09_C13] DAYS PER WEEK [HR:1-7] [IF 0, GO TO QA09_C13] [GO TO QA09_C13] [GO TO QA09_C13] PROGRAMMING NOTE QA09_C12: IF QA09_C11 = 1 DO NOT DISPLAY usually AND DISPLAY that day ; IF QA09_C11 > 1 DISPLAY usually and one of those days QA09_C12 AE25A How much time did you {usually} spend on {one of those days/on that day} doing vigorous physical activities in your free time? [IF NEEDED, SAY: Think about only those physical activities that you did for at least 10 minutes at a time. ] HOURS PER DAY MINUTES PER DAY [HR: 0-480; SR: 0-120]
4 Teen Physical Activity Questions QT11_D1 TE8 These next questions are about physical activity. Not including school PE, in the past 7 days, on how many days were you physically active for at least 60 minutes total per day? [IF NEEDED, SAY: Add up the time you were active for each day of the past 7. Then tell me how many days you were active for at least 60 minutes. ] DON'T KNOW QT11_D2 During a typical week, on how many days are you physically active for at least 60 minutes total per day? Do not include PE. TE49 [IF NEEDED, SAY: Add up the time you were active for each day of the past 7. Then tell me how many days you were active for at least 60 minutes. ] DON'T KNOW Physical Education PROGRAMMING NOTE QT11_D3: IF QT11_A5 = 4 OR QT11_A6 = 3 (HOME SCHOOLED), GO TO QT11_D12; IF QT11_A5 = 2 (NO, NOT IN SCHOOL LAST WEEK) OR 3 (ON VACATION), CONTINUE WITH QT11_D3 AND DISPLAY, During the school year, do you take ; ELSE CONTINUE WITH QT11_D3 AND DISPLAY, Are you currently taking QT11_D3 TE57 {During the school year, do you take/are you currently taking} PE at school? [IF NEEDED, SAY: PE is physical education classes. ] [GO TO QT11_D6] [GO TO QT11_D6] [GO TO QT11_D6] PROGRAMMING NOTE QT11_D4: IF QT11_A5 = 1 (ATTENDED SCHOOL LAST WEEK) DISPLAY do ; ELSE DISPLAY did QT11_D4 TE58 How many days a week {do/did} you have PE? NUMBER OF DAYS [HR: 0-7] DON'T KNOW... -8
5 PROGRAMMING NOTE QT11_D5: IF QT11_A5 = 1 (ATTENDED SCHOOL LAST WEEK) DISPLAY is ; ELSE DISPLAY was QT11_D5 TD26 How many minutes long {is/was} your PE class? [IF NEEDED, SAY: Your best guess is fine.] NUMBER OF MINUTES [SR: 15-90] Commute from School to Home PROGRAMMING NOTE QT11_D6: IF QT11_A5 = 4 or QT11_A6 = 3 (HOME SCHOOLED) OR QT11_A6 = 2 (NO, NOT IN SCHOOL LAST YEAR), GO TO QT11_D12; IF QT11_A5 = 2 (NO, NOT IN SCHOOL LAST WEEK) OR 3 (ON VACATION), CONTINUE WITH QT11_D6 AND GO TO OPTION B; ELSE CONTINUE WITH QT11_D6 AND GO TO OPTION A QT11_D6 A) How many days in the past week did you walk home from school? B) During the school year, on how many days during a typical week do you walk home from school? [INTERVIEWER NOTE: IF R SAYS CHILD BIKES OR SKATEBOARDS HOME, SAY, I ll ask about those next. ] TD27 [IF CHILD DOES NOT GO DIRECTLY HOME FROM SCHOOL, INCLUDE # OF DAYS WALKED, ETC. TO CHILDCARE, RELATIVE S HOME, AFTER- SCHOOL PROGRAM, ETC.] PROGRAMMING NOTE QT11_D7: IF QT11_D6 = 0, -7 OR -8 (NO DAYS, REF/DK) GO TO QT11_D8; ELSE IF QT11_D6 > 0 DAYS, CONTINUE WITH QT11_D7; IF QT11_A5 = 1, DISPLAY does it ; IF QT11_A6 = 1, DISPLAY did it
6 QT11_D7 About how many minutes {did it/does it} take you without any stops? TD28 IF NEEDED, SAY: To walk home from school. ] MINUTES [SR: 1-180] DON'T KNOW PROGRAMMING NOTE QT11_D8: IF QT11_D6 = 0 DAYS, -7, OR -8, CONTINUE WITH QT11_D8; ELSE IF QT11_D6 > 0 DAYS (ONE OR MORE DAYS), GO TO QT11_D9 QT11_D8 TD29 Could you walk home from school in 30 minutes or less? PROGRAMMING NOTE QT11_D9: IF QT11_A5 = 2 (NO, NOT IN SCHOOL LAST WEEK) OR 3 (ON VACATION), CONTINUE WITH QT11_D9 AND GO TO OPTION B; ELSE CONTINUE WITH QT11_D9 AND GO TO OPTION A QT11_D9 TD30 A) How many days in the past week did you bicycle or skateboard home from school? B) During the school year, on how many days during a typical week do you bicycle or skateboard home from school? [INTERVIEWER NOTE: THIS INCLUDES KIDS WHO RIDE ROLLERBLADES, ROLLERSHOES, OR NON-MOTORIZED SCOOTERS HOME FROM SCHOOL.] PROGRAMMING NOTE QT11_D10: IF QT11_D9 = 0, -7 OR -8 (NO DAYS, REF/DK) GO TO PROGRAMMING NOTE QT11_D11; ELSE IF QT11_D9 > 0 DAYS, CONTINUE WITH QT11_D10; IF QT11_A5 = 1, DISPLAY does ; IF QT11_A6 = 1, DISPLAY did QT11_D10 About how many minutes {did /does} it take you without any stops? TD31
7 [IF NEEDED, SAY: To bicycle or skateboard home from school. ] MINUTES [SR: 1-180] [GO TO QT11_D12] DON'T KNOW PROGRAMMING NOTE QT11_D11: IF (QT11_D6 > 0 DAYS AND QT11_D7 30 MINUTES) OR QT11_D8 = 1 (COULD WALK HOME IN 30 MINUTES OR LESS), GO TO QT11_D12; ELSE CONTINUE WITH QT11_D11 QT11_D11 Could you bike or skateboard home from school in 30 minutes or less? TD32 Park Use QT11_D12 TE62 QT11_D13 TC42 QT11_D14 TE63 In the past 30 days, did you go to a park, playground, or open space? Is there a park, playground, or open space within walking distance of your home? The last time you went to a park, playground or open space, were you physically active while you were there?
8 Child Physical Activity Questions Commute from School to Home PROGRAMMING NOTE QC11_C11: IF QC11_A7 = 4 (HOME SCHOOLED LAST WEEK) OR IF QC11_A8= 3 (HOME SCHOOLED LAST YEAR), GO TO PROGRAMMING NOTE QC11_C15; ELSE IF QC11_A7 = 1 (ATTENDED SCHOOL LAST WEEK), CONTINUE WITH QC11_C7 AND DISPLAY How many days in the past week ; IF QC11_A8 = 1 (ATTENDED SCHOOL LAST YEAR), CONTINUE WITH QC11_C7 AND DISPLAY During the school year, on how many days during a typical week ; ELSE GO TO PROGRAMMING NOTE QC11_C18 CC40 Now I m going to ask you about physical activity. QC11_C11 {How many days in the past week/during the school year, on how many days during a typical week} did (CHILD) walk home from school? [INTERVIEWER NOTE: IF R SAYS CHILD BIKES OR SKATEBOARDS HOME, SAY, I ll ask about those next. ] [IF CHILD DOES NOT GO DIRECTLY HOME FROM SCHOOL, INCLUDE # OF DAYS WALKED, ETC. TO CHILDCARE, RELATIVE S HOME, AFTER- SCHOOL PROGRAM, ETC.] DAYS PROGRAMMING NOTE QC11_C12: IF QC11_C11 = 0 (DAYS), -7, OR -8, GO TO QC11_C14; ELSE IF QC11_C11 > 0 (DAYS) CONTINUE WITH QC11_C12; IF QC11_A7 = 1 (ATTENDED SCHOOL LAST WEEK) DISPLAY does ; IF QC11_A8 = 1 (ATTENDED SCHOOL LAST YEAR) DISPLAY did QC11_C12 About how many minutes {did/does} it take {him/her} without any stops? CC41 QC11_C13 CC42 MINUTES [GO TO QC11_C14] Could {he/she} walk home from school in 30 minutes or less? [GO TO QC11_C14] [GO TO QC11_C14]
9 QC11_C14 {How many days in the past week/during the school year, on how many days during a typical week} did (CHILD) bike or skateboard home from school? CC43 [INTERVIEWER NOTE: THIS INCLUDES KIDS WHO RIDE ROLLERBLADES, ROLLERSHOES OR NON-MOTORIZED SCOOTERS HOME FROM SCHOOL.] [IF CHILD DOES NOT GO DIRECTLY HOME FROM SCHOOL, INCLUDE # OF DAYS WALKED, ETC. TO CHILDCARE, RELATIVE S HOME, AFTER- SCHOOL PROGRAM, ETC.] PROGRAMMING NOTE QC11_C15: IF QC11_C14 = 0 (DAYS), -7 OR -8, GO TO PROGRAMMING NOTE QC11_C16; ELSE IF QC11_C14 > 0 DAYS, CONTINUE WITH QC11_C15; IF QC11_A7 = 1, DISPLAY does ; ELSE IF QC11_A8 = 1, DISPLAY did QC11_C15 CC44 About how many minutes {did/does} it take {him/her} without any stops? [IF NEEDED, SAY: To bicycle or skateboard home from school. ] MINUTES [GO TO PN QC11_C17] REFUSED-7...[GO TO PN QC11_C17] DON T KNOW-8...[GO TO PN QC11_C17] PROGRAMMING NOTE QC11_C16: IF QC11_C23 30 MINUTES OR QC_C13 = 1 THEN GO TO PROGRAMMING NOTE QC11_C17; ELSE CONTINUE WITH QC11_C16 QC11_C16 CC45 Could {he/she} bike or skateboard home from school in 30 minutes or less? PROGRAMMING NOTE QC11_C18: IF CAGE < 5, SKIP TO PROGRAMMING NOTE QC11_C19; ELSE CONTINUE WITH QC11_C18 QC11_C18 CC35 Not including school PE, on how many days of the past 7 days was (CHILD) physically active for at least 60 minutes total? REFUSED DON T KNOW... -8
10 Potential additions to child questionnaire: Sedentary time PROGRAMMING NOTE QC09_C16: IF CAGE 1 YEAR GO TO QC09_D1; ELSE IF CAGE > 1 YEAR, CONTINUE WITH QC09_C16 QC09_C16 CG10 Thinking just about SATURDAYs AND SUNDAYs, about how many hours does (CHILD) usually watch TV or play video games (such as Playstation)? [IF > 1 HOUR, VERIFY: That s {xx} hours PER DAY? ] [IF > 0, BUT < 1, ENTER 94] HOURS DOESN T HAVE TV...93 MORE THAN ZERO, LESS THAN 1 HOUR...94 PROGRAMMING NOTE QC09_C17: IF CAGE < 3 YEARS, GO TO QC09_D1; ELSE IF CAGE 3 YEARS CONTINUE WITH QC09_C17 QC09_C17 About how many hours per day on a typical SATURDAY OR SUNDAY does (CHILD) use a computer for fun, not schoolwork? CG11 [IF > 0, BUT < 1, ENTER 94] HOURS DOESN T HAVE ACCESS TO A PC...93 MORE THAN ZERO, LESS THAN 1 HOUR...94
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