Subject ID #: 9233 - Date of Visit: / / Physical activity armband instructions: Please try your best to wear the armband for 7 days in a row, starting tomorrow. The armband can t get wet, so please remove it when bathing, swimming, or doing anything else where it can get wet! Please try and wear the armband even when you are sleeping. However, you should not wear the armband more than 23 hours a day. Be sure to leave it off for at least 1 hour per day. A good time to leave it off for an hour could be when you are bathing and changing afterwards. When you have completed your 7 days, please return this packet and the armband in the postagepaid envelope. Do not hesitate to contact Divya (267-426-2778) or Amber (267-426-0299) if you have any questions or problems! Wear your Armband on the back of the upper left arm (the triceps). To work properly, the Armband logo must face upward towards the shoulder and the silver sensors on the underside of the Armband will be in contact with your skin. 1. Be sure the upper left arm is clean, dry and free of lotion or oil then slide the Armband onto your left arm. 2. Adjust the strap so that it fits comfortably, and then secure the Velcro pull-tab. Ensure that the sensors on the underside of the Armband maintain continuous contact with your skin and that the Armband does not slide off your arm. 3. Do not secure the strap too tightly. You should be able to place two fingers beneath the strap. Once the strap is adjusted to a comfortable fit, there is no need to adjust the Velcro tab. Simply slide the Armband on and off your arm by stretching the strap. The armband will turn on and begin collecting data within 10 minutes. Activation is indicated by a series of audio tones. Please note that there is no power button on the Armband. Thank you!!
Subject ID #: 9233 - Date of Visit: / / Please fill in the chart below about the time that you wore the armband. You can use the back of this sheet if you run out of room. Day Date Day of Week What time did you remove your Armband today, and why? Please be specific. *Remember that the Armband must be removed for at least 1 hour per day! Example 1-1-2012 Wednesday 2 pm 3 pm: swimming 7 pm 7:20 pm: bath 1 2 3 4 5 6 7 Thank you!!
Subject ID #: 9233 - Date of Visit: / / Physical activity armband instructions: Please try your best to wear the armband for 7 days in a row, starting tomorrow. The armband can t get wet, so please remove it when bathing, swimming, or doing anything else where it can get wet! Please try and wear the armband even when you are sleeping. However, you should not wear the armband more than 23 hours a day. Be sure to leave it off for at least 1 hour per day. A good time to leave it off for an hour could be when you are bathing and changing afterwards. When you have completed your 7 days, please return this packet and the armband in the postagepaid envelope. Do not hesitate to contact Divya (267-426-2778) or Amber (267-426-0299) if you have any questions or problems! Wear your Armband on the back of the upper left arm (the triceps). To work properly, the Armband logo must face upward towards the shoulder and the silver sensors on the underside of the Armband will be in contact with your skin. 1. Be sure the upper left arm is clean, dry and free of lotion or oil then slide the Armband onto your left arm. 2. Adjust the strap so that it fits comfortably, and then secure the Velcro pull-tab. Ensure that the sensors on the underside of the Armband maintain continuous contact with your skin and that the Armband does not slide off your arm. 3. Do not secure the strap too tightly. You should be able to place two fingers beneath the strap. Once the strap is adjusted to a comfortable fit, there is no need to adjust the Velcro tab. Simply slide the Armband on and off your arm by stretching the strap. The armband will turn on and begin collecting data within 10 minutes. Activation is indicated by a series of audio tones. Please note that there is no power button on the Armband. Thank you!! Page 1
Subject ID #: 9233 - Date of Visit: / / Please fill in the chart below about the time that you wore the armband. You can use the back of this sheet if you run out of room. Day Date Day of Week What time did you remove your Armband today, and why? Please be specific. *Remember that the Armband must be removed for at least 1 hour per day! Example 1-1-2012 Wednesday 2 pm 3 pm: swimming 7 pm 7:20 pm: bath 1 2 3 4 5 6 7 Thank you!! Page 2
We would like you to record the main activities that you do for the next 7 days in the attached diary. Please be certain to write the date and day of the week on each page. 1. For each time period in the diary, write in the activity number(s) (see page 4) of the main activities that you actually did. 2. Then rate the level of physical activity for each activity that you performed. Place an X on the rating scale to indicate if the activities for each time period were very light, light, medium, or hard. Examples are below: VERY LIGHT Slow Breathing, with little or no movement. See examples to the right: LIGHT Normal breathing, regular movement See Examples to the right Playing on an IPAD, Tablet, or Computer Watching TV Riding in a car MEDIUM Increased breathing, moving quickly for short periods of time Walking Riding a bike slowly Cleaning your room HARD Hard breathing, moving quickly for 20 minutes or more Rollerskating Playing in the pool Playing baseball or softball Playing Soccer Swimming Running Page 3
Numbers Eating 1. Meal 2. Snack 3. Cooking Sleeping/Bathing 4. Sleeping 5. Resting 6. Shower/bath 7. Getting dressed/ready (changing your clothes, brushing your teeth, etc) Transportation 8. Ride in a car, bus, train, or other vehicle 9. Travel by walking 10. Travel by bike Work/School 11. School 12. Job (list) 13. Homework/Paperwork 14. House chores (list) Spare 15. Watch TV 16. Go to movies/concert 17. Listen to music 18. Talk on phone 19. Hang around 20. Shopping 21. Play video or computer games 22. Other (list) Physical Activities 23. Walk 24. Jog/run 25. Dance (for fun) 26. Aerobic dance 27. Swim (for fun) 28. Swim laps 29. Ride bicycle 30. Lift weights 31. Use skateboard 32. Play organized sport 33. Did individual exercise 34. Did active game outside 35. Other (list) Page 4
DAY 1 1. Put activity numbers in this column (see page 4 for the list!) *If you did more than one activity at a time, write ALL activity numbers in that box. 6:00 am 6:30 am 7:00 am 7:30 am 8:00 am 8:30 am 9:00 am 2. Put an X to rate the level of these activities (see page 3 for help!) Numbers Very Light Light Medium Hard Morning 9:30 am 10:00 am 10:30 am 11:00 am 11:30 am 12:00 pm 12:30 pm 1:00 pm 1:30 pm 2:00 pm 2:30 pm 3:00 pm
DAY 1 3:30 pm Numbers Very Light Light Medium Hard 4:00 pm 4:30 pm 5:00 pm 5:30 pm 6:00 pm Evening 6:30 pm 7:00 pm 7:30 pm 8:00 pm 8:30 pm Night 9:00 pm 10:00 pm 11:00 pm 12:00 am 1:00 am 2:00 am 3:00 am 4:00 am 5:00 am
DAY 2 1. Put activity numbers in this column (see page 4 for the list!) *If you did more than one activity at a time, write ALL activity numbers in that box. 6:00 am 6:30 am 7:00 am 7:30 am 8:00 am 8:30 am 9:00 am 2. Put an X to rate the level of these activities (see page 3 for help!) Numbers Very Light Light Medium Hard Morning 9:30 am 10:00 am 10:30 am 11:00 am 11:30 am 12:00 pm 12:30 pm 1:00 pm 1:30 pm 2:00 pm 2:30 pm 3:00 pm
DAY 2 3:30 pm Numbers Very Light Light Medium Hard 4:00 pm 4:30 pm 5:00 pm 5:30 pm 6:00 pm Evening 6:30 pm 7:00 pm 7:30 pm 8:00 pm 8:30 pm Night 9:00 pm 10:00 pm 11:00 pm 12:00 am 1:00 am 2:00 am 3:00 am 4:00 am 5:00 am
DAY 3 1. Put activity numbers in this column (see page 4 for the list!) *If you did more than one activity at a time, write ALL activity numbers in that box. 6:00 am 6:30 am 7:00 am 7:30 am 8:00 am 8:30 am 9:00 am 2. Put an X to rate the level of these activities (see page 3 for help!) Numbers Very Light Light Medium Hard Morning 9:30 am 10:00 am 10:30 am 11:00 am 11:30 am 12:00 pm 12:30 pm 1:00 pm 1:30 pm 2:00 pm 2:30 pm 3:00 pm
DAY 3 3:30 pm Numbers Very Light Light Medium Hard 4:00 pm 4:30 pm 5:00 pm 5:30 pm 6:00 pm Evening 6:30 pm 7:00 pm 7:30 pm 8:00 pm 8:30 pm Night 9:00 pm 10:00 pm 11:00 pm 12:00 am 1:00 am 2:00 am 3:00 am 4:00 am 5:00 am
DAY 4 1. Put activity numbers in this column (see page 4 for the list!) *If you did more than one activity at a time, write ALL activity numbers in that box. 6:00 am 6:30 am 7:00 am 7:30 am 8:00 am 8:30 am 9:00 am 2. Put an X to rate the level of these activities (see page 3 for help!) Numbers Very Light Light Medium Hard Morning 9:30 am 10:00 am 10:30 am 11:00 am 11:30 am 12:00 pm 12:30 pm 1:00 pm 1:30 pm 2:00 pm 2:30 pm 3:00 pm
DAY 4 3:30 pm Numbers Very Light Light Medium Hard 4:00 pm 4:30 pm 5:00 pm 5:30 pm 6:00 pm Evening 6:30 pm 7:00 pm 7:30 pm 8:00 pm 8:30 pm Night 9:00 pm 10:00 pm 11:00 pm 12:00 am 1:00 am 2:00 am 3:00 am 4:00 am 5:00 am
DAY 5 1. Put activity numbers in this column (see page 4 for the list!) *If you did more than one activity at a time, write ALL activity numbers in that box. 6:00 am 6:30 am 7:00 am 7:30 am 8:00 am 8:30 am 9:00 am 2. Put an X to rate the level of these activities (see page 3 for help!) Numbers Very Light Light Medium Hard Morning 9:30 am 10:00 am 10:30 am 11:00 am 11:30 am 12:00 pm 12:30 pm 1:00 pm 1:30 pm 2:00 pm 2:30 pm 3:00 pm
DAY 5 3:30 pm Numbers Very Light Light Medium Hard 4:00 pm 4:30 pm 5:00 pm 5:30 pm 6:00 pm Evening 6:30 pm 7:00 pm 7:30 pm 8:00 pm 8:30 pm Night 9:00 pm 10:00 pm 11:00 pm 12:00 am 1:00 am 2:00 am 3:00 am 4:00 am 5:00 am
DAY 6 1. Put activity numbers in this column (see page 4 for the list!) *If you did more than one activity at a time, write ALL activity numbers in that box. 6:00 am 6:30 am 7:00 am 7:30 am 8:00 am 8:30 am 9:00 am 2. Put an X to rate the level of these activities (see page 3 for help!) Numbers Very Light Light Medium Hard Morning 9:30 am 10:00 am 10:30 am 11:00 am 11:30 am 12:00 pm 12:30 pm 1:00 pm 1:30 pm 2:00 pm 2:30 pm 3:00 pm
DAY 6 3:30 pm Numbers Very Light Light Medium Hard 4:00 pm 4:30 pm 5:00 pm 5:30 pm 6:00 pm Evening 6:30 pm 7:00 pm 7:30 pm 8:00 pm 8:30 pm Night 9:00 pm 10:00 pm 11:00 pm 12:00 am 1:00 am 2:00 am 3:00 am 4:00 am 5:00 am
DAY 7 1. Put activity numbers in this column (see page 4 for the list!) *If you did more than one activity at a time, write ALL activity numbers in that box. 6:00 am 6:30 am 7:00 am 7:30 am 8:00 am 8:30 am 9:00 am 2. Put an X to rate the level of these activities (see page 3 for help!) Numbers Very Light Light Medium Hard Morning 9:30 am 10:00 am 10:30 am 11:00 am 11:30 am 12:00 pm 12:30 pm 1:00 pm 1:30 pm 2:00 pm 2:30 pm 3:00 pm
DAY 7 3:30 pm Numbers Very Light Light Medium Hard 4:00 pm 4:30 pm 5:00 pm 5:30 pm 6:00 pm Evening 6:30 pm 7:00 pm 7:30 pm 8:00 pm 8:30 pm Night 9:00 pm 10:00 pm 11:00 pm 12:00 am 1:00 am 2:00 am 3:00 am 4:00 am 5:00 am