GPPAQ

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Personal Details

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Physical Activity Questions

Please tell us the type and amount of physical activity involved in your work.

Please choose the closest to your present work from the following five possibilities:: *

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.: *

Cycling, including cycling to work and during leisure time: *

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

Housework/Childcare: *

Gardening/DIY: *

How would you describe your usual walking pace?: *

Your PAI Score is "Active"

Your PAI Score is "Moderately Active"

Your PAI Score is "Moderately Inactive"

Your PAI Score is "Inactive"

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This form collects personal and medical information about you. We use this information to allow the practice team to contact you. Please read our Privacy Policy to discover how we protect and manage your submitted data.

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