Enter the following patient characteristics:
(inches)
(lbs)
BMI will be calculated automatically
| rarely or none of the time (<1 day) | some or a little of the time (1–2 days) | moderate amount of the time (3–4 days) | most of the time (5-7 days) | |
|---|---|---|---|---|
| "I felt that everything I did was an effort" | ||||
| "I could not get going" |
| Frequency of times activity was performed in the past 2 weeks |
Average duration (in minutes) activity was performed per occasion |
|
|---|---|---|
| Walking | ||
| Jogging | ||
| Hiking | ||
| Swimming | ||
| Biking | ||
| Cycling | ||
| Dancing | ||
| Aerobics | ||
| General Exercise | ||
| Bowling | ||
| Golfing | ||
| Household Chores | ||
| Riding Mower | ||
| Walk Mower | ||
| Raking | ||
| Gardening | ||
| Based on the short version of the Minnesota Leisure Time Physical Activity Questionnaire (MLTPAQ) | ||
| Kcals/week expended? | 0 | |
Enter the following patient characteristics:
*
*
(value)
*
(lbs)
*
BMI will be calculated automatically
| rarely or none of the time (<1 day) | some or a little of the time (1–2 days) | moderate amount of the time (3–4 days) | most of the time (5-7 days) | |
|---|---|---|---|---|
| "I felt that everything I did was an effort" | ||||
| "I could not get going" |
| Frequency of times activity was performed in the past 2 weeks |
Average duration (in minutes) activity was performed per occasion |
|
|---|---|---|
| Walking | ||
| Jogging | ||
| Hiking | ||
| Swimming | ||
| Biking | ||
| Cycling | ||
| Dancing | ||
| Aerobics | ||
| General Exercise | ||
| Bowling | ||
| Golfing | ||
| Household Chores | ||
| Riding Mower | ||
| Walk Mower | ||
| Raking | ||
| Gardening | ||
| Based on the short version of the Minnesota Leisure Time Physical Activity Questionnaire (MLTPAQ) | ||
| Kcals/week expended? | 0 | |