The Aerobic Fitness Questionnaire

Directions

Choose one category (A, B, or C) that best describes your general activity level for the previous month.
Once you have chosen the category, select the option that best describes your general activity level. For example, if I did not participate in sports or heavy physical activity in the previous month, I would choose Category A. I have two options in that category. The first option is a better description of what I did in the previous month.

Height: inches

Weight: pounds

Age:

Gender: Male Female

ADid not participate regularly in programmed recreation sports or heavy physical activity.

Avoided walking or exertion. For example, I always use the elevator, and I drive whenever possible instead of walking.
Walked for pleasure, routinely used stairs, occasionally exercised sufficiently to cause heavy breathing or perspiration.

BParticipated regularly in recreation or work requiring modest physical activity, such as golf, horseback riding, calisthenics, gymnastics, table tennis, bowling, weight lifting, yard work.

I did this 10 to 60 minutes per week.
I did this over 60 minutes (one hour) per week.

CParticipated regularly in heavy physical exercise such as running or jogging, swimming, cycling, rowing, skipping rope, running in place or engaging in vigorous aerobic activity type exercise such as tennis, basketball or handball.

Less than 30 minutes per week.
30 to 60 minutes per week.
1 to 3 hours per week.
More than 3 hours per week.

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