Points

Scores

A)Sedentary behaviors

1

2

3

4

5

Combien de temps passez vous en position assise par jour? (loisirs, télé, Ordinateur, Travail)

more than 5 hours

4 to 5 hours

3 to 4 hours

2 to 3 hours

less than 2 hours

1

Total (A)

B) Leisure physical activities (including sport)

1

2

3

4

5

Scores

How often do you do all of these physical activities?

No

Yes

On average, how many minutes do you spend per physical activity session?

1 to 2 times a month

1 time per week

2 time per week

3 time per week

4 time per week

On average, how many minutes do you spend on each physical activity session?

Less than 16 min

16 to 30 min

31 to 45 min

46 to 60 min

More than 60 min

How do you usually perceive your effort?

The number 1 represents a very easy effort and the number 5 represents a difficult effort.

1

2

3

4

5

Total (B)

C)Daily physical activities

1

2

3

4

5

Scores

How much physical activity does your job require?

Light

Average

Moderates

Intense

Very intense

Apart from your regular job, how many hours per week do you spend on light work: DIY, gardening, cleaning, etc...?

Less than 2 h

3 to 4 h

5 to 6 h

7 to 9 h

More than 10 h

How many minutes a day do you spend walking?

Less than 16 min

16 to 30 min

31 to 45 min

46 to 60 min

More than 60 min

How many floors on average do you walk up each day?

Less than 2

3 to 5

6 to 10

11 to 15

More than 16

Total (C)

Total (A + B + C)