World Health Survey Template Page 14
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57.
Nutrition
..
Now I am going to ask you about the fruit and vegetables you usually eat. (Show Nutrition card to respondent ---- see Appendix A4.3)
.
Q4020 How many servings of fruit do you eat on a typical day?
_____________________
Q4021 How many servings of vegetables do you eat on a typical day?
_____________________
.
Physical Activity
..
Now I am going to ask you about the time you spent being physically active in the last 7 days. Please answer each question even if you do not consider
yourself to be an active person. Think about the activities you do at work, as part of your house and yard work, to get from places to place, and in your spare
time for recreation, exercise or sport.
.
Q4030 Vigorous Activity
If No: Go to
Now, think about all the vigorous activities which take hard physical
Q4033
effort that you did in the last 7 days. Vigorous activities make you breathe
much harder than normal and may include heavy lifting, digging,
aerobics, or fast bicycling. Think only about those physical activities that
you did for at least 10 minutes at a time. During the last 7 days, on how
many days did you do vigorous physical activities? (Show Physical
Activity card to respondent ---- see Appendix A4.4)
_____________________
.
How much time did you usually spend doing vigorous physical activities on one of those days?
.
Q4031 Hours per day
_____________________
Q4032 Minutes per day
_____________________
Q4033 Moderate Activity
If No: Go to
Q4036
Now think about activities which take moderate physical effort that you
did in the last 7 days. Moderate physical activities make you breathe
somewhat harder than normal and may include carrying light loads,
bicycling at a regular pace, or doubles tennis. Do not include walking.
Again, think about only those physical activities that you did for at least
10 minutes at a time. During the last 7 days, on how many days did you
do moderate physical activities? (Show Physical Activity card to
_____________________
respondent ---- see Appendix A4.4)
.
How much time did you usually spend doing moderate physical activities on one of those days?
.
Q4034 Hours per day
_____________________
Q4035 Minutes per day
_____________________
WORLD HEALTH SURVEY - RISK FACTORS
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Parent category: Life