How active are you?
Directions: Answer the questions below. Copy the box and write your answer on the response column.

QUESTIONS:
1. Do you engage in vigorous-intensity activities causing you to have large increase in breathing like playing basketball or soccer for at least 8-10 mins continuously?

RESPONSE:
YES
NO

QUESTIONS:
2. In a week, how many days do you engage in vigorous-intensity activities?

RESPONSE:
Number of days
_____________

QUESTIONS:
3. How may minutes do you spend in engaging vigorous-intensity activities in a day?

RESPONSE:
Number of Hours or Minutes ____________

QUESTIONS:
4. Do you engage in moderate-intensity activities causing you to have small increase in breathing like jogging, cycling, and swimming for at least 8-10 mins continuously?

RESPONSE:
YES
NO

QUESTIONS:
5. In a week, how many days do you engage in moderate-intensity activities?

RESPONSE:
Number of days
______________

QUESTIONS:
6. How many minutes do you spend in engaging moderate-intensity activities in a day?

RESPONSE:
Number of Hours or Minutes ___________ ​