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  1. Surveys
  2. 2014
  3. February
  4. P
  5. Physical Activity assessment phase 2.1
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Exit Survey
 
 
How often did you engage in low intensity activity over the last week? (e.g., walking dog, basic house chores, taking stairs)
 
less then once
 
one to two times
 
three times
 
four to five times
 
more than five times
 
 
 
How often did you engage in moderate to vigorous exercise over the last week? (e.g., running, strength training, spin class, complex house chores, sports)
 
Less than once
 
one to two times
 
three times
 
four to five times
 
more than five times
 
 
 
What were the total minutes you engaged in moderate to vigorous exercise over the last week? (e.g., e.g., running, strength training, spin class, sports)
 
less than 20 minutes
 
20 to 40 minutes
 
40 to 80 minutes
 
80 to 120 minutes
 
more than 120 minutes
 
 
 
I did 20 minutes of physical activity everyday
 
Yes
 
No
 
 
 
I did not achieve my daily physical activity goal because (pick as many apply to you)
 
I had work obligations
 
I had family obligations
 
I was too tired
 
I was too busy
 
I did not want to
 
I forgot to
 
other

 
 
 
Please select 3 things that would compete this statement:
If my work allowed/provided me to/with___________ I could do daily physical activity
 
a gym membership
 
monthly exercise planning
 
1 hour a day for "self" time
 
created team challenges
 
organized exercise groups (e.g., lunch time walk, boot camps, yoga classes etc.)
 
organized recreational sport teams (e.g., hockey team, basketball team, ultimate frisbee team etc.)
 
organized company activity events (e.g., bluenose)
 
physical environment changes (e.g., bike racks, showers, exercise room)
 
rented facility time for physical activity (e.g., basketball courts, ice time)