Leisure-Time Physical Activity Questionnaire Form
Please answer the following questions about your leisure-time physical activity habits. This form is designed to help us understand your typical activity patterns outside of work or school. All information is non-sensitive and confidential.
How would you describe your overall leisure-time physical activity level?
*
Very active
Moderately active
Lightly active
Rarely active
Which types of leisure-time physical activities do you participate in? (Select all that apply)
*
Walking or hiking
Running or jogging
Cycling
Swimming
Fitness classes or gym workouts
Team sports (e.g., soccer, basketball)
Yoga or pilates
Other
On average, how many days per week do you engage in leisure-time physical activity?
*
Please Select
0 days
1–2 days
3–4 days
5–6 days
7 days
On a typical day when you are active, how much total time do you spend on leisure-time physical activities?
*
Less than 30 minutes
30–59 minutes
1–2 hours
More than 2 hours
How would you rate the intensity of your typical leisure-time physical activity?
*
Light (e.g., slow walking, stretching)
Moderate (e.g., brisk walking, easy cycling)
Vigorous (e.g., running, competitive sports)
What motivates you most to engage in leisure-time physical activity?
Health and fitness
Socializing
Enjoyment/fun
Stress relief
Weight management
Other
What are the main barriers that prevent you from being more active during your leisure time?
Lack of time
Lack of motivation
Limited access to facilities
Health limitations
Weather conditions
Other
Please indicate your age group.
Please Select
Under 18
18–24
25–34
35–44
45–54
55–64
65 or older
Please indicate your gender (optional).
Female
Male
Non-binary
Prefer not to say
Is there anything else you would like to share about your leisure-time physical activity habits?
Submit
Should be Empty: