10 survey

7DPAR Instructions and Intensity Scale

Public reporting burden for this collection of information is estimated to average 50 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid OMB control number. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to: NIH, Project Clearance Branch, 6705 Rockledge Drive, MSC 7974, Bethesda, MD 20892-7974, ATTN: PRA (####-####). Do not return the completed form to this address.

Instructions for completing the 7DPAR

• Please read the instructions carefully.

• Please be as accurate as possible.

• If you have questions, please call The NEXT Research Team at toll-free 1-866-864-9972.

7DPAR Instructions and Intensity Scale

Instructions: The purpose of this questionnaire is to approximate the amount of physical activity that you perform. The name of each day that you will describe is in the top left-hand corner of each time sheet.

1. For each time period, write in the activity number that corresponds to the main activity you actually performed during that particular time period. If you did more than one activity during the 30 minutes, record the activity that you did for most of the time. The activity numbers are found on the Coding Instructions Sheet. Note that the first eighteen (18) activities are shaded.

2. Check Column H if you wore the Actiwatch and Column I if you wore the accelerometer during this time period.

3. Fill in the time you woke up and the time you went to sleep in Column J. Before each time you enter, add “A” for awake or “S” for sleep.

4. If the activity is shaded on the Coding Instructions Sheet, then you do not need to fill columns B through G and you should go to the next time period. Otherwise, proceed with 5 to 7 below.

5. For activities 19-71, rate how physically hard each activity was. Place a “” in the timetable to indicate one of the following intensity levels for each non-shaded activity.

6. Indicate where you performed each non-shaded activity by writing in the corresponding number found on the Coding Instructions Sheet.

7. Write the corresponding number for with whom you performed the non-shaded activity.

Intensity Scale:

• Light - Slow breathing, little or no movement.

•Moderate - Normal breathing and some movement.

• Hard - Increased breathing and moderate movement.

• Very Hard - Hard breathing and quick movement.

Sample activity time sheet

The table below shows the correct way to fill out the activity time sheets. Note that only one intensity level is checked for each unshaded, physical activity. Please check Column H if you were wearing the accelerometer (on) during each time period. Fill in what time you woke up in the morning and what time you went to bed at night in Column I.

	A	B	C	D	E	F	G	H	I	J
	Activity Number	Light	Moderate	Hard	Very Hard	Where	With Whom	Acti-watch On	Accelero-meter On	Awakening Sleeping (A=awake; S=sleep)
5:00-5:30	17							
5:30-6:00	17							
6:00-6:30	17							
6:30-7:00	15									A-6:35
7:00-7:30	14								
7:30-8:00	23					2	1		
8:00-8:30	18								
8:30-9:00	18								
9:00-9:30	21					2	3		
9:30-10:00	21					2	3		
10:00-10:30	18								
10:30-11:00	62					2	3	
11:00-11:30	17									S-11:20
11:30-12:00	17							
12:00-12:30	17									A-12:25
12:30-1:00	1								

Coding Instructions Sheet

‘Activity’ Numbers:

EATING

1. Eating a meal

2. Snacking

AFTER SCHOOL/SPARE TIME/HOBBIES

3. Church

4. Hanging around

5. Homework

6. Listening to music

7. Music lesson/playing instrument

8. Playing video games/surfing internet (Xbox; Playstation)

9. Texting/emailing

10. Reading

11. Shopping

12. Talking on phone

13. Watching TV or movie videos

SLEEP/BATHING

14. Getting dressed

15. Getting ready (hair, make-up, etc.)

16. Showering/bathing

17. Sleeping/napping

SCHOOL

18. Lunch/free time/study hall

19. Sitting in class

20. Club/student activity

21. Marching band/flag line

22. P.E. Class

TRANSPORTATION

23. Riding in a car/bus/airplane/trolley/boat

24. Travel by walking

25. Travel by bicycling

WORK

26. Working (e.g., part-time job, child care)

27. Doing house chores (e.g., vacuuming, dusting, washing dishes, animal care, etc.)

28. Yard Work (e.g., mowing, raking)

PHYSICAL ACTIVITIES

29. Aerobics, jazzercise, water aerobics, taebo

30. Basketball

31. Bicycling, mountain biking

32. Bowling

33. Broomball

34. Calisthenics / Exercises (push-ups, sit-ups, jumping jacks)

35. Cheerleading, drill team

36. Dance (at home, at a class, in school, at a party, at a place of worship)

37. Exercise machine (cycle, treadmill, stair master, rowing machine)

38. Football

39. Frisbee

40. Golf / Mini-golf

41. Gymnastics / Tumbling

42. Hiking

43. Hockey (ice, field, street, or floor)

44. Horseback riding

45. Jumping rope

46. Kick boxing

47. Lacrosse

48. Martial arts (karate, judo, boxing, tai kwan do, tai chi)

49. Playground games (tether ball, four square, dodge ball, kick ball)

50. Playing catch

51. Playing with younger children

52. Roller blading, ice skating, roller skating

53. Riding scooters

54. Running / Jogging

55. Skiing (downhill, cross country, or water)

56. Skateboarding

57. Sledding, tobogganing, bobsledding

58. Snowboarding

59. Soccer

60. Softball/baseball

61. Surfing (body or board) / Skimboarding

62. Swimming (laps)

63. Swimming (play, pool games – Marco Polo, water volleyball, snorkeling)

64. Tennis, racquetball, badminton, paddleball

65. Trampolining

66. Track & field

67. Volleyball

68. Walking for exercise

69. Weightlifting

70. Wrestling

71. Yoga, stretching

72. Wii or Dance, Dance, Revolution

73. Other

‘Where’ Numbers:

1 – HOME / NEIGHBORHOOD (yours or a friend’s)

2 – SCHOOL (including gym and grounds)

3 – COMMUNITY FACILITY (for example: Park, Playground, Rec Center, Church, Dance Studio, Field or Gym)

4 – OTHER OUTDOOR PUBLIC AREA (for example: Beach, River, Levee, Ski Area, Camping Area)

5 – OTHER (for example: Mall, Doctor’s Office, Movies)

‘With Whom’ Numbers:

0 – BY YOURSELF

1 – WITH 1 OTHER PERSON

2 – WITH SEVERAL PEOPLE (but NOT an organized program, class or team)

3 – WITH AN ORGANIZED PROGRAM, CLASS or

TEAM

3

Adapted from TAGG, 2004