| No of minutes per session | ||||||
|---|---|---|---|---|---|---|
| Exercise type | No of times/week | <30 | 30–45 | 45+ | 1–2 h | 2–4 h |
| Activity class | _________ | ( ) | ( ) | ( ) | ( ) | ( ) |
| Home activity (eg, stationary bicycle, stretching) | _________ | ( ) | ( ) | ( ) | ( ) | ( ) |
| Other activity 1 (please specify) | _________ | ( ) | ( ) | ( ) | ( ) | ( ) |
| Other activity 2 (please specify) | _________ | ( ) | ( ) | ( ) | ( ) | ( ) |
| Other activity 3 (please specify) | _________ | ( ) | ( ) | ( ) | ( ) | ( ) |
Examples of other activities: bowls, golf, tennis, swimming, dancing, jogging, bicycling, etc.