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General Practice Physical Activity Questionnaire (GPPAQ)

Your Details

DD/MM/YYYY
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Your Contact Details

Exercise
Please tell us the type and amount of physical activity involved in your work.

During the last week, how many hours did you spend on each of the following activities?

During the last week, how many hours did you spend on physical exercise such as swimming, jogging, aerobics, football, tennis, gym workout etc.
During the last week, how many hours did you spend on Cycling, including cycling to work and during leisure time
During the last week, how many hours did you spend on Walking, including walking to work, shopping, for pleasure etc.
During the last week, how many hours did you spend on Housework/Childcare
During the last week, how many hours did you spend on Gardening/DIY

How would you describe your usual walking pace?

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Information submitted through secure forms is used only for the purposes of processing your request. We may be in touch with you in relation to the information submitted.

All Information submitted through secure forms is secured with a private key and is accessed over a secure connection by nominated staff. We have a strict confidentiality policy.

This information is not shared with any third party organisations.

This information is retained for up to 28 days.

Learn more about our Privacy Policy and Terms of Use. Should you have any concerns about sending your personal details using the web, please use one of the alternative methods offered by our organisation.


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Grange Medical Centre

1 Horton Grange Road, Bradford, BD7 3AH

  • 01274 957908

Oak Lane Surgery

Westbourne Green C H C Centre, 50 Heaton Road, Bradford, BD88RA

  • 01274 957909

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