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HeartsNParks Community Mobilization Guide - National Heart, Lung ...

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10. Fit Score<br />

In the past 7 days, how much time did you spend on each of the following activities?<br />

Write in the number of hours for each one, rounding to the nearest half-hour<br />

(1/2, 1, 11/2). Add your totals for each day in the last row.<br />

A-60 Adult<br />

Activity Mon. Tues. Wed. Thurs. Fri. Sat. Sun.<br />

Organized or Team Sports (e.g., basketball,<br />

tennis, racquetball, softball, etc.)<br />

Bicycling<br />

Dancing / Aerobics<br />

Walking / Hiking<br />

Golf<br />

Heavy Household Chores<br />

Pushups / Situps<br />

Rollerskating / Blading<br />

Jogging / Stairs / Treadmill<br />

Snow Skiing (winter sports)<br />

Swimming (water sports)<br />

Bowling<br />

Weightlifting<br />

Other Physical Activities;<br />

Specify:_________________<br />

DAILY TOTALS<br />

FIT SCORE GRAND TOTAL: __________<br />

11. Sit Score<br />

In the past 7 days, how much inactive time did you spend at work, reading, watching<br />

TV programs, using a home computer, or watching videotapes and movies on TV or in<br />

a theater? In each space, write the number of hours for each activity, rounding to the<br />

nearest half-hour. Add your totals at the bottom.<br />

Mon. Tues. Wed. Thurs. Fri. Sat. Sun.<br />

At work (nonmanual labor)<br />

Reading<br />

Watching TV<br />

Using the computer<br />

Watching movies<br />

DAILY TOTALS<br />

SIT SCORE GRAND TOTAL: ___________

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