1
Do you have enough energy to do your usual activities?
Always, no problem;
(20)
Almost always, I rarely have difficulty completing my activities.
(7,5)
Sometimes I lack strength or breath to complete my activities.
(5)
I don't have the strength or breath to do my activities.
(2,5)
2
Do you practice sports (soccer, volleyball, basketball, etc.) or any physical exercise (weight training, running, swimming, etc.) during the week?
Yes, more than five times a week;
(20)
Yes, between two and four times a week;
(7,5)
Yes, between once and twice a week;
(5)
I do not exercise or sport.
(2,5)
3
During work or study you are...
Standing or moving most of the time.
(20)
Every hour I stand for at least five minutes.
(7,5)
Sitting more than half the time.
(5)
Felt all the time.
(2,5)
4
When you climb three flights of stairs, you arrive:
Very well.
(20)
Well, but a little breathless.
(7,5)
Tired and very out of breath.
(5)
Very tired, I have to stop in the middle to rest or I can't finish.
(2,5)
5
How many hours of your day do you spend sitting?
Less than 3 hours.
(20)
Between 3-5 hours.
(7,5)
Between 3-7 hours.
(5)
More than 7 hours.
(2,5)