Download Questionnaires - CHAMPS: Community Healthy Activities Model Program For Seniors

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CHAMPS Manuals \| CHAMPS Questionnaires \| Publications \| Links \| Home *Download CHAMPS Physical Activity Questionnaires*
To complete the download, please select an English or Spanish version questionnaire from below. *Caution:* before using or scoring the questionnaires, please review the following. Refer to the Stewart et al. 2001 publication at the bottom of this page for scoring rules, but use the revised scoring table (Table B1) [59 kb PDF] as there was an error in the published scoring rules (Appendix Table A1 on page 1135). In addition, note that body weight is a necessary part of scoring the caloric expenditure measures. Thus, if you are not collecting this data in the rest of the study, please add it to the questionnaires. *Downloads* CHAMPS Physical Activity Questionnaire for Older Adults, English Version Click here for a PDF file. [141 kb] Click here for a MS Word file. [107 kb] CHAMPS Physical Activity Questionnaire for Older Adults, Spanish Version Click here for a PDF file. [159 kb] Click here for a MS Word file. [155 kb] Note: Adobe/Acrobat Reader software is required to view/print PDF files; the software may be obtained by clicking the Adobe icon at right. *References.* For more information on the CHAMPS questionnaires, please see: Stewart AL, Mills KM, King AC, Haskell WL, Gillis D, and Ritter PL. CHAMPS Physical Activity Questionnaire for Older Adults: Outcomes for Interventions. Medicine and Science in Sports and Exercise. 2001, 33(7), 1126-1141. *Caution:* as noted above, there is an *error* in the published version of the scoring rules (Appendix Table A1 on page 1135). Item #36 (aerobics and aerobic dancing) was inadvertently omitted from the scoring table. As a moderate intensity item, item 36 should be included in calculations for *all* of the measures (all activities and moderate-intensity activities). Instead, use the revised scoring table (Table B1) [59 kb PDF]. Harada ND, Chiu V, and Stewart AL. An Evaluation of Three Self-Report Physical Activity Instruments for Older Adults. Medicine and Science in Sports and Exercise. 2001;33(6), 962-970. Resnicow K, McCarty F, Blissett D, Wang T, Heitzler C, and Lee RE. Validity of a modified CHAMPS Physical Activity Questionnaire among African-Americans. Med Sci Sports Exerc. 2003;35(9), 1537-1545.


CHAMPS: Community Healthy Activities Model Program for Seniors University of California, San Francisco Institute for Health & Aging - http://sbs.ucsf.edu/iha 3333 California Street, #LHts-340 San Francisco, CA 94143-0646 Telephone: (415) 502-5200 ◊ Fax 415-502-5208 Email: anita.stewart@ucsf.edu © Copyright 2002, 2008 The Regents of the University of California. All rights reserved.