CHAMPS Questionnaires

• The link for downloading questionnaires is located below
  -- at the end of this page.
• Spanish and English versions are available, review the following section (on this page) for notes on the development of each version.
• Body weight is a necessary part of scoring the calorie expenditure measures, thus, if you are collecting this as part of your study, please add it to the questionnaire.
• You are welcome to modify the questionnaire if needed to meet the needs of a particular population (for example, add an activity that is common but not on this list). However, we would like to know if you do this, and keep track of modifications for use by others. Please email us at anita.stewart@ucsf.edu or telephone (415) 502-5200.
• Caution:  before using or scoring these questionnaires, review the warnings on the following (download) page.

Download Questionnaires

• Download Questionnaires

Translation Process

The English version of the CHAMPS Physical Activity Questionnaire was initially translated, and back translated, by two individuals who were native Spanish speakers (one from Peru and one from Mexico), both with graduate degrees. The individuals met several times to discuss differences in wording and meaning. They also obtained input from a couple of other people of Mexican and South and Central American origin whose primarily languages were Spanish but did not have advanced educations. This latter step was critical because it was often difficult to determine the best wording to convey the meaning of the English phrases and still have the words understood by a broad-range of Latinos/Hispanics, especially since idiomatic Spanish varies widely between and across countries and social/economic levels. The goal of the translation was to have a version that would be clear to our target population of Spanish-speaking persons aged 50 and older in the Bay Area.
Upon completion of this initial translation process, there were multiple pilot tests of the physical activity questionnaire conducted in community populations similar to those who would be surveyed for the research program. As the pilot testing process evolved, further minor changes were made to the questionnaire instructions, formatting, and wording of survey questions. A few additional culturally relevant activities were added to both the Spanish and English questionnaires. Fairly often participants needed assistance to complete the questionnaire. The staff's impression was that the education and income levels of those in the pilot testing were lower than those in the prior CHAMPS projects that utilized the English questionnaire, although no objective measures were obtained to determine this. Difficulties often seemed related to either understanding the instructions, or having the math and/or reading skills needed to complete the questionnaire on one's own. The Spanish version of the questionnaire was pilot tested in primarily Mexican, South, and Central American populations.

Download Questionnaires

• Download Questionnaires