CDE Detailed Report
Disease: Multiple Sclerosis
Subdomain Name: General Health History
CRF: Godin Leisure-Time Exercise Questionnaire
Displaying 1 - 4 of 4
Subdomain Name: General Health History
CRF: Godin Leisure-Time Exercise Questionnaire
Displaying 1 - 4 of 4
| CDE ID | CDE Name | Variable Name | Definition | Short Description | Question Text | Permissible Values | Description | Data Type | Disease Specific Instructions | Disease Specific Reference | Population | Classification (e.g., Core) | Version Number | Version Date | CRF Name (CRF Module / Guidance) | Subdomain Name | Domain Name | Size | Input Restrictions | Min Value | Max Value | Measurement Type | External Id Loinc | External Id Snomed | External Id caDSR | External Id CDISC |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| C14708 | Godin Leisure-Time Exercise Questionnaire - strenuous exercise per week frequency | GLTimeStrenExrcsePerWkFreq | Numeric value counting the average number of times per week that a participant/subject reports doing strenuous exercise (e.g., running, jogging, hockey, football, soccer, squash, basketball, cross country skiing, judo, roller skating, vigorous swimming, vigorous long distance bicycling) | Number of times per week that a participant/subject reports doing strenuous exercise | Strenuous Exercise (heart beats rapidly) | Numeric Values |
Record the appropriate number of times per week. Lead question: During a typical 7-day period (a week), how many times on the average do you do the following kinds of exercise for more than 15 minutes during your free time |
Godin G, Shephard RJ. Godin Leisure-Time Exercise Questionnaire. Medicine and Science in Sports and Exercise. 29 June Supplement:S36-S38, 1997 Godin G, Shephard RJ. A simple method to assess exercise behavior in the community. Can J Appl Sport Sci. 10(3):141-6, 1985 | Adult;Pediatric | Supplemental | 3.00 | 2013-07-14 03:55:23.71 | Godin Leisure-Time Exercise Questionnaire | General Health History | Participant History and Family History |
Free-Form Entry |
0 | 99 | ||||||||
| C14709 | Godin Leisure-Time Exercise Questionnaire - moderate exercise per week frequency | GLTimeModerExrcsePerWkFreq | Numeric value counting the average number of times per week that a participant/subject reports doing moderate exercise (e.g., fast walking, baseball, tennis, easy bicycling, volleyball, badminton, easy swimming, alpine skiing, popular and folk dancing) | Number of times per week that a participant/subject reports doing moderate exercise | Moderate Exercise (not exhausting) | Numeric Values |
Record the appropriate number of times per week. Lead question: During a typical 7-day period (a week), how many times on the average do you do the following kinds of exercise for more than 15 minutes during your free time |
Godin G, Shephard RJ. Godin Leisure-Time Exercise Questionnaire. Medicine and Science in Sports and Exercise. 29 June Supplement:S36-S38, 1997 Godin G, Shephard RJ. A simple method to assess exercise behavior in the community. Can J Appl Sport Sci. 10(3):141-6, 1985 | Adult;Pediatric | Supplemental | 3.00 | 2013-07-14 03:55:23.71 | Godin Leisure-Time Exercise Questionnaire | General Health History | Participant History and Family History |
Free-Form Entry |
0 | 99 | ||||||||
| C14710 | Godin Leisure-Time Exercise Questionnaire - mild exercise per week frequency | GLTimeMildExrcsePerWkFreq | Numeric value counting the average number of times per week that a participant/subject reports doing mild exercise (e.g., yoga, archery, fishing from river bank, bowling, horseshoes, golf, snow-mobiling, easy walking) | Numeric value counting the average number of times per week that a participant/subject reports doing mild exercise (e.g., yoga, archery, fishing from river bank, bowling, horseshoes, golf, snow-mobiling, easy walking | Mild Exercise (minimal effort) | Numeric Values |
Record the appropriate number of times per week. Lead question: During a typical 7-day period (a week), how many times on the average do you do the following kinds of exercise for more than 15 minutes during your free time |
Godin G, Shephard RJ. Godin Leisure-Time Exercise Questionnaire. Medicine and Science in Sports and Exercise. 29 June Supplement:S36-S38, 1997 Godin G, Shephard RJ. A simple method to assess exercise behavior in the community. Can J Appl Sport Sci. 10(3):141-6, 1985 | Adult;Pediatric | Supplemental | 3.00 | 2013-07-14 03:55:23.71 | Godin Leisure-Time Exercise Questionnaire | General Health History | Participant History and Family History |
Free-Form Entry |
0 | 99 | ||||||||
| C14711 | Godin Leisure-Time Exercise Questionnaire - exercise per week scale | GLTimeExrcsePerWkScale | The value on a scale describing how often during a typical 7-day week that a participant/subject reports engaging in regular leisure time activity long enough to make the heart beat rapidly | The value on a scale describing how often during a typical 7-day week that a participant/subject reports engaging in regular leisure time activity long enough to make the heart beat rapidl | During a typical 7-Day period (a week), in your leisure time, how often do you engage in any regular activity long enough to work up a sweat (heart beats rapidly) | 1;2;3 | Often;Sometimes;Never/Rarely | Numeric Values |
No instructions available |
Godin G, Shephard RJ. Godin Leisure-Time Exercise Questionnaire. Medicine and Science in Sports and Exercise. 29 June Supplement:S36-S38, 1997 Godin G, Shephard RJ. A simple method to assess exercise behavior in the community. Can J Appl Sport Sci. 10(3):141-6, 1985 | Adult;Pediatric | Supplemental | 3.00 | 2013-07-14 03:55:23.71 | Godin Leisure-Time Exercise Questionnaire | General Health History | Participant History and Family History |
Single Pre-Defined Value Selected |
