CDE Detailed Report

Disease: Multiple Sclerosis
Sub-Domain: General Health History
CRF: Godin Leisure-Time Exercise Questionnaire

Displaying 1 - 4 of 4
CDE ID CDE Name Variable Name Definition Short Description Additional Notes (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 / Guideline) Sub Domain 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). Number of times per week that a participant/subject reports doing mild exercise. 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 rapidly. 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

CSV