Barriers Self-Efficacy Scale (BARSE)69
|
A 13-item questionnaire that assesses the degree of confidence that one could exercise despite a variety of limitations such as bad weather, while on vacation, etc. |
Big Five Trait Taxonomy II Questionnaire (BFI)70
|
A 44-item questionnaire that measures the Big Five personality dimensions including Openness-to-experience, Conscientiousness, Extraversion, Agreeableness, and Neuroticism. |
Cognitive Function Index (CFI)71
|
A 15-item questionnaire that asks about daily cognitive and memory ability on a Yes, No, Maybe scale |
Cohen’s Social Network Index72
|
A 12-items questionnaire that assesses participation in 12 types of social relationships including spouse, parents, friends, family members, etc. |
Composite Scale of Morningness (CSM)73
|
A 13-item measure examining participants’ optimum times of day and quality of sleep. |
Cumulative Illness Rating Scale for Geriatrics (CIRS-G)74
|
A 14-items questionnaire on the severity of various ailments, including those of a cardiac, vascular, muscular, respiratory or gastro-intestinal nature. |
Demographics and Health History (baseline only) |
A 37-item questionnaire detailing symptoms, injuries, consumption of alcohol and tobacco use, and demographics |
Dietary History (NCI)75
|
A 153-item questionnaire on the types and quantities of specific foods eaten over the past month. |
Everyday Cognition Questionnaire (ECOG)76
|
A 12-item questionnaire for the degree to which participants perceive any changes (compared to their perceived abilities 10 years ago) across various cognitive tasks such as remembering where objects are located, planning and multi-tasking activities, and understanding instructions. |
EQ-5D-5L77
|
A 5-item questionnaire assessing participants’ functioning across 5 dimensions of health (mobility, self-care, anxiety/depression, pain/discomfort, usual activities). |
Exercise Self-Efficacy (EXSE)78
|
An 8-item measure to assess degree of confidence in the ability to continue exercising at a moderate intensity 3 times per week for at least 40 minutes per session. |
Exercise Social Provisions Scale79
|
A 24-item questionnaire about current relationships within the exercise program, such as I do not think other people in the exercise group respect my skills and abilities. Adapted from its original form to be specific to exercise. |
Expectancy Questionnaire (12-month assessment only)80
|
A 19-item questionnaire assessing expectations about the benefits of regular exercise. |
Fatigue Symptom Inventory (FSI)81
|
A 14-item measure designed to assess the severity, frequency, and daily pattern of fatigue as well as its perceived interference with quality of life. |
Female Reproductive Health and History (Menopause) |
Only given to female study participants. This 10-item questionnaire asks a variety of questions about menopause and reproductive history (e.g., hormone use, pregnancies) |
Florida Cognitive Activity Scale82
|
A 25-item questionnaire on the frequency of cognitively stimulating activities such as playing games like chess or board games, puzzles, listening to music, gardening, reading, cooking, home repair, discussions, etc. |
Geriatric Depression Scale (GDS) – Short form35
|
A 15-item measure to assess depressive symptoms in older adults. |
Godin Leisure Time Exercise Questionnaire83
|
A brief 3 item assessment of leisure-time and structured exercise habits during a typical week. |
Health Care Resource Utilization (HRU)84
|
A 10-item questionnaire that asks participants to detail health care visits, services, and ability to do chores for the calculation of economic burden. |
Hospital Anxiety and Depression Scale (HADS)85
|
A 14-item questionnaire with items asking about feelings of depression, anxiety and emotional distress in the past week. |
Instrumental Activities of Daily Living (IADL)86
|
A 26-item questionnaire assessing daily cognitive and self-care activities in terms of routine and ability. |
Lifestyle Self-Efficacy Scale (LSE)87
|
A 6-item measure to assess beliefs in the ability to accumulate 30 minutes of physical activity on 5 or more days of the week in the future. |
MacArthur Socioeconomic Status Index88
|
An 11-item questionnaire regarding participants perception of their socioeconomic status relative to their community and country, their living situation, level and degree of education obtained, job status, income, and debt. |
McGill Pain Questionnaire – Short form89
|
A 16-item brief pain index to assess qualitative experiences of pain using descriptors for sensory, affective, and intensity of the perception of pain. |
Current medication list |
3 sections, information about prescription and over-the-counter medications and vision impairment |
Mindful Attention Awareness Scale (MAAS)90
|
A 12-item questionnaire that assesses mindfulness during daily activities such as conversation, commuting, and eating. Assesses open or receptive awareness of, and attention to, what is taking place in the present. |
Perceived Stress Scale (PSS)91
|
A 10-items questionnaire measuring the degree of perceived stress regarding certain life events during the past month. |
Physical Activity Self-regulation scale (PASR)92
|
A 12-item scale assessing goal setting and self-monitoring in relation to the engagement of physical activity. |
Physical Self-Perception Profile (PSPP)93
|
A 24-item questionnaire assessing physical self-esteem. |
Pittsburgh Sleep Quality Index (PSQI)94
|
A 9-item questionnaire assessing sleep quality. |
PROMIS Applied Cognition: Abilities95
|
An 8-item questionnaire assessing perceived functional abilities in terms of cognitive performance including the perception that one’s cognitive ability (e.g., concentration, memory) has changed in the last 7 days. |
PROMIS Applied Cognition: General Concerns95
|
An 8-item questionnaire assessing perceived cognitive deficits including mental acuity, concentration, verbal and non-verbal memory, verbal fluency, and perceived changes in these functions. These questions also gather information on whether the deficits interfere with daily functioning whether other people observe the deficits, and the impact of the deficits on quality of life. |
Rosenberg self-esteem scale (RSE)96
|
A 10-item scale that measures global self-worth by assessing both positive and negative feelings about the self. |
Satisfaction with Life Scale (SWLS)97
|
A 5-item questionnaire in which participants respond to how satisfied they are with the conditions of their life on a 1–7 scale. Measures global life satisfaction. |
SF-36 Health Survey98
|
A 36-item self-report quality of life measure that assesses eight health-related dimensions: physical functioning, physical limitations, pain, behavior disturbances due to emotional problems, mental capacity, perceptions of health, social functioning, and feelings of energy/fatigue. |
Sitting Time Questionnaire99
|
A 5-item questionnaire that assesses how much time participants spend sitting at work, at home, while watching TV or leisure time, and driving on an average day. The amounts are broken down by weekday and weekends. |
Social Goal Importance100
|
A 2-item questionnaire that assesses the importance of social support available to achieving certain goals. |
UCLA Loneliness Scale101
|
A 20-item scale to assess feelings of loneliness as well as social isolation. |
Visual Analog Scale of health (VAS)102
|
A 1 question item indicating level of health on 100-point scale. |
Work Design Questionnaire (WDQ)103
|
A 78-item questionnaire in which participants answer questions about the nature and responsibilities of their current or previous job such as job autonomy and complexity, task variety and significance, and cooperative components such as social interactions inside and outside of the organization. |