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Activity and Health Questionnaire

There are many reasons why being active and eating a healthy diet is important. As well as helping you to improve your overall health and well-being, it can also help you maintain a healthy weight, which can have other health benefits. Finally, being active and eating healthy can help improve your mental health and mood.

How it works​

Patients will answer questions in the Huma App about the activity taken and food consumed in the previous seven days. Care teams can view and track patient responses to the questionnaire in the Huma Portal. Both patients and their care team will be able to view past reponses to track how their habits are changing.

In the Patient Summary, care teams can view all historical data displayed as a graph or a table of results.

The activity and health questionnaire has 19 multiple choice questions. The patient will have to compare the frequency of each activity with the previous week.

Questions​

1. Overall physical activity​

Select one of the following

  • Decreased
  • Unchanged
  • Increased

2. Activity at home e.g. gardening or DIY (do-it-yourself activities)​

Select one of the following

  • Decreased
  • Unchanged
  • Increased

3. Exercise habits e.g. walking or running for pleasure​

Select one of the following

  • Decreased
  • Unchanged
  • Increased

Select one of the following

  • Decreased
  • Unchanged
  • Increased

Select one of the following

  • Decreased
  • Unchanged
  • Increased

6. Time spent sitting​

Select one of the following

  • Decreased
  • Unchanged
  • Increased

7. Time spent sleeping​

Select one of the following

  • Decreased
  • Unchanged
  • Increased

8. Meat � red and processed e.g. beef, pork, lamb, burger, bacon or sausages​

Select one of the following

  • Decreased
  • Unchanged
  • Increased
  • Not Applicable

9. Fish or seafood (fresh, frozen or tinned)​

Select one of the following

  • Decreased
  • Unchanged
  • Increased
  • Not Applicable

10. Dairy products e.g. yoghurt, cheese or milk​

Select one of the following

  • Decreased
  • Unchanged
  • Increased
  • Not Applicable

11. Fruits (fresh, frozen, tinned or dried)​

Select one of the following

  • Decreased
  • Unchanged
  • Increased
  • Not Applicable

12. Vegetables or beans / legumes (fresh, frozen or tinned); NOT including potatoes​

Select one of the following

  • Decreased
  • Unchanged
  • Increased
  • Not Applicable

13. Savoury or sweet snacks e.g. crisps, confectionary, biscuits or cakes​

Select one of the following

  • Decreased
  • Unchanged
  • Increased
  • Not Applicable

14. Wine​

Select one of the following

  • Decreased
  • Unchanged
  • Increased
  • Not Applicable

15. Beer, lager, cider, or spirits e.g. gin, vodka or whisky​

Select one of the following

  • Decreased
  • Unchanged
  • Increased
  • Not Applicable

16. Sweetened drinks e.g. cola, lemonade, cordial, juice or tea/coffee with added sugar​

Select one of the following

  • Decreased
  • Unchanged
  • Increased
  • Not Applicable

17. Fresh foods (rather than long-life or tinned/frozen foods and drinks) e.g. fresh vegetables, fruits, or fresh milk​

Select one of the following

  • Decreased
  • Unchanged
  • Increased
  • Not Applicable

18. In the last 7 days how often have you consumed take-away or home-delivery meals?​

Select one of the following

  • Never
  • 1-2 times
  • 3-5 times
  • More than 5 times

19. In the last 7 days how often did you consume meals made at home?​

Select one of the following

  • Never
  • 1-2 times
  • 3-5 times
  • More than 5 times