Active Participation Think of the different types of physical activity that you do. Choose the answer for each question that best fits your recent activity levels.

Diverse Activities Think about the activities you have been doing this year.

Team Sport Activities (for example: hockey, wheelchair basketball, soccer) 1. I play team sports at school at RECESS or AFTER SCHOOL. Never (0) Sometimes (1-2 times per month) Most of the time (1-2 times per week) All of the time (3 or more times per week)

2. I play team sports at home or in my neighbourhood with friends, family, or in a club. Never (0) Sometimes (1-2 times per month) Most of the time (1-2 times per week) All of the time (3 or more times per week)

3. I would like to play more team sports. Not at all A little bit Yes A lot

Non-Team Sports (for example: golf, swimming, track and field, karate, hand-cycling) 4. I play non-team sports at school during RECESS or AFTER SCHOOL. Never (0) Sometimes (1-2 times per month) Most of the time (1-2 times per week) All of the time (3 or more times per week)

5. I play non-team sports at home or in my neighbourhood with friends, family, or in a club. Never (0) Sometimes (1-2 times per month) Most of the time (1-2 times per week) All of the time (3 or more times per week)

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6. I would like to play more non-team sports. Not at all A little bit Yes A lot

Dance Activities (for example: free-style, hip hop, ballet, jazz) 7. I dance at school at RECESS or AFTER SCHOOL. Never (0) Sometimes (1-2 times per month) Most of the time (1-2 times per week) All of the time (3 or more times per week)

8. I dance at home or in my neighbourhood with friends, family, classes, or in a club. Never (0) Sometimes (1-2 times per month) Most of the time (1-2 times per week) All of the time (3 or more times per week)

9. I am interested in doing more dance activities. Not at all A little bit Yes A lot

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Gymnastics Activities (for example: trampoline, tumbling) 10. I do gymnastic activities at school at RECESS or AFTER SCHOOL. Never (0) Sometimes (1-2 times per month) Most of the time (1-2 times per week) All of the time (3 or more times per week)

11. I do gymnastic activities at home or in my neighbourhood with friends, family, or in a club. Never (0) Sometimes (1-2 times per month) Most of the time (1-2 times per week) All of the time (3 or more times per week)

12. I am interested in doing more gymnastics activities. Not at all A little bit Yes A lot

Fitness Activities (for example: yoga, using weights, circuit training) 13. I do fitness activities at school at RECESS or AFTER SCHOOL. Never (0) Sometimes (1-2 times per month) Most of the time (1-2 times per week) All of the time (3 or more times per week)

14. I do fitness activities at home or in my neighbourhood with friends, family, in a club. Never (0) Sometimes (1-2 times per month) Most of the time (1-2 times per week) All of the time (3 or more times per week)

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15. I am interested in doing more fitness activities. Not at all A little bit Yes A lot Environment Think of WHERE you have been active this year (for example: indoors, outdoors, or in water).

16. I do INDOOR activities: Never (0) Sometimes (1-2 times per month) Most of the time (1-2 times per week) All of the time (3 or more times per week)

17. I do OUTDOOR activities: Never (0) Sometimes (1-2 times per month) Most of the time (1-2 times per week) All of the time (3 or more times per week)

18. I do LAND activities (for example: rugby or wheelchair rugby, soccer, goal ball). Never (0) Sometimes (1-2 times per month) Most of the time (1-2 times per week) All of the time (3 or more times per week)

19. I do SNOW and ICE activities (for example: sledge hockey, tobogganing, skiing, and broomball). Never (0) Sometimes (1-2 times per month) Most of the time (1-2 times per week) All of the time (3 or more times per week)

20. I do WATER activities (for example: swimming, canoeing, or para-rowing). Never (0) Sometimes (1-2 times per month) Most of the time (1-2 times per week) All of the time (3 or more times per week)

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21. I do AIR activities (for example: diving, ski jumping, and trampoline). Never (0) Sometimes (1-2 times per month) Most of the time (1-2 times per week) All of the time (3 or more times per week)

22. Pick one sentence that you agree with: I am not physically active and I do not plan to be this year. I am not physically active now, but I plan to start by the end of this year. I am not physically active now, but I plan to start this month. I am physically active now, but have been for less than a year. I am physically active now and have been since last year or longer.

23. There are lots of ways I could be physically active if I want to. No, not really Some Yes Yes, LOTS of ways

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