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Physical Activity History (PAH)

Purpose: To calculate a patient's exercise level using the Physical Activity History.

Evaluation

Are you evaluating a person's exercise level during the past year?

Gender of the patient

enter the number of months spent at each level of participation for the activity during the past year (each row must add up to 12)
< 1 hour in month
< 2 hrs/wk
>= 2 hours/week
jog or run
bicycling faster than 10 miles/hour
swimming
< 1 hour in month
< 3 hrs/wk
>= 3 hours/week
vigorous racket sports
vigorous exercise class
vigorous dancing
vigorous non-job activity (weight lifting, shoveling, moving heavy objects)
other strenous sports
non-strenuous sports
bowling or golfing
home exercise or calisthenics
< 1 hour in month
< 4 hrs/wk
>= 4 hours/week
walking or hiking
< 1 hour in month
< 5 hrs/wk
>= 5 hours/week
vigorous job activity
home maintenance and gardening

Results

Please fill out required fields.

Specialty

Objective

ICD-10