Questionnaires

Exercise Self-Efficacy

Name *

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Last

Please rate the extent to which you disagree or agree with each of the following statements by selecting the answer choice that corresponds with the most appropriate response.

1. I am confident I can participate in regular physical activity when I am tired. *

2. I am confident I can participate in regular physical activity when I am in a bad mood. *

3. I am confident I can participate in regular physical activity when I feel I don't have enough time. *

4. I am confident I can participate in regular physical activity when I am on vacation. *

5. I am confident I can participate in regular physical activity when it is raining, snowing, or extremely hot. *

6. I am confident I can participate in regular physical activity when I have a lot of work. *

7. I am confident I can stick to my exercise program when my family is demanding more of my time. *

8. I am confident I can stick to my exercise program even when I have to attend to household chores. *

9. I am confident I can stick to my exercise program even when I have excessive work demands. *

10. I am confident I can stick to my exercise program when social obligations are very time consuming. *

11. I am confident I can read or study less in order to exercise more. *

12. I am confident I can get up early, even on weekends, to exercise. *

13. I am confident I can get up early to exercise. *

14. I am confident I can stick to my exercise program after a long, tiring day at work. *

15. I am confident I can exercise even though I am feeling depressed. *

16. I am confident I can set aside time for a physical activity program (i.e walking, jogging, swimming, biking, or other continuous activities for at least 30 minutes three times a week). *

17. I am confident I can continue to exercise with others even though they seem too fast or slow for me. *

18. I am confident I can stick to my exercise program when undergoing a stressful life change (e.g. divorce, death in the family, moving). *

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