The following Modules/Questions are provided for countries conducting the NCD Mobile Phone to adapt the questionnaire to inform country specific NCD priorities. Additional questions are provided for module/topics that are included in the core questionnaire as well as questions for other NCD topics.

Demographics

Urbanization.

Educational Status. 

Alcohol

Lifetime Alcohol use. 

Physical Activity

The physical activity questions align with the General Physical Activity Questions that are administered as a set of 15 questions.

PA1 -- Percentage Whose Work Involves Vigorous-Intensity Activities

Physical activity PREAMBLE: I am going to ask you about the time you spend doing different types of physical activity in a typical week. Please answer these questions even if you do not consider yourself to be a physically active person.

First, think about the time you spend doing work. Think of work as the things that you have to do, such as paid or unpaid work, study or training, household chores, harvesting food or crops, fishing or hunting for food, and seeking employment. [Insert other examples if needed.]

Now think about all the vigorous-intensity activities. Vigorous-intensity activities are activities that require hard physical effort and cause large increases in breathing or heart rate [requires country adaptation].

PA2 -- Number of Days Engaged in Vigorous-Intensity Activities at Work during the week

PA3 -- Time Spent Doing Vigorous-Intensity Activities at Work per Day

How much time do you spend doing vigorous-intensity activities at work on a typical day?
I will ask you to enter hours followed by minutes.

PA4 -- Percentage Whose Work Involves Moderate-Intensity Activities

Now think about all the moderate-intensity activities. Moderate-intensity activities are activities that require moderate physical effort and cause small increases in breathing or heart rate.

PA5 -- Days Engaged in Moderate-Intensity Activities at Work during the Week

PA6. -- Time Spent Doing Moderate-Intensity Activities at Work per Day

How much time do you spend doing moderate-intensity activities at work on a typical day?
I will ask you to enter hours followed by minutes.

PA7. -- Percentage Who Usually Walk or Use a Bicycle (Pedal Cycle) to Travel to and from Places

Physical activity PREAMBLE: The next questions exclude the physical activities at work that you have already mentioned.

Now I would like to ask you about the usual way you travel to and from places, for example to work, to shop, to market, and to places of worship [requires country adaptation].

PA8. -- Days Walked or Used a Bicycle to Travel to and from Places during a Typical Week

PA9. -- Time Spent Walking or Bicycling for Travel on a Typical Day

How much time do you spend walking or bicycling for travel on a typical day? I will ask you to enter hours followed by minutes.

PA10. -- Percentage Who Engage in Vigorous-Intensity Sports, Fitness, or Recreational Activities

Physical activity PREAMBLE: The next questions exclude the work and travel activities that you have already mentioned.

Now I would like to ask you about sports, fitness, and recreational (leisure) activities [requires country adaptation].

PA11. -- Number of Days Engaged in Vigorous-Intensity Sports, Fitness, or Recreational Activities during the Week

PA12. -- Time Spent Doing Vigorous-Intensity Sports, or Recreational Activities on a Typical Day.

How much time do you spend doing vigorous-intensity sports, fitness, or recreational activities on a typical day? I will ask you to enter hours followed by minutes.

PA13. -- Percentage Who Engage in Moderate-Intensity Sports, Fitness, or Recreational Activities

PA14. – Number of Days Engaged in Moderate-Intensity Sports, Fitness, or Recreational Activities during the Week

PA15. -- Time Spent Doing Moderate-Intensity Sports, Fitness, or Recreational Activities on a Typical Day.

How much time do you spend doing moderate-intensity sports, fitness, or recreational (leisure) activities on a typical day? I will ask you to enter hours followed by minutes.