***Baseline Survey***

The next set of questions asks about your outdoor activities yesterday.
We know it can be hard to remember, but please try to answer as
accurately as you can.

1.  Thinking about yesterday, did you spend any time outside between the
    time you woke up and 12:00 noon? Please only include times when you
    were outside for at least 10 minutes continuously. Do not include
    time spent in your car or other vehicle.

    i.  Yes *\[skip to Q3\]*

    ii. No*\[skip to Q5\]*

    iii. Don't know

2.  \[*if Don't know*\] Okay, let's start when you woke up; think
    carefully about each activity you did after you woke up and before
    noon. Did you do anything outside for at least 10 minutes?

    i.  Yes

    ii. No *\[skip to Q5\]*

3.  How much time did you spend outside? Please provide your best
    estimate.

    i.  Hours\_\_\_, minutes\_\_\_\_\_\_\_

4.  Now I want to ask you about your activities when you were outside.
    During this time, did you engage in moderate or vigorous physical
    activity? Moderate activities cause only light sweating or a slight
    to moderate increase in breathing or heart rate. Some examples are
    brisk walking, bicycling for pleasure, golf, or dancing. Vigorous
    activities cause heavy sweating or large increases in breathing or
    heart rate.

    i.  Yes

    ii. No

5.  Now let's move on. Did you spend any time outside between 12:00 noon
    and 4:00 pm in the afternoon? Again, please only include times when
    you were outside for at least 10 minutes continuously and do not
    include time spent in your car or other vehicle.

    i.  Yes*\[skip to Q7\]*

    ii. No *\[skip to Q9\]*

    iii. Don't know

6.  \[*if Don't know*\] Okay, let's start at noon; think carefully about
    each activity you did after noon and before 4:00 pm. Did you do
    anything outside for at least 10 minutes?

    i.  Yes

    ii. No *\[skip to Q9\]*

7.  How much time did you spend outside? Please provide your best
    estimate.

    i.  Hours\_\_\_, minutes\_\_\_\_\_\_\_

8.  During this time, did you engage in any moderate or vigorous
    physical activity? Remember, Moderate activities cause only light
    sweating or a slight to moderate increase in breathing or heart
    rate. Some examples are brisk walking, bicycling for pleasure, golf,
    or dancing. Vigorous activities cause heavy sweating or large
    increases in breathing or heart rate.

    i.  Yes

    ii. No

9.  Now, please think about the end of the day. Did you spend any time
    outside after 4:00 pm? Again, please only include times when you
    were outside for at least 10 minutes continuously and do not include
    time spent in your car or other vehicle.

    i.  Yes *\[skip to Q11\]*

    ii. No *\[skip to Q13\]*

    iii. Don't know

10. \[*if Don't know*\] Okay, let's start with 4:00 pm; think carefully
    about each activity you did after 4:00 pm. Did you do anything
    outside for at least 10 minutes?

    i.  Yes

    ii. No *\[skip to Q13\]*

11. How much time did you spend outside? Please provide your best
    estimate.

    i.  Hours\_\_\_, minutes\_\_\_\_\_\_\_

12. During this time, did you engage in any moderate or vigorous
    physical activity? Remember, Moderate activities cause only light
    sweating or a slight to moderate increase in breathing or heart
    rate. Some examples are brisk walking, bicycling for pleasure, golf,
    or dancing. Vigorous activities cause heavy sweating or large
    increases in breathing or heart rate.

    i.  Yes

    ii. No

13. Yesterday, how much time total did you spend driving or riding in a
    vehicle? Again, please give us your best estimate.

    i.  \_\_\_\_ hours and \_\_\_\_ minutes

14. During a typical week in the summer (June, July or August) do you
    exercise or engage in other moderate or vigorous physical activity
    at least 2 times a week for your job or for leisure? This could be
    either indoors or outdoors.

    i.  Yes

    ii. No *\[skip to Q17\]*

15. In the summer, does your physical activity usually take place only
    indoors, only outdoors, or both indoors and outdoors?

    i.  Only indoors *\[skip to Q17\]*

    ii. Only outdoors

    iii. Both indoors and outdoors

16. Thinking about the times you are outdoors and physically active in
    the summer, on average how many minutes of moderate or vigorous
    physical activity do you do per day on days when you are active?
    This could be activity for work or leisure.

    i.  \_\_\_\_\_\_\_\_minutes

17. These next questions are about your health. Would you say that in
    general your health is excellent, very good, good, fair or poor?

    i.  Excellent

    ii. Very good

    iii. Good

    iv. Fair

    v.  Poor

18. Do you have any allergies to grasses, pollen, or other plants?

    i.  Yes

    ii. No

    iii. Don't know

19. Has a doctor [ever]{.underline} told you that you have high blood
    pressure?

    i.  Yes

    ii. No

    iii. Don't know

20. Has a doctor [ever]{.underline} told you that you have heart
    disease?

    i.  Yes

    ii. No

    iii. Don't know

21. Has a doctor [ever]{.underline} told you that you have heart failure
    or congestive heart failure?

    i.  Yes

    ii. No

    iii. Don't know

22. Has a doctor [ever]{.underline} told you that you had a stroke?

    i.  Yes

    ii. No

    iii. Don't know

23. Has a doctor ever told you that you have asthma?

    i.  Yes

    ii. No

    iii. Don't know

24. Do you still have asthma?

    i.  Yes

    ii. No

    iii. Don't know

25. Has a doctor ever told you that you have a lung disease other than
    asthma, such as emphysema or COPD? COPD means Chronic Obstructive
    Pulmonary Disease and is also known as Chronic Lower Respiratory
    Disease. Do not include Tuberculosis (TB).

    i.  Yes

    ii. No

    iii. Don't know

26. Do you have any other health conditions that limit the amount of
    time you spend outdoors?

    i.  yes

    ii. no

27. What type of vehicle do you usually drive?

    i.  Regular fuel car

    ii. Hybrid or biofuel car

    iii. Minivan

    iv. Full-size Passenger Van

    v.  SUV

    vi. Motorcycle

    vii. Pickup

    viii. Other, \_\_\_\_\_\_\_\_\_\_

    ix. I do not drive

28. How would you describe where you live?

    i.  Urban setting

    ii. Suburban setting

    iii. Rural setting

29. How many years have you lived in \[name of city\]?

    i.  \_\_\_\_Years

30. Do you speak a language other than English at home?

    i.  Yes

    ii. No *\[skip to Q32\]*

31. If yes, what language\_\_\_\_\_\_\_\_\_\_\_\_

32. Are you currently employed?

    i.  Yes

    ii. No *\[skip to Q40\]*

33. How many jobs do you currently have?

    i.  1

    ii. 2

    iii. 3

    iv. 4

    v.  More than 4

34. In an average week how many hours do you work in total for all paid
    jobs?

    i.  0-10 hours

    ii. 11-20 hours

    iii. 21-30 hours

    iv. 31-40 hours

    v.  41-50 hours

    vi. 51-60 hours

    vii. More than 60 hours

**If you have more than one job, answer the next five questions for the
job at which you spend the most hours.**

35. When you are at work, which of the following best describes what you
    do?

    i.  Mostly sitting (at a desk or table) or

    ii. Mostly standing

    iii. Mostly walking, but not heavy labor

    iv. Mostly heavy labor or physically demanding work

36. When you are at work, which of the following best describes how much
    time you spend outdoors?

    i.  All or most of my time at work is spent outdoors

    ii. About half my time at work is spent outdoors

    iii. A quarter or less of my time at work is spent outdoors

    iv. I do not spend any time at work outdoors

37. How did you usually get to work [last week]{.underline}? If you
    usually use more than one method of transportation during your trip
    to work, select the one used for most of the distance.

    i.  Alone in a car, truck, or van

    ii. With at least one other adult in a car, truck, or van

    iii. Bus, trolley, or streetcar

    iv. Subway, elevated train, or railroad

    v.  Ferryboat

    vi. Motorcycle

    vii. Bicycle

    viii. Walked

    ix. Worked at home *\[skip to Q40\]*

    x.  Other

38. How many minutes did it usually take you to get from home to work
    [last week]{.underline}?

    i.  \_\_\_\_ minutes

39. How many miles is your one way trip to work?

    i.  \_\_\_\_miles

40. Do you own any of the following?

    i.  Wood stove

    ii. Wood burning fire place

    iii. Natural gas fire place

    iv. Motorboat or personal watercraft (PWC)

    v.  Motorhome or RV

    vi. Snowmobile

    vii. Bicycle

41. Which best describes the building you live in?

    i.  A mobile home

    ii. A one-family house detached from any other house

    iii. A one-family house attached to one or more other houses

    iv. A building with 2 apartments

    v.  A building with 3 or more apartments

    vi. Boat, RV, van, etc.

    vii. Other, \_\_\_\_\_\_\_\_\_\_\_\_\_\_

42. Which of the following income categories best describes your total
    2007 [household]{.underline} income before taxes?

    i.  Less than \$10,000

    ii. \$10,000 to \$14,999

    iii. \$15,000 to \$24,999

    iv. \$25,000 to \$34,999

    v.  \$35,000 to \$49,999

    vi. \$50,000 to \$74,999

    vii. \$75,000 to \$99,999

    viii. \$100,000 to \$149,999

    ix. \$150,000 to \$199,999

    x.  \$200,000 or more

43. When it comes to politics do you usually think of yourself as

    i.  Extremely liberal

    ii. Liberal

    iii. Slightly liberal

    iv. Moderate or middle of the road

    v.  Slightly conservative

    vi. Conservative

    vii. Extremely conservative

    viii. I haven't thought about this much

44. Please rate the following statements for yourself

+-------------------------------+------+-------+-------+-------+------+
|                               | 1    | 2     | 3     | 4     | 5    |
|                               |      |       |       |       |      |
|                               | Not  |       |       |       | Very |
|                               | true |       |       |       | True |
+-------------------------------+------+-------+-------+-------+------+
| Number range CHAPTERIt would  |      |       |       |       |      |
| be hard for me to break any   |      |       |       |       |      |
| of my bad habits.             |      |       |       |       |      |
+-------------------------------+------+-------+-------+-------+------+
| Number range CHAPTERI always  |      |       |       |       |      |
| know why I like things.       |      |       |       |       |      |
+-------------------------------+------+-------+-------+-------+------+

Thank you for completing the survey. This survey is part of a research
project on daily activities. You have been selected to participate in
the next step in the research project. To collect more information about
individuals' activities, we will be sending you a set of activity
diaries. An activity diary is a survey that asks you questions about
what you did during the day. The data from these diaries will be used to
provide a better understanding of how people spend their day. The data
collected from these diaries will be kept confidential -- as always,
your name will never be associated with the information from the surveys
you take.

We will be sending you a total of 7 activity diaries this summer. First,
we will ask you to fill out diaries for 4 days in a row and then later
in the summer you will fill out diaries for another 3 days in a row. To
alert you that a diary will be coming, you will receive an email 2 days
before we send the first diary. We designed the diaries so that they
will be easy to fill out, so the diary surveys shouldn't take more than
about 10 minutes to complete.

Your participation in this survey is very important for the overall
success of the research project. You are part of a group of 1,600 people
who will be completing activity diaries, and for our sample to be
representative we need everyone to participate.

To thank you for your participation, you will receive a \$36 bonus for
completing all the surveys in this project.

The public reporting and recordkeeping burden for this collection of
information is estimated to average 15 minutes per response. Send
comments on the Agency\'s need for this information, the accuracy of the
provided burden estimates, and any suggested methods for minimizing
respondent burden, including through the use of automated collection
techniques to the Director, Collection Strategies Division, U.S.
Environmental Protection Agency (2822T), 1200 Pennsylvania Ave., NW,
Washington, D.C. 20460. Include the OMB control number in any
correspondence. Do not send the completed survey to this address.