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To create a culturally appropriate assessment, the study reported here developed and evaluated the face validity of a visually enhanced Spanish-language physical activity questionnaire. A professional translated the English version of the International Physical Activity Questionnaire (IPAQ), and an expert panel subsequently reviewed it. Photos of individuals engaged in physical activity behaviors were added. Cognitive interviews were completed with low-income Spanish-speaking women in California (n=20). Questionnaire text was modified and then reviewed by translation experts (n=7). With a high readability score of 98, the questionnaire demonstrates adequate face validity and is ready for further validation. [ABSTRACT FROM AUTHOR]