Centers for Disease Control and Prevention
CDC Home Search Health Topics A-Z

National Center for Chronic Disease Prevention and Health Promotion
Behavioral Risk Factor Surveillance System
BRFSS Home | Contact Us



BRFSS Questionnaires


Item: Background
Item: Questionnaires
Item: English Versions
Item: Spanish Versions








BRFSS Contents


Item: Prevalence and Trends Data
Item: SMART: City and County Data
Item: BRFSS Maps
Item: Web Enabled Analysis Tool (WEAT)
Item: Chronic Disease Indicators (CDI)
Item: About the BRFSS
Item: BRFSS Datasets (downloads and documentaion)
Item: Chronic Disease and the Environment
Item: Questionnaires
Item: FAQs
Item: State Information
Item: Publications and Research
Item: Training
Item: Site Map
Item: Related Links





Questionnaires

Modules By State (2004)

By State - 2007, 2006, 2005, 2004, 2003, 2002, 2001, 2000, 1999, 1998

By Category - 2007, 2006, 2005, 2004, 2003, 2002, 2001, 2000, 1999, 1998

Would you like to use our questions?

State Module(s)
AlabamaDiabetes, Secondhand Smoke Policy
AlaskaAdult Asthma History, Childhood Asthma, Diabetes
ArizonaAdult Asthma History, Arthritis Burden, Arthritis Management, Childhood Asthma, Diabetes, Folic Acid, Secondhand Smoke Policy, Smoking Cessation
ArkansasArthritis Burden, Arthritis Management, Diabetes, Other Tobacco Products, Reactions to Race, Secondhand Smoke Policy, Smoking Cessation
CaliforniaAdult Asthma History, Binge Drinking, Diabetes, Influenza
ColoradoDiabetes, Folic Acid, Heart Attack and Stroke, Reactions to Race, Secondhand Smoke Policy, Smoking Cessation
ConnecticutArthritis Burden, Arthritis Management, Childhood Asthma, Diabetes, Heart Attack and Stroke, Hypertension Awareness
DelawareBinge Drinking, Cardiovascular Disease, Diabetes, Indoor Air Quality, Reactions to Race, Smoking Cessation
District of ColumbiaReactions to Race
FloridaChildhood Asthma, Diabetes, Folic Acid, Home Environment, Indoor Air Quality, Influenza
GeorgiaAdult Asthma History, Childhood Asthma, Diabetes, Influenza
GuamDiabetes
HawaiiAdult Asthma History, Childhood Asthma, Diabetes, Healthy Days
IdahoAdult Asthma History, Binge Drinking, Childhood Asthma, Diabetes
IllinoisNone
IndianaArthritis Burden, Arthritis Management, Diabetes, Secondhand Smoke Policy
IowaAdult Asthma History, Childhood Asthma, Diabetes, Hypertension Awareness, Other Tobacco Products, Secondhand Smoke Policy, Smoking Cessation
KentuckyAdult Asthma History, Childhood Asthma, Diabetes, Folic Acid, Heart Attack and Stroke, Other Tobacco Products, Smoking Cessation
LouisianaAdult Asthma History, Cardiovascular Disease, Childhood Asthma, Cholesterol Awareness, Diabetes, Heart Attack and Stroke, Hypertension Awareness, Other Tobacco Products, Secondhand Smoke Policy, Smoking Cessation
MaineBinge Drinking, Diabetes, Heart Attack and Stroke, Influenza
MarylandAdult Asthma History, Childhood Asthma, Diabetes, Hypertension Awareness
MassachusettsNone
MichiganAdult Asthma History, Binge Drinking, Childhood Asthma
MinnesotaAdult Asthma History, Binge Drinking, Childhood Asthma, Cholesterol Awareness, Diabetes, Folic Acid, Hypertension Awareness, Influenza, Secondhand Smoke Policy
MississippiAdult Asthma History, Childhood Asthma, Diabetes, Indoor Air Quality, Reactions to Race
MissouriDiabetes
MontanaAdult Asthma History, Binge Drinking, Childhood Asthma, Diabetes, Folic Acid, Home Environment, Indoor Air Quality, Secondhand Smoke Policy, Smoking Cessation
NebraskaFolic Acid, Other Tobacco Products, Secondhand Smoke Policy, Smoking Cessation
NevadaBinge Drinking, Childhood Asthma, Diabetes, Secondhand Smoke Policy
New HampshireAdult Asthma History, Binge Drinking, Childhood Asthma, Diabetes, Influenza, Other Tobacco Products
New JerseyAdult Asthma History, Childhood Asthma, Diabetes, Other Tobacco Products, Secondhand Smoke Policy, Smoking Cessation
New MexicoBinge Drinking, Childhood Asthma, Diabetes
New YorkAdult Asthma History, Arthritis Burden, Arthritis Management, Diabetes, Healthy Days, Influenza, Smoking Cessation
North CarolinaDiabetes, Folic Acid, Influenza, Other Tobacco Products, Secondhand Smoke Policy, Sexual Behavior, Smoking Cessation
North DakotaBinge Drinking, Folic Acid, Secondhand Smoke Policy, Sexual Behavior, Smoking Cessation
OhioAdult Asthma History, Arthritis Burden, Arthritis Management, Cardiovascular Disease, Childhood Asthma, Cholesterol Awareness, Diabetes, Heart Attack and Stroke, Hypertension Awareness, Influenza, Other Tobacco Products, Secondhand Smoke Policy, Smoking Cessation
OklahomaAdult Asthma History, Arthritis Burden, Cardiovascular Disease, Childhood Asthma, Cholesterol Awareness, Diabetes, Hypertension Awareness, Secondhand Smoke Policy
OregonChildhood Asthma
PennsylvaniaAdult Asthma History, Cardiovascular Disease, Diabetes
Puerto RicoAdult Asthma History, Diabetes, Folic Acid
Rhode IslandChildhood Asthma, Healthy Days, Influenza, Reactions to Race
South CarolinaArthritis Burden, Arthritis Management, Cardiovascular Disease, Diabetes, Healthy Days, Reactions to Race, Smoking Cessation
South DakotaDiabetes
TennesseeCholesterol Awareness, Diabetes, Hypertension Awareness
TexasAdult Asthma History, Childhood Asthma, Diabetes, Folic Acid, Influenza, Other Tobacco Products, Secondhand Smoke Policy, Smoking Cessation
UtahAdult Asthma History, Diabetes
VermontAdult Asthma History, Childhood Asthma, Diabetes, Influenza
Virgin IslandsDiabetes, Folic Acid, Other Tobacco Products, Smoking Cessation
VirginiaAdult Asthma History, Arthritis Burden, Arthritis Management, Binge Drinking, Cardiovascular Disease, Childhood Asthma, Cholesterol Awareness, Diabetes, Folic Acid, Heart Attack and Stroke, Hypertension Awareness, Other Tobacco Products, Secondhand Smoke Policy, Smoking Cessation
WashingtonDiabetes
West VirginiaCardiovascular Disease, Diabetes, Other Tobacco Products, Secondhand Smoke Policy, Smoking Cessation
WisconsinAdult Asthma History, Binge Drinking, Childhood Asthma, Diabetes, Folic Acid, Influenza, Reactions to Race, Secondhand Smoke Policy, Smoking Cessation
WyomingBinge Drinking, Childhood Asthma, Diabetes, Home Environment, Influenza, Other Tobacco Products, Secondhand Smoke Policy, Smoking Cessation

 


Privacy Policy | Accessibility

BRFSS Home | Contact Us

CDC Home | Search | Health Topics A-Z

This page last reviewed September 26, 2001

United States Department of Health and Human Services
Centers for Disease Control and Prevention
National Center Chronic Disease Prevention and Health Promotion
Division of Adult and Community Health