Questionnaires 2003 Modules By State
| State | Module(s) |
|---|---|
| Alabama | Cardiovascular Disease, Diabetes, Heart Attack and Stroke |
| Alaska | Cardiovascular Disease, Diabetes |
| Arizona | Arthritis, Diabetes |
| Arkansas | Arthritis, Cardiovascular Disease, Diabetes, Heart Attack and Stroke, Other Tobacco Products, Tobacco Indicators, Women’s Health |
| California | Arthritis, Binge Drinking, Diabetes, Influenza |
| Colorado | Cardiovascular Disease, Diabetes, Influenza, Other Tobacco Products, Tobacco Indicators |
| Connecticut | Adult Asthma History, Arthritis, Cardiovascular Disease, Diabetes, Tobacco Indicators |
| Delaware | Adult Asthma History, Childhood Asthma, Colorectal Cancer Screening, Diabetes, Other Tobacco Products |
| District of Columbia | Adult Asthma History, Cardiovascular Disease |
| Florida | Arthritis, Diabetes, Folic Acid, Heart Attack and Stroke |
| Georgia | Adult Asthma History, Arthritis, Cardiovascular Disease, Childhood Asthma, Diabetes, Heart Attack and Stroke, Women’s Health |
| Guam | Childhood Asthma, Diabetes, Women’s Health |
| Hawaii | Adult Asthma History, Cardiovascular Disease, Childhood Asthma, Colorectal Cancer Screening, Diabetes, Influenza, Prostate Cancer, Women’s Health |
| Idaho | Arthritis, Childhood Asthma, Diabetes, Oral Health |
| Indiana | Adult Asthma History, Arthritis, Childhood Asthma, Diabetes, Other Tobacco Products |
| Iowa | Adult Asthma History, Arthritis, Childhood Asthma, Colorectal Cancer Screening, Diabetes, Heart Attack and Stroke, Oral Health, Tobacco Indicators, Women’s Health |
| Kansas | Arthritis, Diabetes |
| Kentucky | Cardiovascular Disease, Diabetes, Residential Fire, Tobacco Indicators |
| Louisiana | Cardiovascular Disease, Diabetes, Heart Attack and Stroke, Tobacco Indicators |
| Maine | Binge Drinking, Cardiovascular Disease, Colorectal Cancer Screening, Diabetes, Influenza |
| Maryland | Adult Asthma History, Arthritis, Cardiovascular Disease, Childhood Asthma, Diabetes, Oral Health |
| Massachusetts | Diabetes |
| Michigan | Adult Asthma History, Binge Drinking, Childhood Asthma |
| Minnesota | Adult Asthma History, Arthritis, Binge Drinking, Cardiovascular Disease, Childhood Asthma, Diabetes, Heart Attack and Stroke, Influenza |
| Mississippi | Cardiovascular Disease, Colorectal Cancer Screening, Prostate Cancer, Residential Fire, Women’s Health |
| Missouri | Arthritis, Diabetes, Folic Acid, Women’s Health |
| Montana | Binge Drinking, Cardiovascular Disease, Diabetes, Heart Attack and Stroke, Tobacco Indicators |
| Nebraska | Arthritis, Binge Drinking, Cardiovascular Disease, Diabetes, Folic Acid, Heart Attack and Stroke, Oral Health, Other Tobacco Products, Tobacco Indicators |
| Nevada | Arthritis, Binge Drinking, Diabetes, Oral Health |
| New Hampshire | Adult Asthma History, Binge Drinking, Childhood Asthma, Diabetes, Oral Health, Tobacco Indicators |
| New Jersey | Adult Asthma History, Childhood Asthma, Colorectal Cancer Screening, Diabetes, Influenza, Other Tobacco Products, Prostate Cancer, Tobacco Indicators, Women’s Health |
| New Mexico | Adult Asthma History, Arthritis, Childhood Asthma, Diabetes |
| New York | Arthritis, Cardiovascular Disease, Diabetes, Oral Health, Residential Fire |
| North Carolina | Binge Drinking, Cardiovascular Disease, Diabetes, Heart Attack and Stroke, Influenza, Other Tobacco Products, Tobacco Indicators |
| North Dakota | Cardiovascular Disease, Diabetes, Folic Acid, Heart Attack and Stroke, Other Tobacco Products |
| Ohio | Arthritis, Cardiovascular Disease, Childhood Asthma, Colorectal Cancer Screening, Diabetes, Heart Attack and Stroke, Oral Health, Prostate Cancer |
| Oklahoma | Adult Asthma History, Arthritis, Childhood Asthma, Diabetes, Heart Attack and Stroke, Tobacco Indicators, Women’s Health |
| Pennsylvania | Arthritis, Binge Drinking, Childhood Asthma, Diabetes, Influenza |
| Puerto Rico | Cardiovascular Disease, Diabetes, Folic Acid, Influenza |
| Rhode Island | Arthritis, Childhood Asthma, Diabetes, Tobacco Indicators |
| South Carolina | Arthritis, Cardiovascular Disease, Childhood Asthma, Colorectal Cancer Screening, Diabetes, Folic Acid, Heart Attack and Stroke, Oral Health, Prostate Cancer |
| South Dakota | Binge Drinking, Childhood Asthma, Diabetes, Women’s Health |
| Tennessee | Cardiovascular Disease, Diabetes, Folic Acid, Heart Attack and Stroke, Women’s Health |
| Texas | Adult Asthma History, Childhood Asthma, Diabetes, Folic Acid, Influenza, Other Tobacco Products, Tobacco Indicators |
| Utah | Adult Asthma History, Arthritis, Colorectal Cancer Screening, Diabetes, Influenza, Prostate Cancer |
| Vermont | Adult Asthma History, Arthritis, Childhood Asthma, Diabetes, Women’s Health |
| Virgin Islands | Diabetes, Heart Attack and Stroke, Other Tobacco Products, Tobacco Indicators |
| Virginia | Adult Asthma History, Arthritis, Cardiovascular Disease, Childhood Asthma, Diabetes, Folic Acid, Heart Attack and Stroke, Oral Health, Residential Fire, Tobacco Indicators |
| Washington | Diabetes |
| West Virginia | Cardiovascular Disease, Diabetes, Tobacco Indicators |
| Wisconsin | Adult Asthma History, Binge Drinking, Childhood Asthma, Diabetes, Influenza |
| Wyoming | Binge Drinking, Colorectal Cancer Screening, Diabetes, Influenza, Other Tobacco Products, Tobacco Indicators, Women’s Health |
Page last reviewed: November 4, 2014