Questionnaires 2004 Modules By State
| State | Module(s) |
|---|---|
| Alabama | Diabetes, Secondhand Smoke Policy |
| Alaska | Adult Asthma History, Childhood Asthma, Diabetes |
| Arizona | Adult Asthma History, Arthritis Burden, Arthritis Management, Childhood Asthma, Diabetes, Folic Acid, Secondhand Smoke Policy, Smoking Cessation |
| Arkansas | Arthritis Burden, Arthritis Management, Diabetes, Other Tobacco Products, Reactions to Race, Secondhand Smoke Policy, Smoking Cessation |
| California | Adult Asthma History, Binge Drinking, Diabetes, Influenza |
| Colorado | Diabetes, Folic Acid, Heart Attack and Stroke, Reactions to Race, Secondhand Smoke Policy, Smoking Cessation |
| Connecticut | Arthritis Burden, Arthritis Management, Childhood Asthma, Diabetes, Heart Attack and Stroke, Hypertension Awareness |
| Delaware | Binge Drinking, Cardiovascular Disease, Diabetes, Indoor Air Quality, Reactions to Race, Smoking Cessation |
| District of Columbia | Reactions to Race |
| Florida | Childhood Asthma, Diabetes, Folic Acid, Home Environment, Indoor Air Quality, Influenza |
| Georgia | Adult Asthma History, Childhood Asthma, Diabetes, Influenza |
| Guam | Diabetes |
| Hawaii | Adult Asthma History, Childhood Asthma, Diabetes, Healthy Days |
| Idaho | Adult Asthma History, Binge Drinking, Childhood Asthma, Diabetes |
| Illinois | None |
| Indiana | Arthritis Burden, Arthritis Management, Diabetes, Secondhand Smoke Policy |
| Iowa | Adult Asthma History, Childhood Asthma, Diabetes, Hypertension Awareness, Other Tobacco Products, Secondhand Smoke Policy, Smoking Cessation |
| Kansas | Cardiovascular Disease, Cholesterol Awareness, Diabetes, Heart Attack and Stroke, Hypertension Awareness |
| Kentucky | Adult Asthma History, Childhood Asthma, Diabetes, Folic Acid, Heart Attack and Stroke, Other Tobacco Products, Smoking Cessation |
| Louisiana | Adult Asthma History, Cardiovascular Disease, Childhood Asthma, Cholesterol Awareness, Diabetes, Heart Attack and Stroke, Hypertension Awareness, Other Tobacco Products, Secondhand Smoke Policy, Smoking Cessation |
| Maine | Binge Drinking, Diabetes, Heart Attack and Stroke, Influenza |
| Maryland | Adult Asthma History, Childhood Asthma, Diabetes, Hypertension Awareness |
| Massachusetts | None |
| Michigan | Adult Asthma History, Binge Drinking, Childhood Asthma |
| Minnesota | Adult Asthma History, Binge Drinking, Childhood Asthma, Cholesterol Awareness, Diabetes, Folic Acid, Hypertension Awareness, Influenza, Secondhand Smoke Policy |
| Mississippi | Adult Asthma History, Childhood Asthma, Diabetes, Indoor Air Quality, Reactions to Race |
| Missouri | Diabetes |
| Montana | Adult Asthma History, Binge Drinking, Childhood Asthma, Diabetes, Folic Acid, Home Environment, Indoor Air Quality, Secondhand Smoke Policy, Smoking Cessation |
| Nebraska | Binge Drinking, Diabetes, Folic Acid, Other Tobacco Products, Secondhand Smoke Policy, Smoking Cessation |
| Nevada | Binge Drinking, Childhood Asthma, Diabetes, Secondhand Smoke Policy |
| New Hampshire | Adult Asthma History, Binge Drinking, Childhood Asthma, Diabetes, Influenza, Other Tobacco Products |
| New Jersey | Adult Asthma History, Childhood Asthma, Diabetes, Other Tobacco Products, Secondhand Smoke Policy, Smoking Cessation |
| New Mexico | Binge Drinking, Childhood Asthma, Diabetes |
| New York | Adult Asthma History, Arthritis Burden, Arthritis Management, Diabetes, Healthy Days, Influenza, Smoking Cessation |
| North Carolina | Diabetes, Folic Acid, Influenza, Other Tobacco Products, Secondhand Smoke Policy, Sexual Behavior, Smoking Cessation |
| North Dakota | Binge Drinking, Folic Acid, Secondhand Smoke Policy, Sexual Behavior, Smoking Cessation |
| Ohio | Adult 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 |
| Oklahoma | Adult Asthma History, Arthritis Burden, Cardiovascular Disease, Childhood Asthma, Cholesterol Awareness, Diabetes, Hypertension Awareness, Secondhand Smoke Policy |
| Oregon | Childhood Asthma |
| Pennsylvania | Adult Asthma History, Cardiovascular Disease, Diabetes |
| Puerto Rico | Adult Asthma History, Diabetes, Folic Acid |
| Rhode Island | Childhood Asthma, Healthy Days, Influenza, Reactions to Race |
| South Carolina | Arthritis Burden, Arthritis Management, Cardiovascular Disease, Diabetes, Healthy Days, Reactions to Race, Smoking Cessation |
| South Dakota | Diabetes |
| Tennessee | Cholesterol Awareness, Diabetes, Hypertension Awareness |
| Texas | Adult Asthma History, Childhood Asthma, Diabetes, Folic Acid, Influenza, Other Tobacco Products, Secondhand Smoke Policy, Smoking Cessation |
| Utah | Adult Asthma History, Diabetes |
| Vermont | Adult Asthma History, Childhood Asthma, Diabetes, Influenza |
| Virgin Islands | Diabetes, Folic Acid, Other Tobacco Products, Smoking Cessation |
| Virginia | Adult 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 |
| Washington | Adult Asthma History, Cardiovascular Disease, Childhood Asthma, Diabetes |
| West Virginia | Cardiovascular Disease, Diabetes, Other Tobacco Products, Secondhand Smoke Policy, Smoking Cessation |
| Wisconsin | Adult Asthma History, Binge Drinking, Childhood Asthma, Diabetes, Folic Acid, Influenza, Reactions to Race, Secondhand Smoke Policy, Smoking Cessation |
| Wyoming | Binge Drinking, Childhood Asthma, Diabetes, Home Environment, Influenza, Other Tobacco Products, Secondhand Smoke Policy, Smoking Cessation |
Page last reviewed: November 4, 2014