Questionnaires 2009 Modules By State
| State | Module(s) |
|---|---|
| Alabama | Actions to Control High Blood Pressure, Diabetes, Heart Attack and Stroke, Pre-Diabetes, Social Context, Visual Impairment and Access to Eye Care |
| Alaska | Cardiovascular Health, Childhood Immunization, Diabetes, Pre-Diabetes, Random Child Selection, Social Context |
| Arizona | Actions to Control High Blood Pressure, Diabetes, Heart Attack and Stroke, Pre-Diabetes, Shingles |
| Arkansas | Actions to Control High Blood Pressure, Adverse Childhood Experience, Cardiovascular Health |
| California | Childhood Asthma Prevalence, Random Child Selection |
| Colorado | Adult Asthma History, Diabetes, Pre-Diabetes |
| Connecticut | Actions to Control High Blood Pressure, Cancer Survivorship, Carbon Monoxide Detectors & Gas Powered Generators, Cardiovascular Health, Child Human Papilloma Virus (HPV), Childhood Asthma Prevalence, Childhood Immunization, Diabetes, Heart Attack and Stroke, Pre-Diabetes, Random Child Selection, Tetanus Diptheria (Adolescents) |
| Delaware | Childhood Asthma Prevalence, Childhood Immunization, Colorectal Cancer Screening, Diabetes, Pre-Diabetes, Prostate Cancer Screening, Random Child Selection, Social Context |
| District of Columbia | Actions to Control High Blood Pressure, Adult Asthma History, Cardiovascular Health, Caregiver, Childhood Asthma Prevalence, Diabetes, Heart Attack and Stroke, Pre-Diabetes, Random Child Selection |
| Florida | Arthritis Management, Diabetes, Heart Attack and Stroke, Pre-Diabetes |
| Georgia | Actions to Control High Blood Pressure, Cardiovascular Health, Childhood Asthma Prevalence, Diabetes, Heart Attack and Stroke, Inadequate Sleep, Mental Illness & Stigma, Pre-Diabetes, Random Child Selection, Women’s Health |
| Guam | Diabetes, Pre-Diabetes |
| Hawaii | Childhood Asthma Prevalence, Childhood Immunization, Inadequate Sleep, Mental Illness & Stigma, Random Child Selection, Social Context, Women’s Health |
| Idaho | Childhood Asthma Prevalence, Heart Attack and Stroke, Pre-Diabetes, Random Child Selection |
| Illinois | Caregiver, Childhood Asthma Prevalence, Childhood Immunization, Diabetes, Inadequate Sleep, Pre-Diabetes, Random Child Selection, Social Context |
| Indiana | Cardiovascular Health, Childhood Asthma Prevalence, Diabetes, Heart Attack and Stroke, Random Child Selection, Reactions to Race, Visual Impairment and Access to Eye Care |
| Iowa | Actions to Control High Blood Pressure, Cardiovascular Health, Childhood Asthma Prevalence, Diabetes, Pre-Diabetes, Random Child Selection, Shingles, Tetanus Diptheria (Adolescents), Visual Impairment and Access to Eye Care |
| Kansas | Arthritis Management, Childhood Asthma Prevalence, Childhood Immunization, Random Child Selection |
| Kentucky | Actions to Control High Blood Pressure, Diabetes, Heart Attack and Stroke, Pre-Diabetes, Prostate Cancer Screening, Tetanus Diphtheria (Adults) |
| Louisiana | Actions to Control High Blood Pressure, Adult Asthma History, Adverse Childhood Experience, Cardiovascular Health, Caregiver, Childhood Asthma Prevalence, Diabetes, Heart Attack and Stroke, Inadequate Sleep, Pre-Diabetes, Random Child Selection, Social Context |
| Maryland | Childhood Asthma Prevalence, Random Child Selection |
| Massachusetts | Adult Human Papilloma Virus (HPV), Diabetes, Pre-Diabetes, Shingles, Tetanus Diphtheria (Adults) |
| Michigan | Arthritis Management, Childhood Asthma Prevalence, Random Child Selection |
| Minnesota | Actions to Control High Blood Pressure, Adult Human Papilloma Virus (HPV), Arthritis Management, Diabetes, Heart Attack and Stroke, Inadequate Sleep, Pre-Diabetes, Shingles, Tetanus Diphtheria (Adults) |
| Mississippi | Childhood Asthma Prevalence, General Preparedness, Heart Attack and Stroke, Mental Illness & Stigma, Random Child Selection |
| Missouri | Actions to Control High Blood Pressure, Arthritis Management, Cardiovascular Health, Diabetes, Heart Attack and Stroke, Mental Illness & Stigma, Pre-Diabetes |
| Montana | Actions to Control High Blood Pressure, Cardiovascular Health, Childhood Asthma Prevalence, Diabetes, Heart Attack and Stroke, Pre-Diabetes, Random Child Selection |
| Nebraska | Childhood Asthma Prevalence, Random Child Selection, Reactions to Race |
| Nevada | Childhood Asthma Prevalence, Diabetes, Mental Illness & Stigma, Random Child Selection |
| New Hampshire | Diabetes, Pre-Diabetes |
| New Jersey | Childhood Asthma Prevalence, Diabetes, Random Child Selection |
| New Mexico | Diabetes, Pre-Diabetes |
| New York | Childhood Asthma Prevalence, Random Child Selection |
| North Carolina | Actions to Control High Blood Pressure, Cancer Survivorship, Diabetes, Heart Attack and Stroke, Pre-Diabetes |
| North Dakota | Actions to Control High Blood Pressure, Childhood Asthma Prevalence, Diabetes, Random Child Selection |
| Ohio | Actions to Control High Blood Pressure, Cardiovascular Health, Diabetes, Pre-Diabetes |
| Oregon | Cardiovascular Health, Childhood Asthma Prevalence, Diabetes, Random Child Selection |
| Pennsylvania | Childhood Asthma Prevalence, Diabetes, Pre-Diabetes, Random Child Selection |
| Puerto Rico | Child Human Papilloma Virus (HPV), Childhood Asthma Prevalence, Diabetes, Pre-Diabetes, Random Child Selection |
| Rhode Island | Childhood Asthma Prevalence, Random Child Selection |
| South Carolina | Actions to Control High Blood Pressure, Arthritis Management, Cardiovascular Health, Diabetes, Heart Attack and Stroke, Mental Illness & Stigma, Social Context |
| South Dakota | Pre-Diabetes, Random Child Selection |
| Tennessee | Actions to Control High Blood Pressure, Arthritis Management, Cardiovascular Health, Diabetes, Pre-Diabetes, Women’s Health |
| Texas | Child Human Papilloma Virus (HPV), Childhood Asthma Prevalence, Childhood Immunization, Diabetes, Pre-Diabetes, Random Child Selection, Tetanus Diptheria (Adolescents) |
| Utah | Childhood Asthma Prevalence, Diabetes, Pre-Diabetes, Random Child Selection |
| Vermont | Cancer Survivorship, Childhood Asthma Prevalence, Diabetes, Mental Illness & Stigma, Pre-Diabetes, Random Child Selection, Shingles, Tetanus Diphtheria (Adults) |
| Virgin Islands | Diabetes, Pre-Diabetes, Random Child Selection |
| Virginia | Cancer Survivorship, Childhood Asthma Prevalence, Diabetes, Heart Attack and Stroke, Pre-Diabetes, Random Child Selection |
| Washington | Childhood Asthma Prevalence, Diabetes, Pre-Diabetes, Random Child Selection |
| West Virginia | Actions to Control High Blood Pressure, Childhood Asthma Prevalence, Childhood Immunization, Diabetes, Heart Attack and Stroke, Pre-Diabetes, Random Child Selection, Tetanus Diptheria (Adolescents) |
| Wisconsin | Actions to Control High Blood Pressure, Arthritis Management, Cardiovascular Health, Child Human Papilloma Virus (HPV), Childhood Asthma Prevalence, Diabetes, Heart Attack and Stroke, Pre-Diabetes, Random Child Selection, Social Context, Tetanus Diptheria (Adolescents) |
| Wyoming | Child Human Papilloma Virus (HPV), Childhood Immunization, Colorectal Cancer Screening, Diabetes, Inadequate Sleep, Mental Illness & Stigma, Pre-Diabetes, Random Child Selection, Women’s Health |
Page last reviewed: December 15, 2014