Questionnaires 2010 Modules By State
| State | Module(s) |
|---|---|
| Alabama | Childhood Asthma Prevalence, Diabetes, Pre-Diabetes, Random Child Selection, Visual Impairment and Access to Eye Care |
| Alaska | Cancer Survivorship, Diabetes, Pre-Diabetes, Random Child Selection |
| Arizona | Anxiety and Depression, Childhood Asthma Prevalence, Diabetes, Pre-Diabetes, Random Child Selection, Shingles (Zostavax or ZOS) |
| Arkansas | Inadequate Sleep, Visual Impairment and Access to Eye Care |
| California | Childhood Immunization, High Risk/Health Care Worker, Random Child Selection |
| Connecticut | Adult Human Papilloma Virus (HPV), Cancer Survivorship, Caregiver, Child Human Papilloma Virus (HPV), Childhood Asthma Prevalence, Diabetes, Inadequate Sleep, Pre-Diabetes, Random Child Selection, Shingles (Zostavax or ZOS), Visual Impairment and Access to Eye Care |
| Delaware | Childhood Immunization, Diabetes, Family Planning, Healthy Days (Symptoms), Inadequate Sleep, Pre-Diabetes, Random Child Selection, Social Context |
| District of Columbia | Adverse Childhood Experience, Childhood Asthma Prevalence, Childhood Immunization, Diabetes, Inadequate Sleep, Pre-Diabetes, Random Child Selection |
| Florida | Childhood Immunization, Diabetes, Family Planning, High Risk/Health Care Worker, Pre-Diabetes, Random Child Selection |
| Georgia | Adult Asthma History, Anxiety and Depression, Childhood Asthma Prevalence, Childhood Immunization, Diabetes, Pre-Diabetes, Random Child Selection, Reactions to Race, Visual Impairment and Access to Eye Care |
| Guam | Cancer Survivorship, Pre-Diabetes |
| Hawaii | Adverse Childhood Experience, Anxiety and Depression, Childhood Asthma Prevalence, Childhood Immunization, Diabetes, High Risk/Health Care Worker, Inadequate Sleep, Pre-Diabetes, Random Child Selection |
| Idaho | Diabetes, Excess Sun Exposure, Pre-Diabetes, Random Child Selection |
| Illinois | Childhood Asthma Prevalence, Childhood Immunization, Diabetes, Pre-Diabetes, Random Child Selection |
| Indiana | Anxiety and Depression, Arthritis Burden, Cancer Survivorship, Childhood Asthma Prevalence, Childhood Immunization, Diabetes, Pre-Diabetes, Random Child Selection |
| Iowa | Childhood Asthma Prevalence, Childhood Immunization, Diabetes, Pre-Diabetes, Random Child Selection, Visual Impairment and Access to Eye Care |
| Kansas | Childhood Asthma Prevalence, Random Child Selection |
| Kentucky | Child Human Papilloma Virus (HPV), Childhood Asthma Prevalence, Childhood Immunization, Diabetes, Family Planning, Pre-Diabetes, Random Child Selection, Reactions to Race, Shingles (Zostavax or ZOS), Tetanus Diphtheria (Adults) |
| Louisiana | Adult Asthma History, Anxiety and Depression, Childhood Asthma Prevalence, Diabetes, Pre-Diabetes, Random Child Selection |
| Maryland | Childhood Asthma Prevalence, Childhood Immunization, Random Child Selection |
| Massachusetts | Adult Human Papilloma Virus (HPV), Cancer Survivorship, Diabetes, Pre-Diabetes, Shingles (Zostavax or ZOS), Tetanus Diphtheria (Adults) |
| Michigan | Childhood Asthma Prevalence, Childhood Immunization, Random Child Selection |
| Minnesota | Diabetes, Inadequate Sleep, Pre-Diabetes |
| Mississippi | Adult Asthma History, Anxiety and Depression, Arthritis Burden, Childhood Asthma Prevalence, Diabetes, Family Planning, Pre-Diabetes, Random Child Selection |
| Missouri | Anxiety and Depression, Cancer Survivorship, Childhood Asthma Prevalence, Childhood Immunization, Inadequate Sleep, Random Child Selection |
| Montana | Childhood Asthma Prevalence, Diabetes, Family Planning, General Preparedness, Pre-Diabetes, Random Child Selection |
| Nebraska | Childhood Asthma Prevalence, Random Child Selection, Social Context, Veteran’s Health |
| Nevada | Adverse Childhood Experience, Anxiety and Depression, Childhood Asthma Prevalence, Diabetes, Inadequate Sleep, Random Child Selection |
| New Hampshire | Caregiver, Diabetes, Excess Sun Exposure, Pre-Diabetes |
| New Jersey | Childhood Asthma Prevalence, Random Child Selection |
| New Mexico | Cancer Survivorship, Childhood Asthma Prevalence, Childhood Immunization, Diabetes, Pre-Diabetes, Random Child Selection |
| North Carolina | Diabetes, General Preparedness, Pre-Diabetes |
| North Dakota | Childhood Asthma Prevalence, Diabetes, Excess Sun Exposure, Random Child Selection |
| Ohio | Cancer Survivorship, Diabetes, Pre-Diabetes |
| Oklahoma | Childhood Asthma Prevalence, Random Child Selection |
| Oregon | Childhood Asthma Prevalence, Childhood Immunization, Diabetes, Inadequate Sleep, Random Child Selection |
| Pennsylvania | Adult Asthma History, Child Human Papilloma Virus (HPV), Childhood Asthma Prevalence, Childhood Immunization, Diabetes, Pre-Diabetes, Random Child Selection |
| Puerto Rico | Anxiety and Depression, Childhood Asthma Prevalence, Diabetes, Pre-Diabetes, Random Child Selection |
| Rhode Island | Adult Human Papilloma Virus (HPV), Childhood Asthma Prevalence, Childhood Immunization, Random Child Selection, Reactions to Race |
| South Carolina | Anxiety and Depression, Arthritis Burden, Childhood Immunization, Diabetes, Pre-Diabetes, Random Child Selection |
| South Dakota | Cancer Survivorship, Diabetes, Excess Sun Exposure, Pre-Diabetes, Random Child Selection |
| Tennessee | Adult Asthma History, Diabetes, Pre-Diabetes, Veteran’s Health |
| Texas | Child Human Papilloma Virus (HPV), Childhood Asthma Prevalence, Childhood Immunization, Random Child Selection |
| Utah | Childhood Asthma Prevalence, Childhood Immunization, Diabetes, Random Child Selection |
| Vermont | Adverse Childhood Experience, Anxiety and Depression, Childhood Asthma Prevalence, Diabetes, Pre-Diabetes, Random Child Selection |
| Virgin Islands | Childhood Immunization, Diabetes, Pre-Diabetes, Random Child Selection |
| Virginia | Diabetes, Pre-Diabetes |
| Washington | Childhood Asthma Prevalence, Random Child Selection |
| West Virginia | Adult Human Papilloma Virus (HPV), Arthritis Burden, Child Human Papilloma Virus (HPV), Childhood Asthma Prevalence, Childhood Immunization, Diabetes, Pre-Diabetes, Random Child Selection, Shingles (Zostavax or ZOS), Tetanus Diphtheria (Adults) |
| Wisconsin | Adverse Childhood Experience, Anxiety and Depression, Arthritis Burden, Cancer Survivorship, Childhood Asthma Prevalence, Childhood Immunization, Diabetes, Pre-Diabetes, Random Child Selection |
| Wyoming | Adult Human Papilloma Virus (HPV), Anxiety and Depression, Child Human Papilloma Virus (HPV), Childhood Asthma Prevalence, Childhood Immunization, Diabetes, Pre-Diabetes, Random Child Selection, Shingles (Zostavax or ZOS), Tetanus Diphtheria (Adults) |
Page last reviewed: November 4, 2014