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Questionnaires 2010 Modules By State

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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)
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