Questionnaires 2006 Modules By State

State	Module(s)
Alabama	Anxiety and Depression, Diabetes, Secondhand Smoke Policy
Alaska	Anxiety and Depression, Childhood Asthma Prevalence, Diabetes, Random Child Selection
Arizona	Childhood Asthma Prevalence, Diabetes, Family Planning, Indoor Air Quality, Random Child Selection, Secondhand Smoke Policy, Visual Impairment and Access to Eye Care
Arkansas	Anxiety and Depression, Diabetes, Intimate Partner Violence, Secondhand Smoke Policy
California	Anxiety and Depression, Childhood Asthma Prevalence, Diabetes, Random Child Selection
Colorado	Diabetes
Connecticut	Childhood Asthma Prevalence, Random Child Selection, Visual Impairment and Access to Eye Care
Delaware	Anxiety and Depression, Diabetes, Folic Acid, Healthy Days: Symptoms
District of Columbia	Anxiety and Depression, Childhood Asthma Prevalence, Random Child Selection
Florida	Anxiety and Depression, Diabetes, Folic Acid, Sexual Violence, Visual Impairment and Access to Eye Care
Georgia	Anxiety and Depression, Childhood Asthma Prevalence, Diabetes, Folic Acid, Random Child Selection, Secondhand Smoke Policy, Visual Impairment and Access to Eye Care
Hawaii	Anxiety and Depression, Childhood Asthma Prevalence, Diabetes, Healthy Days: Symptoms, Intimate Partner Violence, Random Child Selection, Sexual Violence
Idaho	Adult Asthma History, Childhood Asthma Prevalence, Diabetes, Home Environment, Random Child Selection, Sexual Violence
Indiana	Anxiety and Depression, Childhood Asthma Prevalence, Diabetes, Random Child Selection, Secondhand Smoke Policy
Iowa	Anxiety and Depression, Childhood Asthma Prevalence, Diabetes, Random Child Selection, Secondhand Smoke Policy, Sexual Violence
Kansas	Childhood Asthma Prevalence, Random Child Selection
Kentucky	Adult Asthma History, Childhood Asthma Prevalence, Diabetes, Family Planning, Folic Acid, Random Child Selection
Louisiana	Adult Asthma History, Anxiety and Depression, Childhood Asthma Prevalence, Diabetes, Intimate Partner Violence, Secondhand Smoke Policy
Maine	Anxiety and Depression, Childhood Asthma Prevalence, Diabetes, Random Child Selection, Sexual Violence
Maryland	Childhood Asthma Prevalence, Random Child Selection
Michigan	Anxiety and Depression, Childhood Asthma Prevalence, Diabetes, Random Child Selection, Reactions to Race
Minnesota	Anxiety and Depression, Childhood Asthma Prevalence, Diabetes, Family Planning, Folic Acid, Random Child Selection
Mississippi	Adult Asthma History, Anxiety and Depression, Childhood Asthma Prevalence, Diabetes, Random Child Selection
Missouri	Anxiety and Depression, Child Influenza Vaccine Supplement, Childhood Asthma Prevalence, Diabetes, Family Planning, Folic Acid, Random Child Selection, Secondhand Smoke Policy
Montana	Anxiety and Depression, Childhood Asthma Prevalence, Diabetes, Family Planning, Folic Acid, General Preparedness, Intimate Partner Violence, Random Child Selection, Sexual Violence
Nebraska	Childhood Asthma Prevalence, Random Child Selection
Nevada	Adult Asthma History, Anxiety and Depression, Child Influenza Vaccine Supplement, Childhood Asthma Prevalence, Diabetes, General Preparedness, Intimate Partner Violence, Random Child Selection, Secondhand Smoke Policy, Sexual Violence
New Hampshire	Anxiety and Depression, Child Influenza Vaccine Supplement, Childhood Asthma Prevalence, Diabetes, Random Child Selection, Secondhand Smoke Policy, Sexual Violence
New Jersey	Adult Asthma History, Childhood Asthma Prevalence, Diabetes, Random Child Selection, Secondhand Smoke Policy
New Mexico	Adult Asthma History, Anxiety and Depression, Diabetes
New York	Childhood Asthma Prevalence, Diabetes, Folic Acid, Healthy Days: Symptoms, Random Child Selection, Visual Impairment and Access to Eye Care
North Carolina	Adult Asthma History, Diabetes, Folic Acid
North Dakota	Anxiety and Depression, Diabetes, Random Child Selection, Secondhand Smoke Policy
Ohio	Adult Asthma History, Child Influenza Vaccine Supplement, Childhood Asthma Prevalence, Diabetes, Random Child Selection, Secondhand Smoke Policy, Visual Impairment and Access to Eye Care
Oklahoma	Adult Asthma History, Anxiety and Depression, Childhood Asthma Prevalence, Diabetes, Random Child Selection, Secondhand Smoke Policy
Oregon	Anxiety and Depression, Childhood Asthma Prevalence, Diabetes, Family Planning, Random Child Selection
Pennsylvania	Childhood Asthma Prevalence, Diabetes, Random Child Selection, Secondhand Smoke Policy
Puerto Rico	Adult Asthma History, Anxiety and Depression, Childhood Asthma Prevalence, Diabetes, Folic Acid, Random Child Selection
Rhode Island	Adult Asthma History, Anxiety and Depression, Childhood Asthma Prevalence, Healthy Days: Symptoms, Random Child Selection
South Carolina	Anxiety and Depression, Diabetes
South Dakota	Diabetes, Random Child Selection
Tennessee	Anxiety and Depression, Diabetes, General Preparedness, Visual Impairment and Access to Eye Care
Texas	Anxiety and Depression, Childhood Asthma Prevalence, Diabetes, Random Child Selection, Visual Impairment and Access to Eye Care
Utah	Adult Asthma History, Anxiety and Depression, Childhood Asthma Prevalence, Diabetes, Random Child Selection, Sexual Violence
Vermont	Anxiety and Depression, Child Influenza Vaccine Supplement, Childhood Asthma Prevalence, Diabetes, Random Child Selection
Virgin Islands	Anxiety and Depression, Diabetes, Intimate Partner Violence, Secondhand Smoke Policy, Sexual Violence
Virginia	Anxiety and Depression, Childhood Asthma Prevalence, Diabetes, Folic Acid, Intimate Partner Violence, Random Child Selection, Secondhand Smoke Policy, Sexual Violence
Washington	Diabetes
West Virginia	Adult Asthma History, Anxiety and Depression, Child Influenza Vaccine Supplement, Childhood Asthma Prevalence, Diabetes, Intimate Partner Violence, Random Child Selection, Secondhand Smoke Policy
Wisconsin	Anxiety and Depression, Child Influenza Vaccine Supplement, Childhood Asthma Prevalence, Family Planning, Folic Acid, Random Child Selection, Reactions to Race, Secondhand Smoke Policy, Sexual Violence
Wyoming	Anxiety and Depression, Childhood Asthma Prevalence, Diabetes, Folic Acid, Random Child Selection, Secondhand Smoke Policy

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Page last reviewed: November 4, 2014
Page last updated: November 4, 2014
Content source:
- National Center for Chronic Disease Prevention and Health Promotion | Division of Population Health