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Questionnaires 2010 Modules By State

StateModule(s)
AlabamaChildhood Asthma Prevalence, Diabetes, Pre-Diabetes, Random Child Selection, Visual Impairment and Access to Eye Care
AlaskaCancer Survivorship, Diabetes, Pre-Diabetes, Random Child Selection
ArizonaAnxiety and Depression, Childhood Asthma Prevalence, Diabetes, Pre-Diabetes, Random Child Selection, Shingles (Zostavax or ZOS)
ArkansasInadequate Sleep, Visual Impairment and Access to Eye Care
CaliforniaChildhood Immunization, High Risk/Health Care Worker, Random Child Selection
ConnecticutAdult 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
DelawareChildhood Immunization, Diabetes, Family Planning, Healthy Days (Symptoms), Inadequate Sleep, Pre-Diabetes, Random Child Selection, Social Context
District of ColumbiaAdverse Childhood Experience, Childhood Asthma Prevalence, Childhood Immunization, Diabetes, Inadequate Sleep, Pre-Diabetes, Random Child Selection
FloridaChildhood Immunization, Diabetes, Family Planning, High Risk/Health Care Worker, Pre-Diabetes, Random Child Selection
GeorgiaAdult 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
GuamCancer Survivorship, Pre-Diabetes
HawaiiAdverse Childhood Experience, Anxiety and Depression, Childhood Asthma Prevalence, Childhood Immunization, Diabetes, High Risk/Health Care Worker, Inadequate Sleep, Pre-Diabetes, Random Child Selection
IdahoDiabetes, Excess Sun Exposure, Pre-Diabetes, Random Child Selection
IllinoisChildhood Asthma Prevalence, Childhood Immunization, Diabetes, Pre-Diabetes, Random Child Selection
IndianaAnxiety and Depression, Arthritis Burden, Cancer Survivorship, Childhood Asthma Prevalence, Childhood Immunization, Diabetes, Pre-Diabetes, Random Child Selection
IowaChildhood Asthma Prevalence, Childhood Immunization, Diabetes, Pre-Diabetes, Random Child Selection, Visual Impairment and Access to Eye Care
KansasChildhood Asthma Prevalence, Random Child Selection
KentuckyChild 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)
LouisianaAdult Asthma History, Anxiety and Depression, Childhood Asthma Prevalence, Diabetes, Pre-Diabetes, Random Child Selection
MarylandChildhood Asthma Prevalence, Childhood Immunization, Random Child Selection
MassachusettsAdult Human Papilloma Virus (HPV), Cancer Survivorship, Diabetes, Pre-Diabetes, Shingles (Zostavax or ZOS), Tetanus Diphtheria (Adults)
MichiganChildhood Asthma Prevalence, Childhood Immunization, Random Child Selection
MinnesotaDiabetes, Inadequate Sleep, Pre-Diabetes
MississippiAdult Asthma History, Anxiety and Depression, Arthritis Burden, Childhood Asthma Prevalence, Diabetes, Family Planning, Pre-Diabetes, Random Child Selection
MissouriAnxiety and Depression, Cancer Survivorship, Childhood Asthma Prevalence, Childhood Immunization, Inadequate Sleep, Random Child Selection
MontanaChildhood Asthma Prevalence, Diabetes, Family Planning, General Preparedness, Pre-Diabetes, Random Child Selection
NebraskaChildhood Asthma Prevalence, Random Child Selection, Social Context, Veteran's Health
NevadaAdverse Childhood Experience, Anxiety and Depression, Childhood Asthma Prevalence, Diabetes, Inadequate Sleep, Random Child Selection
New HampshireCaregiver, Diabetes, Excess Sun Exposure, Pre-Diabetes
New JerseyChildhood Asthma Prevalence, Random Child Selection
New MexicoCancer Survivorship, Childhood Asthma Prevalence, Childhood Immunization, Diabetes, Pre-Diabetes, Random Child Selection
North CarolinaDiabetes, General Preparedness, Pre-Diabetes
North DakotaChildhood Asthma Prevalence, Diabetes, Excess Sun Exposure, Random Child Selection
OhioCancer Survivorship, Diabetes, Pre-Diabetes
OklahomaChildhood Asthma Prevalence, Random Child Selection
OregonChildhood Asthma Prevalence, Childhood Immunization, Diabetes, Inadequate Sleep, Random Child Selection
PennsylvaniaAdult Asthma History, Child Human Papilloma Virus (HPV), Childhood Asthma Prevalence, Childhood Immunization, Diabetes, Pre-Diabetes, Random Child Selection
Puerto RicoAnxiety and Depression, Childhood Asthma Prevalence, Diabetes, Pre-Diabetes, Random Child Selection
Rhode IslandAdult Human Papilloma Virus (HPV), Childhood Asthma Prevalence, Childhood Immunization, Random Child Selection, Reactions to Race
South CarolinaAnxiety and Depression, Arthritis Burden, Childhood Immunization, Diabetes, Pre-Diabetes, Random Child Selection
South DakotaCancer Survivorship, Diabetes, Excess Sun Exposure, Pre-Diabetes, Random Child Selection
TennesseeAdult Asthma History, Diabetes, Pre-Diabetes, Veteran's Health
TexasChild Human Papilloma Virus (HPV), Childhood Asthma Prevalence, Childhood Immunization, Random Child Selection
UtahChildhood Asthma Prevalence, Childhood Immunization, Diabetes, Random Child Selection
VermontAdverse Childhood Experience, Anxiety and Depression, Childhood Asthma Prevalence, Diabetes, Pre-Diabetes, Random Child Selection
Virgin IslandsChildhood Immunization, Diabetes, Pre-Diabetes, Random Child Selection
VirginiaDiabetes, Pre-Diabetes
WashingtonChildhood Asthma Prevalence, Random Child Selection
West VirginiaAdult 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)
WisconsinAdverse Childhood Experience, Anxiety and Depression, Arthritis Burden, Cancer Survivorship, Childhood Asthma Prevalence, Childhood Immunization, Diabetes, Pre-Diabetes, Random Child Selection
WyomingAdult 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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