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Questionnaires 2012 Modules By State

StateModule(s)
AlabamaAdult Human Papilloma Virus (HPV), Cancer Survivorship, Childhood Asthma Prevalence, Diabetes, General Preparedness, Pre-Diabetes, Random Child Selection
AlaskaCancer Survivorship, Diabetes, Inadequate Sleep, Pre-Diabetes
ArizonaAdult Human Papilloma Virus (HPV), Childhood Asthma Prevalence, Childhood Immunization, Chronic Obstructive Pulmonary Disease (COPD), Fruits and Vegetables, Random Child Selection, Reactions to Race, Shingles (Zostavax or ZOS), Tetanus Diphtheria (Adults)
ArkansasDiabetes, Pre-Diabetes
CaliforniaChildhood Asthma Prevalence, Random Child Selection
ColoradoExcess Sun Exposure
ConnecticutAdult Human Papilloma Virus (HPV), Childhood Asthma Prevalence, Childhood Immunization, Chronic Obstructive Pulmonary Disease (COPD), Diabetes, HIV/AIDS, Pre-Diabetes, Random Child Selection, Shingles (Zostavax or ZOS)
DelawareAdult Human Papilloma Virus (HPV), Diabetes, Fruits and Vegetables, Pre-Diabetes, Prostate Cancer Screening Decision Making Module, Sugar Sweetened Beverages and Menu Labeling
District of ColumbiaChildhood Asthma Prevalence, Random Child Selection
GeorgiaCancer Survivorship, Childhood Asthma Prevalence, Diabetes, Fruits and Vegetables, Pre-Diabetes, Prostate Cancer Screening Decision Making Module, Random Child Selection, Sugar Sweetened Beverages and Menu Labeling
GuamDiabetes, Pre-Diabetes
HawaiiCancer Survivorship, Childhood Asthma Prevalence, Childhood Immunization, Diabetes, Excess Sun Exposure, Pre-Diabetes, Prostate Cancer Screening Decision Making Module, Random Child Selection, Social Context, Sugar Sweetened Beverages and Menu Labeling
IdahoDiabetes, Excess Sun Exposure, Random Child Selection
IllinoisChildhood Asthma Prevalence, Chronic Obstructive Pulmonary Disease (COPD), Mental Illness & Stigma, Random Child Selection, Social Context
IowaAdverse Childhood Experience, Mental Illness & Stigma, Pre-Diabetes
KansasChildhood Asthma Prevalence, Random Child Selection
KentuckyChildhood Asthma Prevalence, Diabetes, Pre-Diabetes, Random Child Selection
MarylandChildhood Asthma Prevalence, Childhood Immunization, Fruits and Vegetables, Random Child Selection
MichiganChildhood Asthma Prevalence, Chronic Obstructive Pulmonary Disease (COPD), Random Child Selection, Social Context
MinnesotaChronic Obstructive Pulmonary Disease (COPD), Diabetes, Excess Sun Exposure, Mental Illness & Stigma, Pre-Diabetes, Sugar Sweetened Beverages and Menu Labeling, Tetanus Diphtheria (Adults)
MississippiChildhood Asthma Prevalence, Childhood Immunization, Chronic Obstructive Pulmonary Disease (COPD), Diabetes, Pre-Diabetes, Random Child Selection, Sugar Sweetened Beverages and Menu Labeling
MissouriChildhood Asthma Prevalence, Childhood Immunization, Mental Illness & Stigma, Random Child Selection
MontanaChildhood Asthma Prevalence, Chronic Obstructive Pulmonary Disease (COPD), General Preparedness, Mental Illness & Stigma, Random Child Selection, Sugar Sweetened Beverages and Menu Labeling, Veteran's Health
NebraskaChildhood Asthma Prevalence, Random Child Selection
NevadaChildhood Asthma Prevalence, Chronic Obstructive Pulmonary Disease (COPD), Diabetes, Inadequate Sleep, Mental Illness & Stigma, Random Child Selection, Sugar Sweetened Beverages and Menu Labeling
New HampshireChildhood Asthma Prevalence, Random Child Selection, Sugar Sweetened Beverages and Menu Labeling
New JerseyChildhood Asthma Prevalence, Diabetes, Pre-Diabetes, Random Child Selection
New MexicoChildhood Asthma Prevalence, Diabetes, Mental Illness & Stigma, Pre-Diabetes, Random Child Selection
New YorkChildhood Asthma Prevalence, Mental Illness & Stigma, Pre-Diabetes, Random Child Selection, Sugar Sweetened Beverages and Menu Labeling
OhioChildhood Asthma Prevalence, Diabetes, Pre-Diabetes, Random Child Selection
OklahomaChildhood Asthma Prevalence, Random Child Selection
OregonChildhood Asthma Prevalence, Chronic Obstructive Pulmonary Disease (COPD), Diabetes, Inadequate Sleep, Mental Illness & Stigma, Random Child Selection
PennsylvaniaAdult Asthma History, Childhood Asthma Prevalence, Childhood Immunization, Diabetes, Pre-Diabetes, Random Child Selection
Puerto RicoChildhood Asthma Prevalence, Childhood Immunization, Diabetes, Inadequate Sleep, Mental Illness & Stigma, Pre-Diabetes, Random Child Selection
South CarolinaChildhood Immunization, Chronic Obstructive Pulmonary Disease (COPD), Diabetes, Random Child Selection
South DakotaDiabetes, Pre-Diabetes, Random Child Selection, Sugar Sweetened Beverages and Menu Labeling
TennesseeAdult Asthma History, Adverse Childhood Experience, Childhood Asthma Prevalence, Childhood Immunization, Chronic Obstructive Pulmonary Disease (COPD), Diabetes, Fruits and Vegetables, Pre-Diabetes, Random Child Selection, Social Context, Sugar Sweetened Beverages and Menu Labeling, Veteran's Health
TexasChildhood Asthma Prevalence, Childhood Immunization, Random Child Selection
UtahChildhood Asthma Prevalence, Random Child Selection
VermontCancer Survivorship, Diabetes, Pre-Diabetes, Shingles (Zostavax or ZOS), Tetanus Diphtheria (Adults)
VirginiaDiabetes, Pre-Diabetes, Shingles (Zostavax or ZOS), Tetanus Diphtheria (Adults)
WashingtonChildhood Asthma Prevalence, HIV/AIDS, Mental Illness & Stigma, Pre-Diabetes, Random Child Selection
West VirginiaAdult Human Papilloma Virus (HPV), Childhood Asthma Prevalence, Diabetes, Pre-Diabetes, Random Child Selection
WisconsinAdverse Childhood Experience, Cancer Survivorship, Childhood Asthma Prevalence, Diabetes, Pre-Diabetes, Random Child Selection
WyomingChildhood Asthma Prevalence, Childhood Immunization, Diabetes, Random Child Selection, Reactions to Race
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