Questionnaires 2012 Modules By State

State	Module(s)
Alabama	Adult Human Papilloma Virus (HPV), Cancer Survivorship, Childhood Asthma Prevalence, Diabetes, General Preparedness, Pre-Diabetes, Random Child Selection
Alaska	Cancer Survivorship, Diabetes, Inadequate Sleep, Pre-Diabetes
Arizona	Adult 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)
Arkansas	Diabetes, Pre-Diabetes
California	Childhood Asthma Prevalence, Random Child Selection
Colorado	Excess Sun Exposure
Connecticut	Adult 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)
Delaware	Adult Human Papilloma Virus (HPV), Diabetes, Fruits and Vegetables, Pre-Diabetes, Prostate Cancer Screening Decision Making Module, Sugar Sweetened Beverages and Menu Labeling
District of Columbia	Childhood Asthma Prevalence, Random Child Selection
Georgia	Cancer 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
Guam	Diabetes, Pre-Diabetes
Hawaii	Cancer 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
Idaho	Diabetes, Excess Sun Exposure, Random Child Selection
Illinois	Childhood Asthma Prevalence, Chronic Obstructive Pulmonary Disease (COPD), Mental Illness & Stigma, Random Child Selection, Social Context
Iowa	Adverse Childhood Experience, Mental Illness & Stigma, Pre-Diabetes
Kansas	Childhood Asthma Prevalence, Random Child Selection
Kentucky	Childhood Asthma Prevalence, Diabetes, Pre-Diabetes, Random Child Selection
Maryland	Childhood Asthma Prevalence, Childhood Immunization, Fruits and Vegetables, Random Child Selection
Michigan	Childhood Asthma Prevalence, Chronic Obstructive Pulmonary Disease (COPD), Random Child Selection, Social Context
Minnesota	Chronic Obstructive Pulmonary Disease (COPD), Diabetes, Excess Sun Exposure, Mental Illness & Stigma, Pre-Diabetes, Sugar Sweetened Beverages and Menu Labeling, Tetanus Diphtheria (Adults)
Mississippi	Childhood Asthma Prevalence, Childhood Immunization, Chronic Obstructive Pulmonary Disease (COPD), Diabetes, Pre-Diabetes, Random Child Selection, Sugar Sweetened Beverages and Menu Labeling
Missouri	Childhood Asthma Prevalence, Childhood Immunization, Mental Illness & Stigma, Random Child Selection
Montana	Childhood Asthma Prevalence, Chronic Obstructive Pulmonary Disease (COPD), General Preparedness, Mental Illness & Stigma, Random Child Selection, Sugar Sweetened Beverages and Menu Labeling, Veteran’s Health
Nebraska	Childhood Asthma Prevalence, Random Child Selection
Nevada	Childhood Asthma Prevalence, Chronic Obstructive Pulmonary Disease (COPD), Diabetes, Inadequate Sleep, Mental Illness & Stigma, Random Child Selection, Sugar Sweetened Beverages and Menu Labeling
New Hampshire	Childhood Asthma Prevalence, Random Child Selection, Sugar Sweetened Beverages and Menu Labeling
New Jersey	Childhood Asthma Prevalence, Diabetes, Pre-Diabetes, Random Child Selection
New Mexico	Childhood Asthma Prevalence, Diabetes, Mental Illness & Stigma, Pre-Diabetes, Random Child Selection
New York	Childhood Asthma Prevalence, Mental Illness & Stigma, Pre-Diabetes, Random Child Selection, Sugar Sweetened Beverages and Menu Labeling
Ohio	Childhood Asthma Prevalence, Diabetes, Pre-Diabetes, Random Child Selection
Oklahoma	Childhood Asthma Prevalence, Random Child Selection
Oregon	Childhood Asthma Prevalence, Chronic Obstructive Pulmonary Disease (COPD), Diabetes, Inadequate Sleep, Mental Illness & Stigma, Random Child Selection
Pennsylvania	Adult Asthma History, Childhood Asthma Prevalence, Childhood Immunization, Diabetes, Pre-Diabetes, Random Child Selection
Puerto Rico	Childhood Asthma Prevalence, Childhood Immunization, Diabetes, Inadequate Sleep, Mental Illness & Stigma, Pre-Diabetes, Random Child Selection
South Carolina	Childhood Immunization, Chronic Obstructive Pulmonary Disease (COPD), Diabetes, Random Child Selection
South Dakota	Diabetes, Pre-Diabetes, Random Child Selection, Sugar Sweetened Beverages and Menu Labeling
Tennessee	Adult 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
Texas	Childhood Asthma Prevalence, Childhood Immunization, Random Child Selection
Utah	Childhood Asthma Prevalence, Random Child Selection
Vermont	Cancer Survivorship, Diabetes, Pre-Diabetes, Shingles (Zostavax or ZOS), Tetanus Diphtheria (Adults)
Virginia	Diabetes, Pre-Diabetes, Shingles (Zostavax or ZOS), Tetanus Diphtheria (Adults)
Washington	Childhood Asthma Prevalence, HIV/AIDS, Mental Illness & Stigma, Pre-Diabetes, Random Child Selection
West Virginia	Adult Human Papilloma Virus (HPV), Childhood Asthma Prevalence, Diabetes, Pre-Diabetes, Random Child Selection
Wisconsin	Adverse Childhood Experience, Cancer Survivorship, Childhood Asthma Prevalence, Diabetes, Pre-Diabetes, Random Child Selection
Wyoming	Childhood Asthma Prevalence, Childhood Immunization, Diabetes, Random Child Selection, Reactions to Race