Brfss questionnaire 2026

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The document is an appendix containing the Behavioral Risk Factor Surveillance System (BRFSS) questionnaire, which includes various sections assessing health status, quality of life, healthcare access, chronic health conditions, demographics, and lifestyle factors such as tobacco and alcohol use. It aims to gather data on health-related behaviors and conditions to inform public health initiatives.

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Click ‘Get Form’ to open the BRFSS questionnaire in the editor.
Begin with Section 1: Health Status. Select your general health status by choosing one of the options from excellent to poor.
Move to Section 2: Healthy Days. Enter the number of days in the past 30 where your physical and mental health was not good, using the provided fields.
In Section 3: Health Care Access, indicate whether you have health care coverage and provide details about your personal doctor if applicable.
Continue through Sections 4 to 15, answering questions regarding hypertension awareness, cholesterol awareness, chronic health conditions, and more. Use checkboxes and text fields as needed.
Finally, review all sections for accuracy before submitting your completed questionnaire.

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What does BRFSS measure?

The Behavioral Risk Factor Surveillance System (BRFSS) is a state-based system of telephone health surveys that collects information on health risk behaviors, preventive health practices, and health care access primarily related to chronic disease and injury. The survey was established in 1984.

What is the BRFSS sampling method?

Sampling. BRFSS data are collected through telephone interviews using random-digit-dialing (RDD). Telephone numbers are sampled using a stratified sampling (DSS) design.

How is BRFSS data collected?

The Behavioral Risk Factor Surveillance System (BRFSS) is the nations premier system of health-related telephone surveys that collect state data about U.S. residents regarding their health-related risk behaviors, chronic health conditions, and use of preventive services.

What types of data are collected for BRFSS?

BRFSS collects state data about U.S. residents regarding their health-related risk behaviors and events, chronic health conditions, and use of preventive services. BRFSS also collects data on important emerging health issues such as vaccine shortage and influenza-like illness.

What questions does BRFSS ask?

A part of core questions that are asked every year, called the fixed core, include questions on health status, health insurance, smoking, HIV/AIDS, demographics and diabetes. Some core questions are asked every other year and are called the rotating core.

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What type of study design is BRFSS?

Participation is random, anonymous and confidential. Respondents randomly are selected from among the adult members of the household. Only those living in households are surveyed.

Brfss questionnaire 2026

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