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Brfss questionnaire 2026
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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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Related links
View the annual Behavioral Risk Factor Surveillance System (BRFSS) questionnaires by year. You can request prior questionnaires by emailing DPH-HealthSurveys@
Use BRFSS industry and occupation data to create charts on chronic conditions, health behaviors, health status, healthcare issues, and musculoskeletal health.Read more