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pdfNATIONAL HEALTH INTERVIEW SURVEY
SAMPLE ADULT QUESTIONNAIRE
2019
ANNUAL
CORE
2020
Mental Health
Assessment1
Chronic Pain:
Severity and impact,
Locations
Preventive
Services: Screening
tests, Aspirin use
SPONSORED
CONTENT
EMERGING
TOPICS
2022
2023
2024
2025
2026
2027
Chronic Conditions: Hypertension, High cholesterol, Cardiovascular conditions, Asthma, Cancer, Diabetes, Other chronic conditions, Height and weight
Functioning and Disability: Vision, Hearing, Mobility, Communication, Cognition, Self-care and upper-body limitations, Anxiety, Depression, Social functioning
Health Insurance: Coverage status, Sources of coverage, Characteristics of coverage, Continuity of coverage, Reasons for no health insurance
Health Care Access and Use: Primary and urgent care, Financial barriers to care, Prescription medication, Flu and pneumonia immunization, Mental health care
Health-related Behaviors: Cigarettes and E-cigarettes
Demographics: Race and Hispanic origin, Marital status, Sexual orientation, Veterans status, Nativity, Schooling, Employment, Family income, Food-related program participation, Housing, Telephone use
Service Utilization: Dental care, Vision care,
Therapy (physical, speech, rehabilitative,
occupational), Home health care
ROTATING
CORE
2021
Administered to one randomly selected adult in each household
Allergies and
Other Conditions
Psychological
Distress
Industry and Occupation
Chronic Pain:
Severity and impact,
Locations
Preventive
Services: Screening
tests, Aspirin use
Allergies and
Other Conditions
Psychological
Distress
Industry and Occupation
Mental Health
Assessment1
Injuries
Health-related
Behaviors:
Physical activity,
Walking, Sleep, Fatigue,
Smoking history and
cessation, Alcohol use
Service Utilization: Dental care, Vision care,
Therapy (physical, speech, rehabilitative,
occupational), Home health care
Injuries
Health-related
Behaviors:
Physical activity,
Walking, Sleep, Fatigue,
Smoking history and
cessation, Alcohol use
Chronic Pain:
Severity and impact,
Locations
Preventive
Services: Screening
tests, Aspirin use
Health-related
Behaviors:
Physical activity,
Walking, Sleep, Fatigue,
Smoking history and
cessation, Alcohol use
Service Utilization: Dental care, Vision care,
Therapy (physical, speech, rehabilitative,
occupational), Home health care
Mental Health
Assessment1
Chronic Pain:
Severity and impact,
Locations
Preventive
Services: Screening
tests, Aspirin use
Allergies and
Other Conditions
Psychological
Distress
Industry and Occupation
Injuries
Health-related
Behaviors:
Physical activity,
Walking, Sleep, Fatigue,
Smoking history and
cessation, Alcohol use
Chronic Pain:
Severity and impact,
Locations
Preventive
Services: Screening
tests, Aspirin use
Sustaining sponsors* add content every year. Annual sponsored content includes cancer control and prevention (NCI and NCCDPHP), immunizations (NCIRD), noncigarette tobacco product use (FDA), food security (USDA), and
insulin use (NIDDK and NCCDPHP).
Other sponsors* add content for selected years. Sponsorships include expanded content on arthritis in 2019 (NCCDPHP and NIAMS), asthma in 2020 (NCEH, NIOSH, and NHLBI), diabetes in 2019–2021 (NCCDPHP), insulin affordability in
2021 (NCCDPHP and NIDDK), prescription opioid use and pain management in 2020 (NCIPC), age of onset of disability in 2020–2022 (ACL), chronic fatigue syndrome in 2021–2022 (NCEZID), epilepsy in 2021 (NCCDPHP), occupational health
in 2021 (NIOSH), taste and smell in 2021 (NIDCD), life satisfaction in 2021–2022 (NCCDPHP and NIH/ODP), complementary and integrative health in 2022 (NCCIH), and voice, swallowing, speech, and language in 2022 (NIDCD).
New topics of growing interest may be added by the National Center for Health Statistics, generally for 1 year.
Emerging topics include prescription opioid use and pain management in 2019, coronavirus-related content in 2020 (July)–2022, telehealth in 2020 (July)–2022, and health care access barriers in 2022.
* As of August 2021, sponsors include the National Cancer Institute (NCI), National Center for Chronic Disease Prevention and Health Promotion (NCCDPHP), National Center for Immunization and Respiratory Diseases (NCIRD), Food and Drug Administration (FDA), United States Department of Agriculture (USDA), National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK), National Institute of
Arthritis and Musculoskeletal and Skin Diseases (NIAMS), National Center for Environmental Health (NCEH), National Institute for Occupational Safety and Health (NIOSH), National Heart, Lung, and Blood Institute (NHLBI), National Center for Injury Prevention and Control (NCIPC), Administration for Community Living (ACL), National Center for Emerging and Zoonotic Infectious Diseases (NCEZID), National Institute
on Deafness and Other Communication Disorders (NIDCD), National Institutes of Health Office of Disease Prevention (NIH/ODP), and National Center for Complementary and Integrative Health (NCCIH). NCCDPHP, NCIRD, NCEH, NIOSH, NCIPC, and NCEZID are part of the Centers for Disease Control and Prevention. NCI, NIDDK, NIAMS, NHLBI, NIDCD, ODP, and NCCIH are part of the National Institutes of Health.
1Questions come from the Patient Health Questionnaire and the Generalized Anxiety Disorder scale.
For more information on the National Health Interview Survey, visit https://www.cdc.gov/nchs/nhis/.
To view full-length questionnaires, visit https://www.cdc.gov/nchs/nhis/data-questionnaires-documentation.htm.
CS324821
NATIONAL HEALTH INTERVIEW SURVEY
SAMPLE CHILD QUESTIONAIRE
2019
ANNUAL
CORE
2020
Mental Health
Assessment1
Injuries
Stressful Life Events
Health-related
Behaviors:
Physical activity,
Neighborhood
characteristics, Sleep,
Height and weight,
Screen time
ROTATING
CORE
EMERGING
TOPICS
2022
2023
2024
2025
2026
2027
Health Status: Asthma, Diabetes, Developmental and learning disabilities, Social and emotional screening for very young children
Functioning and Disability: Vision, Hearing, Mobility, Self-care, Communication and comprehension, Learning, Emotions, Behaviors
Health Insurance: Coverage status, Sources of coverage, Characteristics of coverage, Continuity of coverage, Reasons for no health insurance
Health Care Access and Use: Primary and urgent care, Financial barriers to care, Prescription medication, Flu immunization
Demographics: Race and Hispanic origin of child, Marital status of parent(s), Nativity, Schooling, Employment of family members, Family income, Food-related program participation, Housing, Telephone use
Service Utilization: Dental care, Mental
health care, Other services
SPONSORED
CONTENT
2021
Administered to a parent or guardian of one randomly selected child in each household
Allergies and
Other Conditions
Service Utilization: Dental care, Mental
health care, Other services
Mental Health
Assessment1
Allergies and
Other Conditions
Injuries
Health-related
Behaviors
Stressful Life Events
Stressful Life Events
Stressful Life Events
Health-related
Behaviors:
Physical activity,
Neighborhood
characteristics, Sleep,
Height and weight,
Screen time
Service Utilization: Dental care, Mental
health care, Other services
Mental Health
Assessment1
Injuries
Stressful Life Events
Health-related
Behaviors:
Physical activity,
Neighborhood
characteristics, Sleep,
Height and weight,
Screen time
Allergies and
Other Conditions
Stressful Life Events
Sustaining sponsors* add content every year. Annual sponsored content includes household food security (USDA).
Other sponsors* add content for selected years. Sponsorships include asthma in 2020 (NCEH, NHLBI), additional stressful life events in 2021–2022 (NCIPC), life satisfaction in 2021–2022 (NCCDPHP and NIH/ODP), and
complementary and integrative health in 2022 (NCCIH).
New topics of growing interest may be added by the National Center for Health Statistics, generally for 1 year.
Emerging topics include coronavirus-related content in 2020 (July)–2022, telehealth in 2020 (July)–2022, concussions in 2020–2022, bullying in 2021–2022, and interaction with health care providers in 2021.
* As of August 2021, sponsors include the United States Department of Agriculture (USDA), National Center for Environmental Health (NCEH), National Heart, Lung, and Blood Institute (NHLBI), National Center for Injury Prevention and Control (NCIPC), National Center for Chronic Disease Prevention and Health Promotion (NCCDPHP), National Institutes of Health Office of Disease Prevention (NIH/ODP), and
National Center for Complementary and Integrative Health (NCCIH). NCEH, NCIPC, and NCCDPHP are part of the Centers for Disease Control and Prevention. NHLBI, ODP, and NCCIH are part of the National Institutes of Health.
1Questions come from the Strengths and Difficulties Questionnaire.
For more information on the National Health Interview Survey, visit https://www.cdc.gov/nchs/nhis/.
To view full-length questionnaires, visit https://www.cdc.gov/nchs/nhis/data-questionnaires-documentation.htm.
CS324821
| File Type | application/pdf |
| Subject | National Health Interview Survey Sample Adult Questionnaire |
| Author | National Center for Health Statistics |
| File Modified | 2021-09-23 |
| File Created | 2021-09-23 |