STATE FIPS CODE
FILE MONTH
INTERVIEW DATE
INTERVIEW MONTH
INTERVIEW DAY
INTERVIEW YEAR
FINAL DISPOSITION
ANNUAL SEQUENCE NUMBER
PRIMARY SAMPLING UNIT
CORRECT TELEPHONE NUMBER?
PRIVATE RESIDENCE?
DO YOU LIVE IN COLLEGE HOUSING?
RESIDENT OF STATE
CELLULAR TELEPHONE
ARE YOU 18 YEARS OF AGE OR OLDER?
ARE YOU MALE OR FEMALE?
NUMBER OF ADULTS IN HOUSEHOLD
NUMBER OF ADULT MEN IN HOUSEHOLD
NUMBER OF ADULT WOMEN IN HOUSEHOLD
RESPONDENT SELECTION
SAFE TIME TO TALK?
CORRECT PHONE NUMBER?
IS THIS A CELL PHONE?
DO YOU LIVE IN A PRIVATE RESIDENCE?
DO YOU CURRENTLY LIVE IN ____(STATE)___
DO YOU ALSO HAVE A LANDLINE TELEPHONE?
SEX OF RESPONDENT
GENERAL HEALTH
NUMBER OF DAYS PHYSICAL HEALTH NOT GOOD
NUMBER OF DAYS MENTAL HEALTH NOT GOOD
POOR PHYSICAL OR MENTAL HEALTH
HAVE ANY HEALTH CARE COVERAGE
MULTIPLE HEALTH CARE PROFESSIONALS
COULD NOT SEE DR. BECAUSE OF COST
LENGTH OF TIME SINCE LAST ROUTINE CHECKU
EXERCISE IN PAST 30 DAYS
HOW MUCH TIME DO YOU SLEEP
EVER DIAGNOSED WITH HEART ATTACK
EVER DIAGNOSED WITH ANGINA OR CORONARY H
EVER DIAGNOSED WITH A STROKE
EVER TOLD HAD ASTHMA
STILL HAVE ASTHMA
(EVER TOLD) YOU HAD SKIN CANCER?
(EVER TOLD) YOU HAD ANY OTHER TYPES OF C
(EVER TOLD) YOU HAD (COPD) CHRONIC OBSTR
TOLD HAVE ARTHRITIS
(EVER TOLD) YOU HAD A DEPRESSIVE DISORDE
EVER TOLD YOU HAVE KIDNEY DISEASE?
(EVER TOLD) YOU HAD DIABETES
AGE WHEN TOLD DIABETES
LAST VISITED DENTIST OR DENTAL CLINIC
NUMBER OF PERMANENT TEETH REMOVED
MARITAL STATUS
EDUCATION LEVEL
OWN OR RENT HOME
HOUSEHOLD TELEPHONES
RESIDENTIAL PHONES
DO YOU HAVE A CELL PHONE FOR PERSONAL US
ARE YOU A VETERAN
EMPLOYMENT STATUS
NUMBER OF CHILDREN IN HOUSEHOLD
INCOME LEVEL
PREGNANCY STATUS
REPORTED WEIGHT IN POUNDS
REPORTED HEIGHT IN FEET AND INCHES
ARE YOU DEAF OR DO YOU HAVE SERIOUS DIFF
BLIND OR DIFFICULTY SEEING
DIFFICULTY CONCENTRATING OR REMEMBERING
DIFFICULTY WALKING OR CLIMBING STAIRS
DIFFICULTY DRESSING OR BATHING
DIFFICULTY DOING ERRANDS ALONE
SMOKED AT LEAST 100 CIGARETTES
FREQUENCY OF DAYS NOW SMOKING
STOPPED SMOKING IN PAST 12 MONTHS
INTERVAL SINCE LAST SMOKED
USE OF SMOKELESS TOBACCO PRODUCTS
DAYS IN PAST 30 HAD ALCOHOLIC BEVERAGE
AVG ALCOHOLIC DRINKS PER DAY IN PAST 30
BINGE DRINKING
MOST DRINKS ON SINGLE OCCASION PAST 30 D
ADULT FLU SHOT/SPRAY PAST 12 MOS
WHEN RECEIVED MOST RECENT SEASONAL FLU S
HAVE YOU EVER HAD THE SHINGLES OR ZOSTER
PNEUMONIA SHOT EVER
HAD FALL PAST TWELVE MONTHS
INJURED IN FALL
HOW OFTEN USE SEATBELTS IN CAR?
DID YOU DRIVE AFTER HAVING TOO MUCH TO D
HAVE YOU EVER HAD A MAMMOGRAM
HOW LONG SINCE LAST MAMMOGRAM
EVER HAD A PAP TEST
HOW LONG SINCE LAST PAP TEST
HAVE YOU EVER HAD AN HPV TEST?
HOW LONG SINCE YOUR LAST HPV TEST?
HAD HYSTERECTOMY
HAS A HEALTH PROFESSIONAL EVER TALKED WI
HAS A DOCTOR EVER RECOMMENDED THAT YOU H
EVER HAD PSA TEST
TIME SINCE LAST PSA TEST
WHAT WAS THE MAIN REASON YOU HAD THIS PS
HAVE YOU EVER HAD A COLONOSCOPY?
HOW LONG HAS IT BEEN SINCE YOU HAD COLON
HAVE YOU EVER HAD A SIGMOIDOSCOPY?
HOW LONG HAS IT BEEN SINCE YOU HAD SIGMO
EVER HAD BLOOD STOOL TEST USING HOME KIT
HOW LONG SINCE YOU HAD BLOOD STOOL TEST?
EVER HAD STOOL DNA TEST?
HOW LONG SINCE YOU HAD STOOL DNA?
HAVE YOU EVER HAD A VIRTUAL COLONOSCOPY?
HOW LONG HAS IT BEEN SINCE YOU HAD VIRTU
EVER TESTED H.I.V.
MONTH AND YEAR OF LAST HIV TEST
DO ANY HIGH RISK SITUATIONS APPLY
HAD A TEST FOR HIGH BLOOD SUGAR IN PAST
EVER BEEN TOLD YOU HAVE PRE-DIABETES OR
NOW TAKING INSULIN
HOW OFTEN CHECK BLOOD FOR GLUCOSE
HOW OFTEN CHECK FEET FOR SORES OR IRRITA
TIMES SEEN HEALTH PROFESSIONAL FOR DIABE
TIMES CHECKED FOR GLYCOSYLATED HEMOGLOBI
TIMES FEET CHECK FOR SORES/IRRITATIONS
LAST EYE EXAM WHERE PUPILS WERE DILATED
EVER TOLD DIABETES HAS AFFECTED EYES
EVER TAKEN CLASS IN MANAGING DIABETES
TOLD HAD CHRONIC FATIGUE SYNDROME OR MYA
STILL HAVE CHRONIC FATIGUE SYNDROME OR M
HOW MANY HOURS A WEEK ARE YOU BEEN ABLE
TOLD HAD HEPATITIS C
TREATED FOR HEPATITIS C
WERE YOU TREATED FOR HEPATITIS C PRIOR T
STILL HAVE HEPATITIS C
TOLD HAD HEPATITIS B
CURRENTLY TAKING MEDICINE FOR HEPATITIS
PRIMARY HEALTH INSURANCE COVERAGE
HAVE YOU EXPERIENCED CONFUSION OR MEMORY
GIVEN UP DAY-TO-DAY CHORES DUE TO CONFUS
NEED ASSISTANCE WITH DAY-TO_DAY ACTIVITI
WHEN YOU NEED HELP WITH DAY-TO-DAY ACTIV
DOES CONFUSION OR MEMORY LOSS INTERFERE
HAVE YOU DISCUSSED YOUR CONFUSION OR MEM
PROVIDED REGULAR CARE FOR FAMILY OR FRIE
RELATIONSHIP OF PERSON TO WHOM YOU ARE G
HOW LONG PROVIDED CARE FOR PERSON.
HOW MANY HOURS DO YOU PROVIDE CARE FOR P
WHAT IS THE MAJOR HEALTH PROBLEM, ILLNES
DOES PERSON BEING CARED FOR HAVE ALZHEIM
MANAGED PERSONAL CARE
MANAGED HOUSEHOLD TASKS
DO YOU EXPECT TO HAVE A RELATIVE YOU WIL
HAVE YOU EVER USED AN E-CIGARETTE OR OTH
DO YOU NOW USE E-CIGARETTES, EVERY DAY,
DURING THE PAST 30 DAYS, ON HOW MANY DAY
DURING THE PAST 30 DAYS, HOW DID YOU PRI
WHAT WAS THE REASON YOU USED MARIJUANA?
HOW OLD WHEN YOU FIRST STARTED SMOKING?
HOW OLD WHEN YOU LAST SMOKED?
ON AVERAGE, HOW MANY CIGARETTES DO YOU S
DID YOU HAVE A CT OR CAT SCAN?
HOW MANY TYPES OF CANCER?
AGE TOLD HAD CANCER
TYPE OF CANCER
CURRENTLY RECEIVING TREATMENT FOR CANCER
WHAT TYPE OF DOCTOR PROVIDES MAJORITY OF
DID YOU RECEIVE A SUMMARY OF CANCER TREA
EVER RECEIVE INSTRUCTIONS FROM A DOCTOR
INSTRUCTIONS WRITTEN OR PRINTED
DID HEALTH INSURANCE PAY FOR ALL OF YOUR
EVER DENIED INSURANCE COVERAGE BECAUSE O
PARTICIPATE IN CLINICAL TRIAL AS PART OF
CURRENTLY HAVE PHYSICAL PAIN FROM CANCER
IS PAIN UNDER CONTROL?
WHY WAS PSA TEST DONE?
WHO MADE THE DECISION WITH YOU TO HAVE P
EVER HAD AN H.P.V. VACCINATION?
NUMBER OF HPV SHOTS RECEIVED
RECEIVED TETANUS SHOT SINCE 2005?
WHERE DID YOU GET YOUR LAST FLU SHOT/VAC
SEXUAL ORIENTATION
DO YOU CONSIDER YOURSELF TO BE TRANSGEND
LIVE WITH ANYONE DEPRESSED, MENTALLY ILL
LIVE WITH A PROBLEM DRINKER/ALCOHOLIC?
LIVE WITH ANYONE WHO USED ILLEGAL DRUGS
LIVE WITH ANYONE WHO SERVED TIME IN PRIS
WERE YOUR PARENTS DIVORCED/SEPERATED?
HOW OFTEN DID YOUR PARENTS BEAT EACH OTH
HOW OFTEN DID A PARENT PHYSICALLY HURT Y
HOW OFTEN DID A PARENT SWEAR AT YOU?
HOW OFTEN DID ANYONE EVER TOUCH YOU SEXU
HOW OFTEN DID ANYONE MAKE YOU TOUCH THEM
HOW OFTEN DID ANYONE EVER FORCE YOU TO H
GENDER OF CHILD
RELATIONSHIP TO CHILD
HLTH PRO EVER SAID CHILD HAS ASTHMA
CHILD STILL HAVE ASTHMA?
QUESTIONNAIRE VERSION IDENTIFIER
LANGUAGE IDENTIFIER
METROPOLITAN STATUS
URBAN/RURAL STATUS
METROPOLITAN STATUS CODE
SAMPLE DESIGN STRATIFICATION VARIABLE
STRATUM WEIGHT
RAW WEIGHTING FACTOR USED IN RAKING
DESIGN WEIGHT USED IN RAKING
IMPUTED RACE/ETHNICITY VALUE
CHILD HISPANIC, LATINO/A, OR SPANISH ORI
CHILD NON-HISPANIC RACE INCLUDING MULTIR
PREFERRED CHILD RACE CATEGORIES
VERSION 3 CHILD WEIGHT: LAND-LINE AND C
DUAL PHONE USE CATEGORIES
DUAL PHONE USE CORRECTION FACTOR
TRUNCATED DESIGN WEIGHT USED IN ADULT CO
VERSION 3 WEIGHT: LAND-LINE AND CELL-PHO
ADULTS WITH GOOD OR BETTER HEALTH
COMPUTED PHYSICAL HEALTH STATUS
COMPUTED MENTAL HEALTH STATUS
RESPONDENTS AGED 18-64 WITH HEALTH CARE
LEISURE TIME PHYSICAL ACTIVITY CALCULATE
RESPONDENTS THAT HAVE EVER REPORTED HAVI
LIFETIME ASTHMA CALCULATED VARIABLE
CURRENT ASTHMA CALCULATED VARIABLE
COMPUTED ASTHMA STATUS
RESPONDENTS DIAGNOSED WITH ARTHRITIS
RISK FACTOR FOR HAVING HAD PERMANENT TEE
ADULTS AGED 65+ WHO HAVE HAD ALL THEIR N
ADULTS WHO HAVE VISITED A DENTIST, DENTA
COMPUTED PREFERRED RACE
CALCULATED NON-HISPANIC RACE INCLUDING M
HISPANIC, LATINO/A, OR SPANISH ORIGIN CA
COMPUTED RACE-ETHNICITY GROUPING
COMPUTED NON-HISPANIC WHITES/ALL OTHERS
COMPUTED FIVE LEVEL RACE/ETHNICITY CATEG
COMPUTED RACE GROUPS USED FOR INTERNET P
CALCULATED SEX VARIABLE
REPORTED AGE IN FIVE-YEAR AGE CATEGORIES
REPORTED AGE IN TWO AGE GROUPS CALCULATE
IMPUTED AGE VALUE COLLAPSED ABOVE 80
IMPUTED AGE IN SIX GROUPS
COMPUTED HEIGHT IN INCHES
COMPUTED HEIGHT IN METERS
COMPUTED WEIGHT IN KILOGRAMS
COMPUTED BODY MASS INDEX
COMPUTED BODY MASS INDEX CATEGORIES
OVERWEIGHT OR OBESE CALCULATED VARIABLE
COMPUTED NUMBER OF CHILDREN IN HOUSEHOLD
COMPUTED LEVEL OF EDUCATION COMPLETED CA
COMPUTED INCOME CATEGORIES
COMPUTED SMOKING STATUS
CURRENT SMOKING CALCULATED VARIABLE
DRINK ANY ALCOHOLIC BEVERAGES IN PAST 30
COMPUTED DRINK-OCCASIONS-PER-DAY
BINGE DRINKING CALCULATED VARIABLE
COMPUTED NUMBER OF DRINKS OF ALCOHOL BEV
HEAVY ALCOHOL CONSUMPTION CALCULATED VA
FLU SHOT CALCULATED VARIABLE
PNEUMONIA VACCINATION CALCULATED VARIABL
ALWAYS OR NEARLY ALWAYS WEAR SEAT BELTS
ALWAYS WEAR SEAT BELTS
DRINKING AND DRIVING
WOMEN RESPONDENTS AGED 40+ WHO HAVE HAD
WOMEN RESPONDENTS AGED 50-74 WHO HAVE HA
WOMEN RESPONDENTS AGED 21-65 WHO HAVE HA
MALE RESPONDENTS AGED 40+ WHO HAVE HAD A
RESPONDENTS AGED 50-75 WHO HAVE HAD A CO
RESPONDENTS AGED 50-75 WHO HAVE HAD A SI
RESPONDENTS AGED 50-75 WHO HAVE HAD A BL
RESPONDENTS AGED 50-75 WHO HAVE HAD A ST
RESPONDENTS AGED 50-75 WHO HAVE HAD A VI
RESPONDENTS AGED 50-75 WHO HAVE FULLY ME
EVER BEEN TESTED FOR HIV CALCULATED VARI