National Health and Nutrition Examination Survey

NHANES 2017-March 2020 Pre-Pandemic Questionnaire Instruments

Questionnaires are administered to NHANES participants both at home and in the mobile examination centers (MECs). The questionnaires and a brief description of each section follows.

Interviewer Manuals

Years Manual Name Document
2017-2018 Interviewer Procedure Manual [PDF - 41.8 MB]
2019-2020 Interviewer Procedure Manual [PDF - 47.2 MB]
2017-2018 MEC Interviewers Procedures Manual [PDF - 22.2 MB]
2019-2020 MEC Interviewers Procedures Manual [PDF - 11.9 MB]

Screener Module: In-person/Telephone Instrument

The following questionnaires are used by field interviewers to collect screener information during the in-person interview on the doorstep or through a telephone interview with an adult household member.

Years Module Name Document
2017-2018 Screener Module 1
This set of questions determines if anyone in the household is eligible to be in the sample.
[PDF - 130 KB]
2019-2020 Screener Module 1
This set of questions determines if anyone in the household is eligible to be in the sample.
[PDF - 176 KB]
2017-2018 Screener Module 2
This set of questions establishes the relationship of everyone in the household to each other.
[PDF - 67 KB]
2019-2020 Screener Module 2
This set of questions establishes the relationship of everyone in the household to each other.
[PDF - 72.1 KB]

Family Questionnaire

Household and family level information is collected here. The sections are labeled to reflect content.

Years Questionnaire Name Document
2017-2018 Consumer Behavior [PDF - 37 KB]
2019-2020 Consumer Behavior [PDF - 37.7 KB]
2017-2018 Demographic Background [PDF - 42 KB]
2019-2020 Demographic Background [PDF - 28.4 KB]
2019-2020 Family Questionnaire Hand Cards [PDF - 53.7 KB]
2017-2018 Food Security [PDF - 103 KB]
2019-2020 Food Security [PDF - 152 KB]
2017-2018 Housing Characteristics [PDF - 14 KB]
2019-2020 Housing Characteristics [PDF - 14.3 KB]
2017-2018 Income [PDF - 157 KB]
2019-2020 Income [PDF - 108 KB]
2017-2018 Occupation [PDF - 13 KB]
2019-2020 Salt Sample Collection [PDF - 62.7 KB]
2017-2018 Smoking [PDF - 14 KB]
2019-2020 Smoking [PDF - 14.9 KB]

Sample Person Questionnaire

Individual level information on participants is collected here. The sections are labeled to reflect content. Please note that the Medical Conditions section covers many subject areas.

Years Questionnaire Name Document
2017-2018 Acculturation [PDF - 30 KB]
2019-2020 Acculturation [PDF - 23.2 KB]
2017-2018 Audiometry [PDF - 91 KB]
2019-2020 Audiometry [PDF - 58.3 KB]
2017-2018 Blood Pressure [PDF - 47 KB]
2019-2020 Blood Pressure [PDF - 19.6 KB]
2017-2018 Cardiovascular Disease [PDF - 60 KB]
2019-2020 Cardiovascular Disease [PDF - 16.3 KB]
2017-2018 Demographic [PDF - 94 KB]
2019-2020 Demographic [PDF - 68.8 KB]
2017-2018 Dermatology [PDF - 66 KB]
2019-2020 Dermatology [PDF - 18.5 KB]
2017-2018 Diabetes [PDF - 86 KB]
2019-2020 Diabetes [PDF - 50.9 KB]
2017-2018 Diet Behavior and Nutrition [PDF - 85 KB]
2019-2020 Diet Behavior and Nutrition [PDF - 121 KB]
2017-2018 Dietary Supplements and Prescription Medication [PDF - 170 KB]
2019-2020 Dietary Supplements and Prescription Medication [PDF - 130 KB]
2017-2018 Disability [PDF - 45 KB]
2017-2018 Early Childhood [PDF - 40 KB]
2019-2020 Early Childhood [PDF - 44.5 KB]
2019-2020 Functioning [PDF - 55.2 KB]
2017-2018 Health Insurance [PDF - 48 KB]
2019-2020 Health Insurance [PDF - 39.8 KB]
2017-2018 Hepatitis [PDF - 60 KB]
2019-2020 Hepatitis [PDF - 15.7 KB]
2017-2018 Hospital Utilization and Access to Care [PDF - 57 KB]
2019-2020 Hospital Utilization and Access to Care [PDF - 29.3 KB]
2017-2018 Immunization [PDF - 102 KB]
2019-2020 Immunization [PDF - 21.4 KB]
2019-2020 Infant Formula Questionnaire [PDF - 51.7 KB]
2017-2018 Kidney Conditions [PDF - 39 KB]
2019-2020 Kidney Conditions [PDF - 15.1 KB]
2017-2018 Medical Conditions [PDF - 137 KB]
2019-2020 Medical Conditions [PDF - 108 KB]
2017-2018 Occupation [PDF - 128 KB]
2019-2020 Occupation [PDF - 33.8 KB]
2017-2018 Oral Health [PDF - 72 KB]
2019-2020 Oral Health [PDF - 39.1 KB]
2017-2018 Osteoporosis [PDF - 51 KB]
2019-2020 Osteoporosis [PDF - 43.4 KB]
2017-2018 Physical Activity and Physical Fitness [PDF - 89 KB]
2019-2020 Physical Activity and Physical Fitness [PDF - 40.9 KB]
2017-2018 Physical Functioning [PDF - 128 KB]
2019-2020 Sample Person Questionnaire Hand Cards [PDF - 1.28 MB]
2017-2018 Sleep Disorders [PDF - 63 KB]
2019-2020 Sleep Disorders [PDF - 19.6 KB]
2017-2018 Smoking and Tobacco Use [PDF - 103 KB]
2019-2020 Smoking and Tobacco Use [PDF - 32.4 KB]
2019-2020 Standing Balance [PDF - 79.9 KB]
2017-2018 Weight History [PDF - 97 KB]
2019-2020 Weight History [PDF - 37.5 KB]

MEC ACASI and CAPI Questionnaires

Audio computer-assisted self-interview (ACASI) and computer-assisted personal interview (CAPI) questionnaires are administered in the MEC. During the visit to the examination center additional questions are administered that cover more sensitive areas such as reproductive health and illegal drug use. The sections are labeled to reflect content.

Audio Computer-Assisted Self-Interview (ACASI) Questionnaire

Years Questionnaire Name Document
2017-2018 Alcohol Use [PDF - 60 KB]
2019-2020 Alcohol Use [PDF - 16.2 KB]
2017-2018 Drug Use [PDF - 76 KB]
2019-2020 Drug Use [PDF - 33 KB]
2017-2018 Sexual Behavior [PDF - 186 KB]
2019-2020 Sexual Behavior [PDF - 122 KB]
2017-2018 Tobacco Use [PDF - 75 KB]
2019-2020 Tobacco Use [PDF - 52.1 KB]

Computer-Assisted Personal Interview (CAPI) Questionnaire

Years Questionnaire Name Document
2017-2018 Alcohol Use [PDF - 68 KB]
2019-2020 Alcohol Use [PDF - 25.8 KB]
2019-2020 Cognitive Functioning [PDF - 27.7 KB]
2017-2018 Current Health Status [PDF - 58 KB]
2019-2020 Current Health Status [PDF - 9.04 KB]
2017-2018 Depression Screen [PDF - 26 KB]
2019-2020 Depression Screen [PDF - 24.5 KB]
2017-2018 Kidney [PDF - 26 KB]
2019-2020 Kidney [PDF - 24.5 KB]
2017-2018 Pesticide Use [PDF - 1130 KB]
2019-2020 Pesticide Use [PDF - 11.8 KB]
2017-2018 Physical Activity [PDF - 35 KB]
2019-2020 Physical Activity [PDF - 12.3 KB]
2017-2018 Reproductive Health [PDF - 112 KB]
2019-2020 Reproductive Health [PDF - 90.1 KB]
2017-2018 Sexual Behavior [PDF - 18 KB]
2019-2020 Sexual Behavior [PDF - 17 KB]
2017-2018 Tobacco [PDF - 47 KB]
2019-2020 Tobacco [PDF - 38.5 KB]
2017-2018 Volatile Toxicants Use [PDF - 64 KB]
2017-2018 Weight History [PDF - 48 KB]
2017-2020 Weight History [PDF - 24.8 KB]

Special Follow-up Questionnaires

Years Questionnaire Name Document
2017-2018 Flexible Consumer Behavior Survey (FCBS) Handcards [PDF - 816 KB]
2019-2020 Flexible Consumer Behavior Survey (FCBS) Handcards [PDF - 977 KB]
2017-2018 Flexible Consumer Behavior Survey (FCBS) Module [PDF - 252 KB]
2019-2020 Flexible Consumer Behavior Survey (FCBS) Module [PDF - 292 KB]

Dietary

These questions on dietary intakes and dietary supplement uses are asked to participants after their visits to the mobile examination center through telephone interviews.

Years Questionnaire Name Document
2017-2018 24-Hour Dietary Supplement and Antacids Use [PDF - 165 KB]
2017-2018 Dietary Recall [PDF - 96.8 KB]
2019-2020 Dietary Recall [PDF - 98.7 KB]
2017-2018 Measuring Guides for the Dietary Recall Interview
2019-2020 Measuring Guides for the Dietary Recall Interview