National Health and Nutrition Examination Survey

NHANES 2019-2020 Questionnaire Instruments

Screener Modules

Questionnaire Name Document
Screener Module 1
This is administered on the doorstep. This set of questions determines if anyone in the household is eligible to be in the sample.
[PDF - 176 KB]
Screener Module 2
This establishes the relationship of everyone in the household to everyone else in the household.
[PDF - 72.1 KB]

Family Questionnaire

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

Questionnaire Name Document
Consumer Behavior [PDF - 37.7 KB]
Demographic Background [PDF - 28.4 KB]
Family Questionnaire Hand Cards [PDF - 53.7 KB]
Food Security [PDF - 152 KB]
Housing Characteristics [PDF - 14.3 KB]
Income [PDF - 108 KB]
Salt Sample Collection [PDF - 62.7 KB]
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.

Questionnaire Name Document
Acculturation [PDF - 23.2 KB]
Audiometry [PDF - 58.3 KB]
Blood Pressure [PDF - 19.6 KB]
Cardiovascular Disease [PDF - 16.3 KB]
Demographic [PDF - 68.8 KB]
Dermatology [PDF - 18.5 KB]
Diabetes [PDF - 50.9 KB]
Diet Behavior and Nutrition [PDF - 121 KB]
Dietary Supplements and Prescription Medication [PDF - 130 KB]
Early Childhood [PDF - 44.5 KB]
Functioning [PDF - 55.2 KB]
Health Insurance [PDF - 39.8 KB]
Hepatitis [PDF - 15.7 KB]
Hospital Utilization and Access to Care [PDF - 29.3 KB]
Immunization [PDF - 21.4 KB]
Infant Formula Questionnaire [PDF - 51.7 KB]
Kidney Conditions [PDF - 15.1 KB]
Medical Conditions [PDF - 108 KB]
Occupation [PDF - 33.8 KB]
Oral Health [PDF - 39.1 KB]
Osteoporosis [PDF - 43.4 KB]
Physical Activity and Physical Fitness [PDF - 40.9 KB]
Respondent Selection Section [PDF - 73.9 KB]
Sample Person Questionnaire Hand Cards [PDF - 1.28 MB]
Sleep Disorders [PDF - 19.6 KB]
Smoking and Tobacco Use [PDF - 32.4 KB]
Standing Balance [PDF - 79.9 KB]
Weight History [PDF - 37.5 KB]
Page last reviewed: 2/21/2020