National Health and Nutrition Examination Survey

NHANES 2007-2008 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.

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.

Module Name Document
Screener Module 1
This set of questions determines if anyone in the household is eligible to be in the sample.
[PDF - 75 KB]
Screener Module 1 (Spanish)
This is the same module in Spanish.
[PDF - 121 KB]
Screener Module 2
This set of questions establishes the relationship of everyone in the household to each other.
[PDF - 78 KB]
Screener Module 2 (Spanish)
This is the same module in Spanish.
[PDF - 135 KB]

Family Questionnaire

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

Questionnaire Name Document
Consumer Behavior [PDF - 36 KB]
Demographic Background/Occupation [PDF - 31 KB]
Family Questionnaire Hand Cards [PDF - 49 KB]
Food Security [PDF - 111 KB]
Housing Characteristics [PDF - 71 KB]
Income [PDF - 98 KB]
Smoking [PDF - 68 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 - 106 KB]
Audiometry [PDF - 152 KB]
Blood Pressure [PDF - 135 KB]
Cardiovascular Disease [PDF - 117 KB]
Demographics Information [PDF - 203 KB]
Dermatology [PDF - 20 KB]
Diabetes [PDF - 183 KB]
Dietary Behavior [PDF - 65 KB]
Dietary Supplements and Prescription Medication [PDF - 354 KB]
Early Childhood [PDF - 130 KB]
Health Insurance [PDF - 141 KB]
Hospital Utilization and Access to Care [PDF - 129 KB]
Immunization [PDF - 111 KB]
Kidney Conditions [PDF - 109 KB]
Medical Conditions [PDF - 237 KB]
Occupation [PDF - 94 KB]
Oral Health [PDF - 133 KB]
Osteoporosis [PDF - 161 KB]
Physical Activity and Physical Fitness [PDF - 148 KB]
Physical Functioning [PDF - 160 KB]
Respiratory Health and Disease [PDF - 132 KB]
Sample Person Questionnaire Hand Cards [PDF - 486 KB]
Sleep Disorders [PDF - 192 KB]
Smoking and Tobacco Use [PDF - 154 KB]
Social Support [PDF - 124 KB]
Vision [PDF - 162 KB]
Weight History [PDF - 182 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

Questionnaire Name Document
Alcohol Use [PDF - 46 KB]
Drug Use [PDF - 101 KB]
Food Security [PDF - 46 KB]
Sexual Behavior [PDF - 100 KB]
Tobacco Use [PDF - 78 KB]

Computer-Assisted Personal Interview (CAPI) Questionnaire

Questionnaire Name Document
Alcohol Use [PDF - 40 KB]
Bowel Health [PDF - 62 KB]
Current Health Status [PDF - 50 KB]
Depression Screen [PDF - 74 KB]
Kidney [PDF - 75 KB]
MEC CAPI Questionnaire Hand Cards [PDF - 464 KB]
Pesticide Use [PDF - 31 KB]
Physical Activity [PDF - 55 KB]
Reproductive Health [PDF - 177 KB]
Tobacco [PDF - 61 KB]
Volatile Toxicants Use [PDF - 51 KB]
Weight History [PDF - 75 KB]

Special Follow-up Questionnaires

Questionnaire Name Document
FCBS Hand Cards [PDF - 1.12 MB]
Flexible Consumer Behavior Survey (FCBS) Module [PDF - 217 KB]
NHANES Hepatitis C Follow-up [PDF - 365 KB]


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

Questionnaire Name Document
24-Hour Dietary Supplement and Antacids Use [PDF - 169 KB]
Dietary Recall [PDF - 74 KB]
Measuring Guides for the Dietary Recall Interview