National Health and Nutrition Examination Survey

NHANES August 2021-August 2023 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
2021-2023 Interviewer Procedure Manual [PDF - 21.7 MB]
2021-2023 MEC ACASI Procedures Manual [PDF - 6.22 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
2021-2023 Screener Module 1
This set of questions determines if anyone in the household is eligible to be in the sample.
[PDF - 171 KB]
2021-2023 Screener Module 2
This set of questions establishes the relationship of everyone in the household to each other.
[PDF - 194 KB]

Screener Module: Web Instrument

The following is a web-based and self-administered questionnaire to collect screener information from an adult household member.

Years Module Name Document
2021-2023 Web Screener Module
This set of questions determines if anyone in the household is eligible to be in the sample, and to establish the basic relationship among household members.
[PDF - 308 KB]

Screener Module: Paper Instrument

The following is a paper questionnaire that is self-administered by an adult household member to collect screener information and mailed back to NHANES.

Years Module Name Document
2021-2023 Paper Screener Module
This set of questions determines if anyone in the household is eligible to be in the sample, and to collect limited information on the relationship between the household reference person and each of the household members.
[PDF - 758 KB]

Family Questionnaire

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

Years Questionnaire Name Document
2021-2023 Consumer Behavior [PDF - 118 KB]
2021-2023 Demographic Background [PDF - 109 KB]
2021-2023 Food Security [PDF - 179 KB]
2021-2023 Housing Characteristics [PDF - 98.3 KB]
2021-2023 Income [PDF - 175 KB]
2021-2023 Smoking [PDF - 104 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
2021-2023 Acculturation [PDF - 85.3 KB]
2021-2023 Audiometry [PDF - 132 KB]
2021-2023 Balance [PDF - 100 KB]
2021-2023 Blood Pressure [PDF - 108 KB]
2021-2023 COVID-19 [PDF - 204 KB]
2021-2023 Demographic [PDF - 147 KB]
2021-2023 Dermatology [PDF - 77.2 KB]
2021-2023 Diabetes [PDF - 95.7 KB]
2021-2023 Diet Behavior and Nutrition [PDF - 124 KB]
2021-2023 Early Childhood [PDF - 90.3 KB]
2021-2023 Functioning [PDF - 142 KB]
2021-2023 Health Insurance [PDF - 114 KB]
2021-2023 Hepatitis [PDF - 97.0 KB]
2021-2023 Hospital Utilization and Access to Care [PDF - 89.9 KB]
2021-2023 Immunization [PDF - 111 KB]
2021-2023 Kidney Conditions [PDF - 105 KB]
2021-2023 Medical Conditions [PDF - 130 KB]
2021-2023 Occupation [PDF - 127 KB]
2021-2023 Oral Health [PDF - 82.5 KB]
2021-2023 Physical Activity and Physical Fitness [PDF - 124 KB]
2021-2023 Prescription Medication [PDF - 106 KB]
2021-2023 Respondent Selection [PDF - 192 KB]
2021-2023 Sleep Disorders [PDF - 79.5 KB]
2021-2023 Smoking and Tobacco Use [PDF - 110 KB]
2021-2023 Weight History [PDF - 85.9 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
2021-2023 Alcohol Use [PDF - 113 KB]
2021-2023 Current Health Status [PDF - 70.6 KB]
2021-2023 Depression Screen [PDF - 95.6 KB]
2021-2023 Drug Use [PDF - 83.2 KB]
2021-2023 Kidney [PDF - 90.8 KB]
2021-2023 Physical Activity and Physical Fitness [PDF - 82.1 KB]
2021-2023 Reproductive Health [PDF - 147 KB]
2021-2023 Sexual Behavior - Female [PDF - 103 KB]
2021-2023 Sexual Behavior - Male [PDF - 144 KB]
2021-2023 Sexual Orientation [PDF - 86.5 KB]
2021-2023 Tobacco [PDF - 118 KB]

Computer-Assisted Personal Interview (CAPI) Questionnaire

Years Questionnaire Name Document
2021-2023 COVID-19 [PDF - 248 KB]

Special Follow-up Questionnaires

Years Questionnaire Name Document
2021-2023 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
2021-2023 30-Day Dietary Supplement and Antacids Use [PDF - 179 KB]
2021-2023 Dietary Recall [PDF - 228 KB]
2021-2023 Measuring Guides for the Dietary Recall Interview