Notes
*For tables or stratifications not posted here, contact BRFSS Coordinator, Chelsea Lynes (lynescl@dhec.sc.gov - (803) 898-1047).
* Nine DHEC Regions used in 2016

CDC Core Questions

1. Health Status
   1. Would you say that in general your health is…?
2. Healthy Days — Health-Related Quality of Life
   1. For how many days during the past 30 days was your physical health not good?
   2. For how many days during the past 30 days was your mental health not good?
   3. During the past 30 days, for about how many days did poor physical or mental health keep you from doing your usual activities, such as self-care, work, or recreation?
3. Health Care Access
   1. Do you have any kind of health care coverage, including health insurance, prepaid plans such as HMOs, government plans such as Medicare, or Indian Health Service?
   2. Do you have one person you think of as your personal doctor or health care provider?
   3. Was there a time in the past 12 months when you needed to see a doctor but could not because of cost?
   4. About how long has it been since you last visited a doctor for a routine checkup?
4. Exercise
   1. During the past month, other than your regular job, did you participate in any physical activities or exercises such as running, calisthenics, golf, gardening, or walking for exercise?
   2. What type of physical activity or exercise did you spend the most time doing during the past month?
   3. How many times per week or per month did you take part in this activity during the past month?
   4. And when you took part in this activity, for how many minutes or hours did you usually keep at it?
   5. What other type of physical activity gave you the next most exercise during the past month?
   6. During the past month, how many times per week or per month did you do physical activities or exercises to STRENGTHEN your muscles?
   7. Adults that meet recommendation of 150 minutes (or vigorous equivalent minutes) of physical activity per week
5. Inadequate sleep
   1. On average, how many hours of sleep do you get in a 24-hour period?
6. Hypertension Awareness
   1. Have you EVER been told by a doctor, nurse, or other health professional that you have high blood pressure?
   2. Are you current taking medicine for your high blood pressure?
7. Chronic Health Conditions
   1. (Ever told) you that you had a heart attack also called a myocardial infarction?
   2. (Ever told) you had angina or coronary heart disease?
   3. (Ever told) you had a stroke?
   4. (Ever told) you had asthma?
   5. Do you still have asthma?
   6. (Ever told) you had skin cancer?
   7. (Ever told) you had any other types of cancer?
   8. (Ever told) you have Chronic Obstructive Pulmonary Disease or COPD, emphysema or chronic bronchitis?
   9. (Ever told) you have some form of arthritis, rheumatoid arthritis, gout, lupus, or fibromyalgia?
   10. (Ever told) you have a depressive disorder, including depression, major depression, dysthymia, or minor depression?
   11. (Ever told) you have kidney disease?
   12. (Ever told) you have diabetes?
   13. How old were you when you were told you have diabetes?
8. Oral health
   1. How long has it been since you last visited a dentist or a dental clinic for any reason?
   2. How many of your permanent teeth have been removed because of tooth decay or gum disease?
9. Demographics/Disability
   1. Do you own or rent your home?
   2. Have you ever served on active duty in the United States Armed Forces, either in the regular military or in a National Guard or military reserve unit?
   3. Employment status
   4. Body Mass Index (BMI)
   5. Are you limited in any way in any activities because of physical, mental, or emotional problems?
   6. Do you now have any health problem that requires you to use special equipment, such as a cane, a wheelchair, a special bed, or a special telephone?
   7. Are you blind or do you have serious difficulty seeing, even when wearing glasses?
   8. Because of a physical, mental, or emotional condition, do you have serious difficulty concentrating, remembering, or making decisions?
   9. Do you have serious difficulty walking or climbing stairs?
   10. Do you have difficulty dressing or bathing?
   11. Because of a physical, mental, or emotional condition, do you have difficulty doing errands alone such as visiting a doctor's office or shopping?
10. Tobacco Use
    1. Have you smoked at least 100 cigarettes in your entire life?
    2. Over your lifetime, how many years have you smoked tobacco products?
    3. Do you now smoke cigarettes every day, some days, or not at all?
    4. During the past 12 months, have you stopped smoking for one day or longer because you were trying to quit smoking?
    5. How long has it been since you last smoked a cigarette, even one or two puffs?
    6. Current smoking status
    7. Do you currently use chewing tobacco, snuff, or snus every day, some days, or not at all?
11. E-cigarettes
    1. Have you ever used an e-cigarette or other electronic vaping product, even just one time, in your entire life?
    2. Do you now use e-cigarettes or other electronic vaping products every day, some days, or not at all?
12. Alcohol Consumption
    1. During the past 30 days, how many days per week or per month did you have at least one drink of any alcoholic beverage such as beer, wine, a malt beverage or liquor?
    2. During the past 30 days, on the days when you drank, about how many drinks did you drink on the average?
    3. Binge drinking (men)
    4. Binge drinking (women)
13. Immunization
    1. During the past 12 months, have you had either a flu shot or a flu vaccine that was sprayed in your nose?
    2. During what month and year did you receive your most recent flu shot injected into your arm or flu vaccine that was sprayed in your nose?
    3. A pneumonia shot or pneumococcal vaccine is usually given only once or twice in a person's lifetime and is different from the flu shot. Have you ever had a pneumonia shot?
    4. Since 2005, have you had a tetanus shot?
14. Falls
    1. In the past 12 months, how many times have you fallen?
    2. How many of these falls caused an injury?
15. Seatbelt Use
    1. How often do you use seat belts when you drive or ride in a car?
16. Drinking and Driving
    1. During the past 30 days, how many times have you driven when you've had perhaps too much to drink?
17. Breast and cervical cancer screening
    1. A mammogram is an x-ray of each breast to look for breast cancer. Have you ever had a mammogram?
    2. How long has it been since you had your last mammogram?
    3. Have you ever had a Pap test?
    4. How long has it been since you had your last Pap test?
    5. Have you ever had an HPV test?
    6. How long has it been since you had your last HPV test?
    7. Have you had a hysterectomy?
18. Prostate cancer screening
    1. Has a doctor, nurse, or other health professional EVER talked with you about the advantages of the PSA test?
    2. Has a doctor, nurse, or other health professional EVER talked with you about the disadvantages of the PSA test?
    3. Has a doctor, nurse, or other health professional EVER recommended that you have a PSA test?
    4. Have you EVER HAD a PSA test?
    5. How long has it been since you had your last PSA test?
    6. What was the MAIN reason you had this PSA test?
19. Colorectal cancer screening
    1. A blood stool test is a test that may use a special kit at home to determine whether the stool contains blood. Have you ever had this test using a home kit?
    2. How long has it been since you had your last blood stool test using a home kit?
    3. Sigmoidoscopy and colonoscopy are exams in which a tube is inserted in the rectum to view the colon for signs of cancer or other health problems. Have you ever had either of these exams?
    4. How long has it been since you had your last sigmoidoscopy or colonoscopy?
20. HIV/AIDS
    1. Have you ever been tested for HIV?
    2. Not including blood donations, in what month and year was your last HIV test?
    3. At risk of HIV infection

CDC Optional Modules

1. Pre-Diabetes
   1. Have you had a test for high blood sugar or diabetes within the past three years?
   2. Have you ever been told by a doctor or other health professional that you have pre-diabetes or borderline diabetes?
2. Diabetes
   1. Are you now taking insulin?
   2. About how often do you check your blood for glucose or sugar?
   3. About how often do you check your feet for any sores or irritations?
   4. About how many times in the past 12 months have you seen a doctor, nurse, or other health professional for your diabetes?
   5. A test for "A one C" measures the average level of blood sugar over the past three months.  About  how many times in the past 12 months has a doctor, nurse, or other health professional checked you for "A one C"?
   6. About how many times in the past 12 months has a health professional checked your feet for any sores or irritations?
   7. When was the last time you had an eye exam in which the pupils were dilated?
   8. Has a doctor ever told you that diabetes has affected your eyes or that you had retinopathy?
   9. Have you ever taken a course or class in how to manage your diabetes yourself?
3. Adult Human Papillomavirus (HPV) - Vaccination
   1. Have you EVER had an HPV vaccination?
   2. How many HPV shots did you receive?
4. Shingles (Zostavax or ZOS)
   1. Have you ever had the shingles or zoster vaccine?

State Added Questions

1. Disability
   1. Do problems with physical access to buildings or medical equipment such as height adjustable exam tables, wheelchair accessible scales or mammography machines limit your access to health care services?
   2. In the past 12 months, have you participated in any health or wellness programs designed for the general population?
   3. And in the past 12 months, have you participated in any health or wellness programs designed specifically for people with disabilities?
   4. In the event of a large-scale disaster or emergency which of the following do you have in place…
      1. An emergency supply kit, including items such as water, flashlight or batteries?
      2. A disaster evacuation plan, including how to get out of your house or town and where you would go?
2. Reactions to race
   1. Within the past 12 months on average, how often have you felt emotionally upset, for example angry, sad, or frustrated, as a result of how you were treated based on your race?
   2. Within the past 12 months on average, how often have you experienced any physical symptoms, for example a headache, an upset stomach, tensing of your muscles, or a pounding heart, as a result of how you were treated based on your race?
   3. Within the past 30 days, have you experienced any physical symptoms, for example, a headache, an upset stomach, tensing of your muscles, or a pounding heart, as a result of how you were treated based on your race?
   4. Within the past 30 days, have you felt emotionally upset, for example angry, sad, or frustrated, as a result of how you were treated based on your race?
   5. Within the past 12 months, when seeking health care, do you feel your experiences were...
   6. How often do you think about your race?
3. Adverse Childhood Events
   1. All questions refer to the time period before you were 18 years of age. Now, looking back before you were 18 years of age…
      1. Did you live with anyone who was depressed, mentally ill, or suicidal?
      2. Did you live with anyone who was a problem drinker or alcoholic?
      3. Did you live with anyone who used illegal street drugs or who abused prescription medications?
      4. Did you live with anyone who served time or was sentenced to serve time in a prison, jail, or other correctional facility?
      5. Were your parents separated or divorced?
      6. How often did your parents or adults in your home ever slap, hit, kick, punch, or beat each other up?
      7. How often did a parent or adult in your home ever hit, beat, kick, or physically hurt you in any way?
      8. How often did a parent or adult in your home ever swear at you, insult you, or put you down?
      9. How often did anyone at least five years older than you or an adult ever touch you sexually?
      10. How often did anyone at least five years older than you or an adult try to make you touch them sexually?
      11. How often did anyone at least five years older than you or an adult force you to have sex?
      12. How often were you hungry because your family could not afford food?
      13. How often were you homeless when you were growing up?
      14. How often did you visit a dentist?
      15. Did your mother graduate from high school?
      16. Did your father graduate from high school?
      17. For how much of your childhood did you live in a single-parent household?
      18. For how much of your childhood was there an adult in your household who tried hard to make sure your basic needs were met?
4. Random Child Selection/Children's Health Assessment Survey script
   1. Learn more about our call-back survey .