Re-Designed Questionnaire Modules and Periodicity

Attachment 3a - Redesigned Questionnaire Modules and Periodicity

DRAFT
Topics under Consideration for Redesigned National Health Interview Survey (NHIS)
Sample Adult Questionnaire
Version: January 26, 2017

2018

2019

2020

2021

2022

2023

2024

2025

2026

Household Roster - Selection of Sample Adult - Informed Consent

Annual core content

Health Status - Hypertension - High Cholesterol - Cardiovascular Conditions
Asthma - Cancer - Diabetes - Other Chronic Conditions - Height and Weight
Difficulties with Vision, Hearing, Mobility, Communication, Cognition, and Self-Care
Anxiety - Depression - Social Functioning
Health Insurance Status and Continuity
Financial Burden of Medical Care - Health Care Utilization and Access
Prescription Medication - Immunizations
Cigarettes and E-cigarettes
Marital Status - Veteran Status - Nativity
Housing - Schooling - Employment

Rotating core

Family Income - Food-Related Program Participation
Telephone Use - Linkage Information
Dental, Mental,
Other Care Utilization

Mental Health
Assessment
Chronic Pain Preventive
Services

Rotating
Conditions

Employment Detail Injuries

Health
Behaviors

Chronic Pain Preventive
Services

Dental, Mental,
Other Care Utilization

Mental Health
Assessment

Health
Behaviors

Rotating
Conditions

Employment Detail Injuries
Chronic Pain Preventive
Services

Health
Behaviors

Dental, Mental,
Other Care Utilization

Mental Health
Assessment
Chronic Pain Preventive
Services

Rotating
Conditions

Employment Detail Injuries

Health
Behaviors

Chronic Pain Preventive
Services

Sponsored content

Sustaining Sponsors
Content from sponsors that commit to supplements every year
2-year supplements

1-year
supplements

1-year
supplements

1-year
supplements

2-year supplements

1-year
supplements

1-year
supplements

2-year supplements

1-year
supplements

1-year
supplements

1-year
supplements

2-year supplements

1-year
supplements

1-year
supplements

2-year supplements

1-year
supplements

1-year
supplements

1-year
supplements

2-year supplements

1-year
supplements

January 26, 2017 Draft — Topics under Consideration for Redesigned NHIS Sample Adult Questionnaire

1-year
supplements

DRAFT
Topics under Consideration for Redesigned National Health Interview Survey (NHIS)
Sample Child Questionnaire
Version: January 26, 2017

2018

2019

2020

2021

2022

2023

2024

2025

2026

Household Roster - Selection of Sample Child - Identification of Parent/Guardian Respondent - Informed Consent

Health Status - Asthma - Diabetes - Developmental and Learning Disabilities
Difficulties with Vision, Hearing, Motor Skills, Self-Care, Communication, and Cognition
Affect - Behavior - Social/Emotional Screening for Very Young Children
Annual core content

Health Insurance Status and Continuity - Financial Burden of Medical Care
Health Care Utilization and Access
Prescription Medication - Immunizations
Schooling - Parent Demographics
Nativity - Housing
Employment of Adult Family Members - Family Income

Rotating core

Food-Related Program Participation
Telephone Use - Linkage Information
Dental, Mental,
Other Care Utilization

Mental Health

Stressful Life
Events

Rotating
Conditions

Injuries

Phys Activity
and Sleep

Sponsored
content

2-year supplements

1-year
supplements

1-year
supplements

Stressful Life
Events
1-year
supplements

2-year supplements

1-year
supplements

1-year
supplements

Dental, Mental,
Other Care Utilization

Mental Health

Phys Activity
and Sleep

Rotating
Conditions

Injuries

Stressful Life
Events

2-year supplements

1-year
supplements

1-year
supplements

Phys Activity
and Sleep
1-year
supplements

2-year supplements

1-year
supplements

1-year
supplements

Dental, Mental,
Other Care Utilization

Mental Health

Stressful Life
Events

Rotating
Conditions

Injuries

Phys Activity
and Sleep

2-year supplements

1-year
supplements

1-year
supplements

Stressful Life
Events
1-year
supplements

2-year supplements

1-year
supplements

January 26, 2017 Draft — Topics under Consideration for Redesigned NHIS Sample Child Questionnaire

1-year
supplements