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California Health Interview Survey (CHIS)

Questionnaires and Survey Topics

CHIS Survey Topics

Health conditions. Health insurance coverage. Access to Care. Mental health. Immigrant health. Food insecurity. Gun violence. Intimate partner violence. Oral health. Smoking behaviors. Housing security. Child care. Caregiving. Climate change. COVID-19. And so much more.

CHIS covers more than 100 topics to understand the health and health care needs of California’s diverse communities. New questions are added each survey year to address emerging concerns that are important for planning and policy development. Additionally, many core questions are repeated in each survey in order to measure significant shifts over time.

To see a complete list of the health topics covered by CHIS, view the links below:

Survey Topics

CHIS Questionnaires

California Health Interview Survey (CHIS) questionnaires are available to the public. Below are full questionnaires of web and telephone surveys for adults, adolescents, and children beginning in 2019. Prior to 2019, all surveys were conducted by phone.   

In addition to English, CHIS is conducted in Spanish, Chinese (Mandarin and Cantonese dialects), Korean, Vietnamese, and Tagalog.

Separate interviews are conducted for adults (age 18 and older), adolescents (ages 12–17) and children (birth through 11 years of age). For children, CHIS interviews the parent or guardian in the household who is most knowledgeable about the child's health. Adolescents are interviewed directly about their health and behaviors, although their insurance information is collected from the adult.  

About Translation and Cultural Adaptation:  

To produce English equivalent translations, the CHIS translation process involves four review stages: (1) initial translation, (2) review by ATA/CA Court Certified translators/interpreters, (3) translation moderator review, and (4) translation reconciliation.  

CHIS questionnaires also undergo a cultural adaptation process. The cultural adaptation process involves the following stages: (1) English simplification, (2) cultural review by bilingual/bicultural community-based health representatives, (3) final cultural review and integration of recommendations, and (4) CATI pilot and final adjustments.


Select a year below:

2021 Questionnaires

 TelephoneWeb
EnglishAdult 
Adolescent 
Child 		Adult 
Adolescent 
Child 
EspañolAdult 
Adolescent 
Child 		Adult 
Adolescent 
Child 
中文Adult 
Adolescent 
Child 		Adult 
Adolescent 
Child 
한국어Adult 
Adolescent 
Child 		Adult 
Adolescent 
Child 
Tiếng ViệtAdult 
Adolescent 
Child 		Adult 
Adolescent 
Child 
TagalogAdult 
Adolescent 
Child 		Adult 
Adolescent 
Child 

 

2020 Questionnaires

  Telephone Web
English Adult 
Adolescent 
Child 		 Adult 
Adolescent 
Child 
Español Adult 
Adolescent 
Child 		 Adult 
Adolescent 
Child 
中文 Adult 
Adolescent 
Child 		 Adult 
Adolescent 
Child 
한국어 Adult 
Adolescent 
Child 		 Adult 
Adolescent 
Child 
Tiếng Việt Adult 
Adolescent 
Child 		 Adult 
Adolescent 
Child 
Tagalog Adult 
Adolescent 
Child 		 Adult 
Adolescent 
Child 

 

2019 Questionnaires

  Telephone Web
English Adult 
Adolescent 
Child 		 Adult 
Adolescent 
Child 
Español Adult 
Adolescent 
Child 		 Adult 
Adolescent 
Child 
中文 Adult 
Adolescent 
Child 		 Adult 
Adolescent 
Child 
한국어 Adult 
Adolescent 
Child 		 Adult 
Adolescent 
Child 
Tiếng Việt Adult 
Adolescent 
Child 		 Adult 
Adolescent 
Child 
Tagalog Adult 
Adolescent 
Child 		 Adult 
Adolescent 
Child 

 

2018 Questionnaires

English Adult 
Adolescent 
Child 
Español Adult 
Adolescent 
Child 
中文 Adult 
Adolescent 
Child 
한국어 Adult 
Adolescent 
Child 
Tiếng Việt Adult 
Adolescent 
Child 
Tagalog Adult 
Adolescent 
Child 

 

2017 Questionnaires

English Adult 
Adolescent 
Child 
Español Adult 
Adolescent 
Child 
中文 Adult 
Adolescent 
Child 
한국어 Adult 
Adolescent 
Child 
Tiếng Việt Adult 
Adolescent 
Child 
Tagalog Adult 
Adolescent 
Child 

 

2016 Questionnaires

EnglishAdult 
Adolescent 
Child 
EspañolAdult 
Adolescent 
Child 
中文Adult 
Adolescent 
Child 
한국어Adult 
Adolescent 
Child 
Tiếng ViệtAdult 
Adolescent 
Child 
TagalogAdult 
Adolescent 
Child 

 

2015 Questionnaires

English Adult 
Adolescent 
Child  
Español Adult 
Adolescent 
Child 
中文 Adult 
Adolescent 
Child 
한국어 Adult 
Adolescent 
Child 
Tiếng Việt Adult 
Adolescent 
Child 
Tagalog Adult 
Adolescent 
Child 

 

2013-14 Questionnaires

English Adult 
Adolescent 
Child 
Español Adult 
Adolescent 
Child 
中文 Adult 
Adolescent 
Child 
한국어 Adult 
Adolescent 
Child 
Tiếng Việt Adult 
Adolescent 
Child 
Tagalog Adult 
Adolescent 
Child 

 

2011-12 Questionnaires

English Adult 
Adolescent 
Child  
Español Adult 
Adolescent 
Child 
中文 Adult 
Adolescent 
Child 
한국어 Adult 
Adolescent 
Child 
Tiếng Việt Adult 
Adolescent 
Child 

 

2009 Questionnaires

English Adult 
Adolescent 
Child 
Discrimination Module (Version A)(Version B)  
Español Adult 
Adolescent 
Child 
中文 Adult 
Adolescent 
Child 
한국어 Adult 
Adolescent 
Child 
Tiếng Việt Adult 
Adolescent 
Child 

 

2007 Questionnaires

English Adult 
Adolescent 
Child 
Discrimination Module (Version A) (Version B)    
Español Adult 
Adolescent 
Child 
中文 Adult 
Adolescent 
Child  
한국어 Adult 
Adolescent 
Child 
Tiếng Việt Adult 
Adolescent 
Child 

 

2005 Questionnaires

English Adult 
Adolescent 
Child 
Español Adult 
Adolescent 
Child 
中文 Adult 
Adolescent 
Child 
한국어 Adult 
Adolescent 
Child 
Tiếng Việt Adult 
Adolescent 
Child 

 

2003 Questionnaires

English Adult 
Adolescent 
Child  
Español Adult 
Adolescent 
Child 
中文 Adult 
Adolescent 
Child 
한국어 Adult 
Adolescent 
Child 
Tiếng Việt Adult 
Adolescent 
Child 

 

2001 Questionnaires

English Adult 
Adolescent 
Adolescent Insurance (Consent-giving adult reported insurance info) 
Child 
CHIS—Complementary and Alternative Medicine Questionnaire