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2021 BRASS Questionnaire NYS version including Optional Modules and Statewide Modules6 September 20221Table of Contents OMB Header and Introductory Text ...........................................................................................................................5

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How to fill out brfss form combined landline

01

Gather all necessary information such as household size, age, income, and health-related questions.

02

Make sure you have access to a landline phone to conduct the survey.

03

Dial the designated phone number for the BRFSS form combined landline survey.

04

Follow the prompts and provide accurate and honest answers to all questions asked.

05

Submit the completed survey form once all questions have been answered.

Who needs brfss form combined landline?

01

Individuals who are selected to participate in the BRFSS (Behavioral Risk Factor Surveillance System) survey where landline phone is the primary mode of contact.

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What is brfss form combined landline?

The BRFSS form combined landline is a survey form used to collect data on health-related behaviors and risk factors from individuals using a landline phone.

Who is required to file brfss form combined landline?

Health departments or organizations responsible for public health surveillance are required to file the BRFSS form combined landline.

How to fill out brfss form combined landline?

To fill out the BRFSS form combined landline, the designated individual must follow the instructions provided on the form and accurately report the required information.

What is the purpose of brfss form combined landline?

The purpose of the BRFSS form combined landline is to gather data on behaviors such as tobacco use, physical activity, and nutrition in order to inform public health programs and policies.

What information must be reported on brfss form combined landline?

Information such as demographic data, health behaviors, and chronic conditions must be reported on the BRFSS form combined landline.

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