BRFSS Questionnaire Development


The Texas Behavioral Risk Factor Surveillance System (BRFSS) began operation in 1987 as part of a federal-state partnership with the Centers for Disease Control and Prevention (CDC) that today has resulted in the collection of uniform public health data from all 50 states, the District of Columbia and five U.S. territories.  Each year, thousands of adult Texans complete BRFSS landline and cellular telephone interviews regarding their health status, personal health habits, and use of preventive services.  Public and private health officials at the federal, state, and local levels rely on the BRFSS to identify public health problems, set priorities and goals, design policies and interventions, as well as evaluate the long-term impact of these efforts. Although the CDC requires that certain core questions appear on the survey each year, a limited amount of space is available for states to add optional questions (modules or state added) at their discretion.  

Call for Proposals

The official call for proposals for the 2024 Texas BRFSS survey will begin June 2023.

The Texas BRFSS Program invites DSHS programs and other public health stakeholders to submit written proposals for 1) additional survey questions and 2) oversampling to obtain statistics in additional regions and 3) contribute funds to the sample (new for 2023). These proposals will be used to assist the Texas BRFSS Coordinator in planning the 2024 Texas BRFSS survey. Please email to request a copy of this year’s proposal form. 

Proposal Due Date

All proposals for additional survey questions and oversampling should be submitted to the Texas BRFSS program ( by 5:00 PM CST on July 7, 2023. 

Required Meeting

A discussion of all proposals will take place virtually via a Microsoft Teams Meeting on July 20, 2023 at 10:00 AM CST.  A representative for each proposal is required to present their proposal and be available to answer questions. Please RSVP for the meeting by emailing so that we can add you to the calendar meeting link.

Pricing for Participation in the Behavior Risk Factor Surveillance System (BRFSS) Survey

The Texas BRFSS program strives to maintain a pricing policy that is consistent and fair yet adaptable to the circumstances of individual programs and stakeholders. The information below should not be taken as a price quote or estimate. Prices for questions and/or estimates are not final until a written agreement is approved by the Center for Health Statistics at the Department of State Health Services (DSHS).

Pricing Information

  • The price to add BRFSS questions to the 2023 Texas BRFSS survey is $5,500 per question.
  • The price to add sample size to particular geographic area in 2023 is $105 per record.  
  • Additional charges for non-routine analytical services or report writing may also be included in the price.

These pricing guidelines are current as of June 1, 2022.

2024 CDC Draft BRFSS Survey Outline of Questions

2024 CDC Core Questions: 

  • Health Status 
  • Healthy Days 
  • Health Care Access 
  • Exercise 
  • Oral Health 
  • Chronic Health Conditions 
  • Demographics 
  • Disability 
  • Breast and Cervical Cancer Screening 
  • Colorectal Cancer Screening 
  • Tobacco Use 
  • Lung Cancer Screening 
  • Alcohol Consumption 
  • Immunization 
  • HIV/AIDs 

2024 CDC Optional Module List: 

  • Pre-diabetes 
  • Diabetes 
  • Arthritis
  • Shingles Vaccination 
  • HPV - Vaccination 
  • Tetanus Vaccination 
  • Heart Attack and Stroke
  • Cancer Survivorship: Type of Cancer 
  • Cancer Survivorship: Course of Treatment 
  • Cancer Survivorship: Pain Management 
  • Prostate Cancer Screening 
  • Cognitive Decline 
  • Caregiver 
  • Adverse Childhood Experiences 
  • Social Determinants and Health Equity 
  • Reactions to Race
  • Marijuana Use 
  • Tobacco Cessation 
  • Other Tobacco Use 
  • Sugar-Sweetened Beverage
  • Firearm Safety 
  • Industry and Occupation 
  • Random Child Selection 
  • Childhood Asthma Prevalence 
  • Sex at Birth 
  • Sexual Orientation and Gender Identity (SOGI) 
  • Family Planning 


Visit our website to learn more about the Texas BRFSS Program.

If you need additional information, please contact the Texas BRFSS Coordinator in the Center for Health Statistics at