The Behavioral Risk Factor Surveillance System (BRFSS) as established in 1984 by Centers for Disease Control and Prevention (CDC). The idea was to collect data on actual behaviors that could be useful for planning, initiating, supporting and evaluating health promotion and disease prevention.

Currently, the BRFSS is the largest continuously conducted telephone health survey in the world. The survey has enabled CDC, state health departments, other health and education agencies to monitor risk behaviors related to chronic diseases, injuries, and death. Also, it is one of the most effective tools used today in preventing disease and promoting health.