 Prescription for Health is a national program of The Robert Wood Johnson Foundation RWJF in collaboration with the Agency for Healthcare Research and Quality AHRQ. A major goal of Prescription for Health is to measure the extent to which comprehensive strategies are effective in changing patient behavior and quality of life relative to four target health risk behaviors: diet, smoking, alcohol use, and physical activity. The funded projects will use a common set of survey instruments to help measure outcomes and draw overarching conclusions across projects. This study will only be analyzing aggregated data and does not have responsibility for recruitment of patients, randomization if applicable, or interventions. Individual project designs may differ. 