The BRFSS Fruit and Vegetable Module is a specialized dataset within the larger Behavioral Risk Factor Surveillance System, developed collaboratively by the Centers for Disease Control and Prevention (CDC) and state health departments. This dataset tracks fruit and vegetable consumption patterns among U.S. adults at the state level, providing uniform data on dietary behaviors that are crucial for public health nutrition surveillance. Its primary purpose is to monitor population-level consumption over time, identify disparities in fruit and vegetable intake across demographic groups, and inform state nutrition programs, policy initiatives, and public health interventions. A key unique aspect is that it serves as one of the few sources of uniform, state-level dietary data for adults in most states, making it invaluable for targeted health promotion strategies. The module was significantly redesigned in 2017 to reduce respondent burden while better aligning with national dietary surveys and federal recommendations, providing a new baseline for trend analysis. This surveillance tool enables public health officials to allocate resources effectively and develop evidence-based approaches to improve dietary behaviors.