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Key Facts: CHES Exam

165

October 2026 Questions (150 scored + 15 pilot)

NCHEC CHES exam page

3 hours

Exam Time

NCHEC

600

Scaled Passing Score (range 200–800)

NCHEC

73.19% / 67.59%

Pass Rate

April/October 2025

$230-$400

October 2026 Exam Fee (registration closed)

NCHEC schedule and fees; April 2027 fees $250-$435

5 years

Recertification Cycle (annual renewal required)

NCHEC policy

17%

Assessment of Needs and Capacity

Current HESPA II CHES handbook, through October 2026

75 CECH

CECH per Five-Year Recertification Cycle

NCHEC

Spring 2027

Nine areas and 175 questions announced

NCHEC News Spring 2026, page 11

For October 2026, CHES uses 165 questions (150 scored plus 15 pilot), three hours including an optional 10-minute break, and a scaled passing score of 600 on the 200-800 scale. The eight HESPA II weights are 17/14/15/12/12/12/6/12 percent. Spring 2027 brings the nine-area HESPA III outline and an announced 175-question format; the current 150/15 split should not be assumed for that new format. October registration has closed; April 2027 registration opens November 1, 2026.

Sample CHES Practice Questions

Try these sample questions to review concepts for the CHES exam. Each question includes a detailed explanation. Start the interactive quiz above for the full 209+ question experience with AI tutoring.

1Which data collection method is most appropriate for gathering in-depth information about community members' health beliefs and behaviors?
A.Mailed survey
B.Focus groups
C.Vital statistics review
D.Census data analysis
Explanation: Focus groups are the most appropriate method for gathering in-depth information about health beliefs and behaviors because they allow for open-ended discussion, exploration of attitudes, and understanding of social and cultural contexts. Mailed surveys provide limited depth, while vital statistics and census data do not capture individual beliefs and behaviors.
2A health educator is conducting a community needs assessment. Which source would provide the most reliable data on mortality rates in the community?
A.Local hospital patient satisfaction surveys
B.State vital statistics records
C.Community focus group transcripts
D.Social media health discussions
Explanation: State vital statistics records are the most reliable source for mortality rate data because they contain official, systematically collected death certificates and population data. Hospital surveys capture only a subset of the population, focus groups provide qualitative rather than quantitative data, and social media discussions are not scientifically valid sources.
3In asset mapping, which approach focuses on identifying community strengths and resources rather than deficits?
A.Problem-oriented assessment
B.Needs-based assessment
C.Strengths-based assessment
D.Gap analysis
Explanation: Strengths-based assessment (also called asset-based assessment) specifically focuses on identifying community assets, capacities, and resources rather than deficiencies or problems. This approach recognizes that communities have inherent strengths that can be mobilized for health improvement, building on existing social capital and community capacity.
4During follow-up, 12 new cases occur over 600 observed person-years. What is the incidence rate per 1,000 person-years?
A.2 per 1,000 person-years
B.20 per 1,000 person-years
C.200 per 1,000 person-years
D.12 per 1,000 person-years
Explanation: Divide 12 new cases by 600 observed person-years: 0.02 case per person-year. Multiplying by 1,000 gives 20 cases per 1,000 person-years. The other choices shift the decimal or treat the case count as the rate.
5A health educator wants to assess organizational capacity to implement a new wellness program. Which framework would be most useful for evaluating organizational readiness?
A.Health Belief Model
B.Consolidated Framework for Implementation Research
C.Transtheoretical Model
D.Theory of Reasoned Action
Explanation: CFIR organizes determinants of implementation, including characteristics of the intervention, inner and outer settings, individuals, and process. Its inner-setting constructs can help examine organizational readiness. The other choices primarily explain individual behavior, not organizational implementation context.
6Which primary data collection method would be most appropriate for assessing health literacy levels in a diverse, low-literacy population?
A.Self-completed validated questionnaire in one language
B.In-person interview with verbal responses
C.Web survey requiring independent reading of every item
D.Telephone checklist without language assistance
Explanation: An interview that uses accessible verbal questions and appropriate language assistance can reduce reading barriers and allow clarification. Self-completed or phone instruments may work if validated and accessible, but the stated alternatives lack the same support for this low-literacy, multilingual setting.
7When conducting a community health assessment, what is the primary purpose of secondary data analysis?
A.To collect current personal accounts from residents
B.To use existing data to identify context and gaps
C.To confirm findings from focus groups only
D.To evaluate program outcomes
Explanation: Existing data can establish context, show trends, and reveal what information is still missing. If the data adequately answer the assessment question, additional primary collection may be unnecessary; otherwise, targeted primary collection can fill the gaps.
8A health educator is analyzing surveillance data showing increasing rates of diabetes in a community. What type of assessment is this?
A.Rapid needs assessment
B.Epidemiological assessment
C.Formative evaluation
D.Process evaluation
Explanation: Analyzing surveillance data to understand disease patterns and trends in a population is an epidemiological assessment. This type of assessment uses population-level health data to identify health problems, understand their distribution, and inform public health priorities. It differs from program-level evaluations (formative or process) and rapid assessments.
9Which approach to needs assessment involves community members as active partners in identifying health priorities and developing solutions?
A.Expert-driven assessment
B.Participatory assessment
C.Windshield survey
D.Secondary data analysis only
Explanation: Participatory needs assessment actively involves community members as partners in all phases of the assessment process, from identifying priorities to developing solutions. This approach recognizes community expertise, builds capacity, and increases the likelihood that interventions will be culturally appropriate and accepted.
10According to the SMART criteria, which of the following is the best example of a program objective?
A.Increase physical activity in the community within 12 months
B.Raise the share of adults meeting the activity guideline next year
C.Increase adults meeting the defined activity guideline from 40% to 60% within 12 months
D.Raise activity among enrolled adults from 40% to 60%
Explanation: The keyed objective defines the behavior, baseline 40%, target 60%, and 12-month interval. Option 0 has no measured target, option 1 has no target value, and option 3 has no time frame; feasibility still needs local evidence.

About the CHES Exam

The CHES credential measures entry-level health education knowledge and its application. October 14-24, 2026 is the last HESPA II examination: eight areas, 165 multiple-choice questions (150 scored and 15 pilot), and three hours through PSI test centers or remote proctoring. NCHEC announces a nine-area HESPA III outline and 175 questions beginning Spring 2027; use the handbook for your exam cycle.

Exam sponsor: NCHEC (National Commission for Health Education Credentialing). The requirements and fees below concern the certification or admission exam, separate from our free practice resources.

Questions

165 questions

Time Limit

3 hours

Passing Score

600 on a 200–800 scaled-score range

Exam / Certification Fees

October 2026: $230-$400; April 2027: $250-$435 (registration opens November 1, 2026)

Exam sponsor website

Reported exam pass rate: April 2025: 73.19%; October 2025: 67.59%. NCHEC-published 2025 pass rates; pass/fail uses scaled scoring, not a fixed raw percentage. This describes exam candidates, not OpenExamPrep users or results from using our resources. Exam sponsor website

Fees, eligibility, and exam policies can change. Confirm them with the exam sponsor before applying or paying.

Official sources

Our practice resources: topics covered

We aim to reflect publicly available exam outlines and topic information in our study resources. Coverage, format, and difficulty may differ from the actual exam, and we cannot guarantee that every detail is accurate or current. Confirm exam requirements, fees, and policies with the official exam sponsor.

17%

Area I: Assessment of Needs and Capacity

Assess population needs, community assets, capacity, and readiness using primary and secondary data.

14%

Area II: Planning

Develop measurable objectives and evidence-informed strategies with community stakeholders.

15%

Area III: Implementation

Deliver health education programs, coordinate partners, and adapt implementation using monitoring data.

12%

Area IV: Evaluation and Research

Use suitable instruments, collect and prepare data, and recognize evaluation and research limitations within the entry-level role.

12%

Area V: Advocacy

Identify advocacy priorities and engage decision-makers and communities in policy change.

12%

Area VI: Communication

Select audience-appropriate messages, channels, and accessible communication strategies.

6%

Area VII: Leadership and Management

Assess partner capacity, recruit appropriate implementers, support culturally responsive work, and evaluate partnership relationships.

12%

Area VIII: Ethics and Professionalism

Apply ethical standards, protect confidentiality, address professional limits, and maintain competence.

Preparing for the CHES Exam

What You Need to Know

  • Passing score: 600 on a 200–800 scaled-score range
  • Exam length: 165 questions
  • Time limit: 3 hours
  • Exam / certification fees: October 2026: $230-$400; April 2027: $250-$435 (registration opens November 1, 2026) Official sources

Using Our Practice Resources

  • Work through all 209 available questions
  • Review every answer and explanation
  • Track weak areas and revisit them
  • Use our AI tutor for tough concepts

CHES: Suggested Study Strategy

1For October 2026, use the eight HESPA II areas and weights; Spring 2027 candidates should use the new nine-area HESPA III outline.
2Understand major health behavior theories: Health Belief Model, Social Cognitive Theory, Transtheoretical Model, Theory of Planned Behavior
3Know program planning models: PRECEDE-PROCEED, logic models, SMART objectives
4Study evaluation designs: formative, process, outcome, impact evaluation; experimental vs. quasi-experimental designs
5Learn epidemiological concepts: incidence, prevalence, morbidity, mortality, risk ratios, odds ratios
6Understand research methods: qualitative vs. quantitative, sampling methods, reliability and validity
7Review the NCHEC Code of Ethics and scenarios involving professional boundaries
8Know cultural competence models and health literacy principles (Plain Language, Teach-Back)
9Study advocacy strategies: media advocacy, coalition building, policy development processes
10Understand communication theories and models: Health Communication Wheel, social marketing
11Review current Areas VII and VIII: leadership and management, ethical judgment, confidentiality, professional limits, and continuing development.
12Know assessment methods: needs assessment, asset mapping, capacity assessment, secondary data sources

Frequently Asked Questions

What is the CHES certification?

CHES is the NCHEC credential for entry-level health education specialists. It assesses academic preparation and competency in health education practice. The October 2026 exam uses eight HESPA II areas; NCHEC has announced nine HESPA III areas and 175 questions starting Spring 2027.

What are the eligibility requirements for CHES?

CHES eligibility requires a bachelor's degree or higher from an accredited institution, plus either: 1) an official transcript showing a major explicitly in a health-education discipline, OR 2) at least 25 semester hours (37 quarter hours, grade C or better) of coursework addressing NCHEC’s official health education Areas of Responsibility (minimum 12 semester hours of process courses, up to 9 in topic-focused courses, up to 6 in other courses). Official transcripts are required for verification.

How many questions are on the CHES exam?

The October 2026 CHES exam has 165 four-option questions: 150 scored and 15 unscored pilot items. Three hours includes the optional 10-minute break; the appointment allows up to 3.5 hours including introductory and closing activities. NCHEC announces 175 questions for Spring 2027. Its transition announcement does not specify the future scored/pilot split, so do not carry the current 150/15 split forward.

What is the passing score for CHES?

NCHEC reports the CHES pass point as 600 on a possible scaled-score range of 200-800. The exam uses criterion-referenced standard setting and equating, so candidates should not treat the passing score as a fixed raw percentage of questions correct.

How much does the CHES exam cost?

October 2026 registration has closed. Its early/regular/late fees were $280/$340/$400 for non-students and $230/$290/$350 for eligible students. April 2027 registration opens November 1, 2026 and closes February 28, 2027; non-student fees are $300/$360/$435 and student fees are $250/$310/$385. A $100 processing portion is nonrefundable for ineligible or withdrawing applicants.

What topics are covered on the CHES exam?

Through October 2026, the HESPA II weights are Assessment of Needs and Capacity 17%, Planning 14%, Implementation 15%, Evaluation and Research 12%, Advocacy 12%, Communication 12%, Leadership and Management 6%, and Ethics and Professionalism 12%. Spring 2027 transitions to nine HESPA III areas, including separate Evaluation and Research areas. Choose the outline for your scheduled cycle.

How should I prepare for the CHES exam?

Use the official handbook and content outline for your exam cycle. For October 2026, study all eight HESPA II areas and emphasize weaker competencies using applied scenarios. Practice the current two question blocks: questions 1-83 and 84-165. Once you advance to the later question block, you cannot return to the first; the optional 10-minute break uses part of the three-hour examination time. Spring 2027 candidates should check the new handbook rather than assume these current block boundaries remain.

How long is the CHES certification valid?

Maintain CHES through annual renewal and a five-year recertification cycle. The annual maintenance fee is $70. Normally, the 75 required CECH include at least 45 Category I credits and no more than 30 Category II credits. Five Continuing Competency credits are part of the 75, not additional. NCHEC permits certificants outside the continental United States to obtain all 75 in Category II; the competency requirement still applies. Up to 15 excess Category I credits may carry into the next cycle. October certificants renew and recertify by September 30; April certificants by March 31. Fifteen CECH per year is recommended rather than required. If CE requirements cannot be met after available extensions, NCHEC provides a recertification-by-examination route.

What career opportunities are available with CHES certification?

CHES certification opens doors to roles including: Community Health Educator, Health Promotion Specialist, Patient Educator, Workplace Wellness Coordinator, Public Health Educator, School Health Educator, Health Coach, Program Coordinator, Health Communications Specialist, and Grant Manager. CHES professionals work in health departments, hospitals, nonprofits, corporations, schools, universities, and government agencies. Certification demonstrates competency and commitment to the field.

How does CHES differ from MCHES?

CHES is the entry-level credential with academic eligibility. MCHES assesses entry-level and advanced competencies. One MCHES route requires at least the past five continuous years of active CHES status. The alternative requires a completed master’s degree or higher, with either a qualifying health education major or the required qualifying graduate coursework, plus five years of documented health education experience. Current CHES certification is not required for the alternative route. Check NCHEC guidance for the evidence required.