Project Abstract PRAMS (Pregnancy Risk Assessment Monitoring System) is a population-based risk factor surveillance system designed to identify and monitor behaviors and experiences of women before, during, and after pregnancy. In April of 2006, the Wyoming Department of Health was awarded a grant from the Centers for Disease Control and Prevention (CDC) to establish PRAMS in Wyoming. Wyoming is focused on illuminating disparities within the state. The PRAMS project oversamples mothers of low birth weight infants and American Indian women. These women are oversampled to obtain adequate representation for analysis. Additional populations of interest include women receiving Medicaid and women enrolled in the Women, Infants, and Children’s (WIC) program during pregnancy. PRAMS data is collected by surveying a monthly sample of approximately 100 Wyoming women who had a live birth in the past two to six months. Wyoming PRAMS uses a combination of two data collection approaches: statewide mailings of the surveys and telephone follow-up with women who do not return the survey by mail. The written questionnaires and telephone interviews can both be completed in Spanish when necessary. Wyoming plans to add a third source of contact via email beginning in 2021. Email should allow women, who previously had been unable to be contacted via phone or mail, to be otherwise reached.