We established 573 random roadside survey plots in stands that contained at least 50% aspen cover type. From these random plots, we found average standing aspen tree mortality ranged from 3.3 to 23.7 % on the four national forests and 11% on the east side of the continental divide and 4 % on the west side. Low elevation stands had significantly less mortality (7%) vs. high elevation (8%). The roadside plot data suggests that Colorado's aspen on these four national forests overall were healthy; mortality rates iii among aspen were fairly low (~3 -8%) among all stems, and average percent live crown among adults was high (~85 -90%), in spite of nearly ubiquitous presence of disease (~97 -99%) and high incidence of insect damage (~50 -75%).We also established 98 aspen stand assessment plots with half of the plots in damaged stands, as defined by U.S.D.A. Forest Service aerial detection surveys (ADS), and half in healthy aspen stands. Damaged stands were defined as those stands with (1) thinning crowns among at least 25% of adult aspen, (2) stands with moderate (<50% of stems) levels of overstory mortality, or (3) stands with high (>50% of stems) levels of overstory mortality. Healthy aspen stands were defined as having (1) a maximum mortality rate of 5 -7% among all aspen, and/or (2) more than 75% of adult aspen with full crowns.Adult aspen in damaged stands tended to be less vigorous, based a health score index from 1 to 5, with higher scores indicating less healthy conditions (where 1=0-25% damage; 2 = 25-50% damage; 3 = >50% damage; 4 = recent dead; 5 = >5 years dead).Health scores averaged 1.7 in healthy stands, compared to 2.3 in damaged stands.Saplings in damaged stands tended to be healthier with a score of 1.7, compared to 2.2 in healthy stands. Further, there was no difference in the proportion live or total numbers of saplings per hectare between healthy and damaged stands. The prevalence of damaging organisms, such as Cytospora canker (20% in damaged, 13% in healthy), wood-boring insects (27% in damaged, 10% in healthy), and aspen bark beetles (16% in damaged, 7% in healthy) was considerably greater among damaged stands. Site conditions also influenced the prevalence of some of these damage agents: bark beetles were most common among stands at low elevations (18%, compared to 11% and 6% at moderate iv and high elevations, respectively); Cytospora canker was most common among stands on south-or west-facing aspects (20% and 19%, respectively); both aspen bark beetles and Cytospora canker were also most common among stands in the southernmost section of the survey area, the Pike-San Isabel national forest (41% and 36%). There was no difference in the severity of canker or decay fungal infection between healthy and damaged stands. Cytospora canker infestations were more severe on the Medicine Bow NF compared to the other three national forests, and Marssonina foliar blight infection appeared to be most severe on slope summits, concave sites, and sites with either no to low percent slope or moderately steep sl...