Context: Non-communicable diseases (NCDs) are also known as chronic diseases, because they tend to be of long duration. Detection, screening, treatment and palliative care, are the key components of the response to NCDs. Aim: To know the prevalence of risk factors of non-communicable diseases in rural and urban districts of Etawah. Setting and design: It is a community based cross sectional study among person aged between 25-64 years residing in the rural and urban areas of district Etawah. Methods and material: WHO STEPS approach was used. Statistical analysis: The collected data was analysed using SPSS Inc. version 23.0, Chicago. Results: In the study almost half of the subjects were males. Prevalence of current tobacco users, alcohol users, insufficient use of fruits and vegetables and physical inactivity were found 42.4%, 22.0%, 92.8%, 51.1% in rural areas and 25.4%, 19.8%, 84.8% and 54.9% in urban areas respectively. Prevalence of included overweight, obesity, increased waist circumference, raised systolic and diastolic blood pressure were found 32.2%, 11%, 26.1%, 14.8% and 19.7% in rural areas and 42%, 21.2%, 49.2%, 14.4%, 18.9% in urban areas respectively. Prevalence of self-reported diabetes and hypertension in rural areas were 2.27%, 9.47% and in urban areas 4.92% and 10.98% respectively. Conclusion: Healthy lifestyle changes should be encouraged in order to reduce modifiable risk factors.