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Food and Illness Survey

Description:

Questionnaire is a 4 page template in Word that is to be used to help determine teh source of a possible foodborne outbreak. Survey is to be given to both sick and not sick individuals. Contents: Demographics, Illness history, general questions, and food history.

Toolkit:

Food Safety Toolkit

Keyword Area:

Epidemiology, Infectious Diseases, Surveillance

Jurisdiction:

Institutional Author:

Washington State Penitentiary

Submitted:

08/10/2006

Modified:

08/25/2006

The NACCHO Toolbox is a repository of available resources to help local public health practitioners. Tools are produced by local, state, and federal agencies, as well as academic institutions and other stakeholders. The contents of this Toolbox are solely the responsibility of the authors and do not necessarily reflect any official recommendations of NACCHO. NACCHO makes no express or implied warranty with respect to the contents and disclaims liability for any damages arising from or connected to the use of the material in this Toolbox.