Foodborne Disease Interview Forms

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Author: Minnesota Food Safety Center of Exellence

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http://mnfoodsafetycoe.umn.edu/interview-forms-2/

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The link provides questionnaires for campylobacter, cryptosporidium, listeria, salmonella, and shigella cases. The questionnaires contain detailed food exposure questions, including open-ended food histories and objective yes/no questions about numerous specific food items, as well as brand/variety names and purchase locations. Shorter questionnaires are used to interview cases with other pathogens

Program: Environmental Health

Submitted Date: Apr 06, 2015 | Modified Date: Sep 30, 2025

Primary Toolkit: Food Safety Toolkit | Secondary Toolkit: N/A

Jurisdiction:

Institution Type: LHD - City, LHD - County,

Keywords: Environmental Health, Epidemiology, Infectious Disease, Food Safety and Inspection

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