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Foodborne disease outbreak questionnaire

The Chicago Department of Public Health, with support of the US Food and Drug Administration, has created a telephone questionnaire to be used by departments of public health to gather information that can help establish the relationship between dose of foodborne pathogens and health impacts.  The documents below are made available in both html (for viewing) and pdf (for printing).  In addition, the questionnaire, in both English and Spanish, is made available as a downloadable Microsoft Word document for editing so that it may be used by departments of public health in outbreaks they may investigate. 

User's Guide HTML PDF

 

Questionnaire

English HTML PDF MS Word
Spanish HTML PDF MS Word

Tips for following the questionnaire format HTML PDF

Investigative questionnaires: Routine vs. Dose-Response HTML PDF

Frequently Asked Questions HTML PDF

 

Date added to FoodRisk.org: 2000

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