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Computer Intake WHIMS# Imperial County Public Health Department FOOD HANDLER QUESTIONNAIRE SECTION A: PERSONAL INFORMATION DATE: / / NAME: (Last) (First) DATE OF BIRTH: / (MI) / SEX: ? MALE ? FEMALE
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How to fill out a food handlers questionnaire:

01
Start by reading the instructions provided with the questionnaire. This will give you an overview of what information is required and how to complete the form accurately.
02
Gather all the necessary information before beginning to fill out the questionnaire. This may include personal details, such as your name, contact information, and any relevant certifications or training you have completed.
03
Carefully answer each question on the questionnaire. Ensure that your responses are clear, accurate, and provide all the requested details. If you are unsure about a particular question, seek clarification or assistance from the relevant authorities or your supervisor.
04
Double-check your responses for any errors or omissions. It is important to review your answers to ensure they are complete and correct before submitting the questionnaire.
05
Sign and date the completed questionnaire, if required. Some questionnaires may require your signature as confirmation that the information provided is true and accurate.
06
Submit the filled-out questionnaire to the designated authorities or your employer, following the instructions provided.

Who needs a food handlers questionnaire:

01
Individuals working in the food service industry, such as restaurant staff, food handlers, chefs, kitchen staff, and catering personnel, typically need to complete a food handlers questionnaire.
02
Students or individuals undergoing food safety training or certification may also be required to fill out a food handlers questionnaire as part of their coursework.
03
Health inspectors or regulatory agencies may use food handlers questionnaires to assess the knowledge and competencies of individuals handling food, ensuring public health and safety standards are met.
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A food handlers questionnaire is a form used to collect information about an individual's health status and hygiene practices to ensure they meet the necessary standards for handling food safely.
Individuals who work in food service, including chefs, waitstaff, and food preparation personnel, are typically required to file a food handlers questionnaire.
To fill out a food handlers questionnaire, individuals should read the instructions carefully, provide accurate personal information, answer health-related questions, and sign the form where required.
The purpose of a food handlers questionnaire is to identify any potential health risks and to ensure that food handlers comply with safety standards, thus preventing foodborne illnesses.
The information that must be reported on a food handlers questionnaire typically includes personal details, health history, any symptoms of illness, and previous food safety training or certifications.
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