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This document is a health questionnaire required for individuals enrolling in the Animal Exposure Surveillance Program at the University of Pittsburgh. It collects personal and occupational health
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How to fill out animal exposure surveillance program

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How to fill out Animal Exposure Surveillance Program (AESP) Health Questionnaire

01
Obtain a copy of the AESP Health Questionnaire from the relevant authority.
02
Read the instructions carefully to understand what information is required.
03
Fill in your personal information, including name, contact details, and any identification number if applicable.
04
Answer all questions related to your exposure to animals, including types of animals, duration of exposure, and nature of contact.
05
Provide details about any symptoms you may be experiencing or any health concerns related to animal exposure.
06
Review your completed questionnaire for accuracy and completeness.
07
Submit the questionnaire to the appropriate health department or organization as instructed.

Who needs Animal Exposure Surveillance Program (AESP) Health Questionnaire?

01
Individuals who have had exposure to animals in various settings, such as farms, veterinary clinics, or wildlife interactions.
02
Workers in industries where animal exposure is common, including agriculture, research, and public health.
03
People experiencing symptoms that may be related to animal exposure should also complete the questionnaire.
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The Animal Exposure Surveillance Program (AESP) Health Questionnaire is a tool designed to collect health-related information from individuals who have had exposure to animals. It aims to monitor and assess potential health impacts of such exposures.
Individuals who have had contact with animals in designated settings or environments that could pose a health risk, such as research facilities, farms, or veterinary clinics, are required to file the AESP Health Questionnaire.
To fill out the AESP Health Questionnaire, individuals should thoroughly read the instructions provided, provide accurate details about their animal exposure, report any health symptoms experienced, and submit the completed form to the designated health authority.
The purpose of the AESP Health Questionnaire is to track and evaluate the health effects related to animal exposure, to identify potential outbreaks of zoonotic diseases, and to implement appropriate public health responses.
The AESP Health Questionnaire requires reporting information such as the type of animals exposed to, duration and frequency of exposure, any symptoms experienced, previous health conditions, and personal contact information.
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