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FOODBORNE ILLNESS QUESTIONNAIRE This form is to be completed when making a complaint regarding an alleged foodborne illness. Council will investigate complaints, and where necessary take action to
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How to fill out foodborne illness questionnaire

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How to fill out foodborne illness questionnaire:

01
Start by carefully reading the instructions provided with the questionnaire. This will help you understand the purpose of each question and how to properly fill it out.
02
Gather all relevant information before you begin filling out the questionnaire. This may include details about the food you consumed, any symptoms you experienced, and the timeline of when you became ill.
03
Begin by providing your personal information, such as your name, contact information, and any other requested demographic details.
04
Answer each question on the questionnaire accurately and to the best of your ability. Be specific and provide as much detail as possible to aid in the investigation of the foodborne illness.
05
If you are unsure about any question or need clarification, do not hesitate to seek assistance from a healthcare professional or the agency administering the questionnaire.
06
Once you have completed the questionnaire, review your answers to ensure they are accurate and complete. Any missing or incorrect information could impact the accuracy of the investigation.
07
Submit the filled-out questionnaire following the provided instructions. This may involve mailing it to a designated address or submitting it electronically through a secure portal.

Who needs a foodborne illness questionnaire:

01
Individuals who have fallen ill after consuming food and suspect that it may be due to a foodborne illness are encouraged to fill out a foodborne illness questionnaire.
02
Healthcare professionals, such as doctors or nurses, may also request their patients to complete a foodborne illness questionnaire to gather information about their symptoms, potential exposure to contaminated food, and aid in diagnosis and treatment.
03
Additionally, food establishments, such as restaurants or food processing facilities, may use foodborne illness questionnaires to identify potential outbreaks, gather information about affected individuals, and implement measures to prevent further cases.
Note: It is important to follow any specific instructions provided with the questionnaire as requirements may vary depending on the purpose and administering organization.
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The foodborne illness questionnaire is a form used to gather information about potential cases of foodborne illnesses.
Food establishments and healthcare providers are required to file foodborne illness questionnaires.
The questionnaire can be filled out online or manually, providing details about symptoms, food consumption, and contact information.
The purpose of the questionnaire is to track and investigate potential cases of foodborne illnesses to prevent outbreaks.
Information such as symptoms experienced, food consumed, date and location of meals, and contact details should be reported on the questionnaire.
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