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Standard Questionnaire to Use in an Outbreak Investigation
This questionnaire is intended for use as a template for investigating foodborne disease outbreaks. Use this questionnaire to conduct initial interviews and generate hypotheses along with the accompanying data entry software (currently under development) to facilitate investigations of multistate outbreaks.
Standard Questionnaire
PDF 38KB
Standard Questionnaire
DOC 219KB
Modified Oregon Public Health Services Foodborne Outbreak Questionnaire
This questionnaire is an adaptation of a one developed by Oregon Public Health Services, modified for the food exposure section of the 2006-2007 FoodNet Population Survey. It can be used as a template for foodborne outbreak investigations.
Food exposure frequencies of outbreak cases can be readily compared to food exposure frequencies in the FoodNet population survey. The first page is not part of the FoodNet Population Survey but includes information that may be routinely gathered as part of an outbreak investigation.
Further information about this questionnaire may be found on the Oregon Resources for an Outbreak Investigation web page.
Oregon Questionnaire
Oregon Questionnaire
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