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Shiga Toxin-Producing E. coli Questionnaire


Questionnaire is a 7 page Word document that is to be used for a possible foodborne or waterborne infectious disease outbreak investigation or surveillance. Content includes: Illness History; Open Ended Food History; Restaurants, Grocery Stores, Events; Detailed Food History; Drinking and Recreational Water Exposure; Travel; Farm and animal exposure; and Occupation/ Daycare and Household Contact information.

Primary Toolkit:

Food Safety Toolkit

Keyword Area:

Epidemiology, Infectious Diseases, Surveillance


Institutional Author:

Connecticut Emerging Infections Program





The NACCHO Toolbox is a repository of available resources to help local public health practitioners. Tools are produced by local, state, and federal agencies, as well as academic institutions and other stakeholders. The contents of this Toolbox are solely the responsibility of the authors and do not necessarily reflect any official recommendations of NACCHO. NACCHO makes no express or implied warranty with respect to the contents and disclaims liability for any damages arising from or connected to the use of the material in this Toolbox.