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Cryptosporidium disease investigation questionnaire

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Cryptosporidium disease investigation questionnaire

The information in this questionnaire will be treated as STRICTLY CONFIDENTIAL We take your privacy very seriously and will ensure that your data is kept secure. For more information, please view the council's privacy notice.

Maximum 255 characters

0/255

Maximum 255 characters

0/255

Maximum 255 characters

0/255

5.  

Have you had any of the following symptoms?

* required
6.  

With this illness, were you admitted to hospital?

* required

The following questions are about your recreational activities in the 2 weeks before you became ill