- Health officials can use this form to collect additional epidemiologic data about possible cruise ship exposures.
- These data may be useful for detecting outbreaks and during outbreak investigations.
- Develop and use a more detailed questionnaire that is customized to outbreak locations for associated cases.
Format: PDF
Dimensions: 8.5 by 11 inches
Page count: 16
Language: English (US)
Additional formats
Cruise Ship Questionnaire Template
Use this form to collect additional epidemiologic data about possible cruise ship exposures.