Cruise Ship Questionnaire Template

Key points

  • 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.
Image of the cruise ship questionnaire template.
Format: PDF
Dimensions: 8.5 by 11 inches
Page count: 16
Language: English (US)
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Image of the cruise ship questionnaire template.

Additional formats

cruise ship questionnaires
Cruise Ship Questionnaire Template
Use this form to collect additional epidemiologic data about possible cruise ship exposures.
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Content Source:
National Center for Immunization and Respiratory Diseases; National Center for Environmental Health