Marjoram (0312) Sage (0313) Tea with fresh herbs (e.g. mint) (0314), specify___ Herbal tea (bag/leaves) (0315), specify____ Mixed herbs(0316), specify____ Other herbs(0317), specify____ Did you eat any of the following spices in the [T] before you became ill? (Yes (Y)/No (N)/unknown (?)) (0318) Where did you buy/eat How was it How was it it? Y/N/? packaged/presented? (Name eaten? and (e.g. grinded) location of the shop/place) Pepper (black, green, white) (0319) Cumin (0320) Paprika (0321) Fennel (0322) Cloves (0323) Cinnamon (0324) Nutmeg (0325) Anise (0326) Ginger (0327) Mixed spices(0328), specify___ Other spices(0329), specify___ Mushrooms (h-22) Did you eat any of the following mushrooms in the [T] before you became ill? (Yes (Y)/No (N)/unknown (?)) (0330) Where did you What variety How was it How was it buy/eat it? Y/N/? of mushroom prepared/eaten? (Name and location was it? (e.g. raw, cooked) of the shop/place)
Marjoram (0312) Sage (0313) Tea with fresh herbs (e.g. mint) (0314), specify___ Herbal tea (bag/leaves) (0315), specify____ Mixed herbs(0316), specify____ Other herbs(0317), specify____ Did you eat any of the following spices in the [T] before you became ill? (Yes (Y)/No (N)/unknown (?)) (0318) Y/N/? Where did you buy/eat it? (Name and location of the shop/place) How was it packaged/presented? (e.g. grinded) How was it eaten? Pepper (black, green, white) (0319) Cumin (0320) Paprika (0321) Fennel (0322) Cloves (0323) Cinnamon (0324) Nutmeg (0325) Anise (0326) Ginger (0327) Mixed spices(0328), specify___ Other spices(0329), specify___ Mushrooms (h-22) Did you eat any of the following mushrooms in the [T] before you became ill? (Yes (Y)/No (N)/unknown (?)) (0330) Y/N/? Where did you buy/eat it? (Name and location of the shop/place) What variety of mushroom was it? How was it How was it prepared/eaten? (e.g. raw, cooked)
Outbreak-investigation-questionnaire-Repository-questions-2016v2_EN.docx