Investigation of illnesses associated with private parties at Temple Beth Am and Temple Beth Shalom in Seattle on March 3, 2018

Public Health--Seattle & King County (PHSKC) is investigating illnesses among people who attended a Bar Mitzvah at Temple Beth Am and/or Temple Beth Shalom in Seattle on March 3, 2018.

Your information is very helpful to us even if you did not get sick. This questionnaire asks about foods and beverages you may have consumed at the event and symptoms of illness for those who became ill. We will compare the answers from those who got sick with those who did not get sick to try to determine the source of infection. The survey should take 5 - 10 minutes to complete.

If you are currently ill (i.e. experiencing blood in your stool, vomiting, or diarrhea lasting more than three days) please contact your health care provider to discuss testing and treatment options. Submitting a stool sample can help confirm if you have shigellosis.

Thank you for taking the time to complete this survey. The information you provide may prevent others from becoming ill in the future.

*NOTE: if you are under the age of 18, please obtain permission from your parent or guardian before completing this survey. If you are the parent or guardian of a small child who attended the event, we ask that you complete this survey one time for each attendee. Once you have completed and submitted the survey for yourself, you may return to the beginning and complete the survey for other members of your household who are unable to complete the survey themselves. In that instance, "you" will refer to the person for whom you are completing the survey.

Information collected via this survey may be subject to release in accordance with RCW 42.56 (Public Records Act).

In the event of a request for these records, personally identifying information will be removed before any records are released. Results will not be reported in a way that makes individuals identifiable.

If you have questions or concerns, please contact a member of the Foodborne Illness Investigation team at 206-296-4774 .

If you have any problems with this website or prefer to complete the survey over the phone, please call 206-296-4774 during regular business hours Monday through Friday, 8:00 AM to 5:00 PM. If you think you may have a life-threatening illness, call 9-1-1.

You will not be able to skip questions except for those marked optional.