Outbreak Survey Assignment

OVERVIEW
Using Epi Info 7, develop a questionnaire/survey to collect data from the fictitious aggregate for
the disease you are researching for your Outbreak Survey Assignment. You will submit your
Outbreak Survey with a cover page and reference list in current APA format. You must list the
Epi Info 7 program and any other resources you used as references in making your survey.

INSTRUCTIONS
Your survey will include the following:
1. Demographic information: name, sex, address, date of birth, age, ethnicity, race,
occupation, email, and phone number.
2. Symptoms and illness: onset, duration, location, fever, date of visit to or by DNP
or other health care provider, hospitalization, treatment, and date of death (if
applicable).
3. Lab tests conducted and results, if applicable.
4. Exposure of interest (travel, foods eaten, other sick people or animals he/she has
been exposed to).
5. Any other questions you deem appropriate as it relates to the role of the DNP in
outbreak surveys
6. Brief overview of the role of the DNP in developing outbreak surveys