文档介绍：来访者健康问卷MEDICALQUESTIONNAIRE姓名Name公司名称(panyName(ifapplicable)联系地址ContactatSite来访原由ReasonforVisit请在相应格内打ÖPleaseÖapplicablebox是否曾经有或是以下病毒携带者Haveoureverhadorbeenacarrierof:YesNo一种食物带来的疾病Afoodbornedisease伤寒或副伤寒Typhoidorparatyphoid肺结核Tuberculosis寄生性传染病Parasiticinfectionsqqqqqqqq你的任何一位家人是否有遭受到以上疾病?Hasanyclosefamilysufferedfromanyoftheabove?qq你或你周围的人是否曾遭受以下痛苦?Haveyouoranyclosecontactsufferedfromanyofthefollowing?复发性严重的腹泻和呕吐Recurringseriousdiarrhoeaorvomiting复发性的皮肤病Recurringskintrouble复发性的疖子,睑腺炎或糜烂性手指Recurringboils,stiesorsepticfingers复发性的失聪,失明,龋齿/口中Recurringdischargefromtheears,eyes,gums/mouthqqqqqqqq请具体给出任何其它医疗问题,这些问题可能会影响你成为一个合格的食品类员工,例如,复发性的肠胃失调。Pleasegivedetailsofanyothermedicalproblemswhichmayaffectyouremploymentasafoodhandler,forexample,recurringgastrointestinaldisorder..qq最近三个月内是否曾经出国?Haveyoubeenabroadwithinthelast3months?qq如果有,哪里?IfYes,where?