ST.

JOSEPH’s COLLEGE OF ARTS & SCIENCE (AUTONOMOUS)

CUDDALORE
PG AND RESEARCH DEPARTMENT OF MICROBIOLOGY
SURVEY ON TYPHOID

PERSONAL DETAILS

NAME :
AGE :
SEX :
ADDRESS :
1. How severe were your symptoms?

a) Mild b) Moderate c) Severe

2. When were you diagnosed with typhoid fever?

a) Within the last 6 months b) More than 6 months ago

3. Did you seek medical treatment when you first experienced

symptoms?

a) Yes, immediately b) Yes, after a few days c) Not sure

4. Where you hospitalized due to typhoid fever?

a) Yes b) No c) Not

5. Did you receive appropriate treatment for typhoid fever?

a) Yes b) No

6. Which of the following symptoms did you experience during your

typhoid fever?

a) Prolonged fever b) Headache c) Diarrhea d) Vomiting

7. Did you experience any complications as a result of typhoid fever?

a) Yes b) No c) Not sure

8. How did typhoid fever affect your daily life during the illness?

a) Significantly disrupted b) Minimally disrupted

c) Not at all disrupted.
9. Did any other member of your family also contract typhoid fever
during the same period?

a) Yes b) No c) Not Sure

10. What type of medication or treatment did you receive for typhoid
fever?

a) Antibiotics b) Intravenous Fluids c) Antipyretics

d) No medication

11. Did you make any specific change to your diet during or after having
typhoid fever?

a) Consumed only easily digestible foods.

b) Avoided certain foods or beverages.

c) Increased intake of fluids.

d) No, I did not make any changes.

12. How long did it take for you to recover fully from typhoid fever?

a) Less than a week b) 1-2 weeks c) 2-4 weeks

d) Greater than 4 weeks.

13. What measures do you take now to prevent the recurrence of

typhoid fever or similar illnesses?

a) Improved hygiene practices. b) Vaccination

c) Avoiding contaminated food & water. d) All

14. Do you have access to clear drinking water and adequate sanitation
facilities?

a) Yes b) No c) Partially

15. Do you practice proper hygiene and sanitation methods to prevent

typhoid fever?

a) Always b) Sometimes c) Rarely d) Never

16. Have you received the typhoid fever vaccine?

a) Yes b) No

17. Do you believe there is enough awareness about typhoid in your

community?

a) Yes b) No c) Unsure

18. Are you aware of the importance of food safety in preventing

typhoid fever?

a) Yes b) No c) Somewhat

19. Were you aware of typhoid fever before being diagnosed?

a) Yes b) No c) Not Sure

20. How often do you wash your hands with soaps and water?

a) Always b) Frequently c) Occasionally d) Rarely