Superyacht Crew Gastrointestinal Symptom Self-Reporting Template
Crew Member Name
Position
Date of Onset
Time of Onset
Symptoms Noticed (check all that apply)
Vomiting
Diarrhea
Nausea
Stomach Pain
Fever
Brief Description of Symptoms
Did you have contact with anyone sick on board? If yes, specify who and when.
Food or drink consumed in last 24h (meals, snacks, water source, etc)
Action Taken (reported to whom, isolation, medical attention, etc)
Additional Comments