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Thank you for offering your help with this survey.

As you know, CRKC found significant levels of faecal bacteria (E. coli and Enterococcus spp) in the river Kent last summer - at all 6 sites where river water was sampled. Full report available here.
 
These bacteria live in the gut, and usually cause no problems. However, they can cause sickness in those exposed to polluted river water. This may be a brief episode of vomiting and diarrhea, or a mild respiratory illness, but may be more serious with a fever, dehydration and kidney problems.
 
We are requesting people who become ill after contact with water in the river Kent (swimming, paddling, kayaking, angling etc.) to complete this questionnaire.

We are asking for personal details so we can contact you, but, if you prefer not to provide these, then please do complete the form anyway. The information will still be helpful.
 
We will monitor episodes of sickness through the summer, and publish a report in the autumn with  information about the relative health risks of water-based leisure activities in the river Kent.
 
Please tell your family, friends or colleagues, and if you hear of someone who has been ill, please encourage them to complete the survey.
 
All information provided will be treated in confidence and stored securely within the requirements of the GDPR. You can request that we delete your information at any point.
 
Any questions or suggestions please email: senstaveley@gmail.com

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* 1. Location along river Kent where you/other got sick (please describe as clearly as possible and add a grid reference and/or postcode if known)

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* 2. Please provide details of the date you were in the water, and the date you got ill

Date
Time
Date
Time

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* 3. Please tick the illness suffered.

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* 4. Please tick all that apply.

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* 5. The next 3 questions ask for your name, email and phone number. If you prefer not to answer these that is fine - you can submit anonymous data. If you are ok to share your details (which will be stored in accordance with GDPR regulations) please insert your name below.

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* 6. Email

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* 7. Phone number

Thank you for responding. If you have any other questions please do get in touch: insert email......

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And don't forget to click on DONE below to submit your responses.

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