2020 Walloon Lake Swimmer's Itch Reporting Form
Email address *
Do you have any of the following symptoms? (Check all that apply) *
Required
Please provide a description of the lake location where you think you may have gotten Swimmer's Itch. *
Enter the date of your latest swimming activity. *
MM
/
DD
/
YYYY
Enter the approximate time of day of your latest swimming activity. *
Time
:
Wind Direction *
What apparel were you wearing? *
Approximately how deep was the water you were swimming in? *
Required
Have you gotten Swimmer's Itch before this incident? *
If you have gotten Swimmer's Itch before, please describe. *
How old are you? *
Are you part of the rashguard study? *
Name the brand and size of the rash guard you wore during the time in the water.
How long were you active in the water? (minutes)
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