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* 1. What date (Mo/Day/Year) did you swim?

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* 2. What time of day did you swim?

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* 3. How many minutes were spent in shallow water less than three feet deep?

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* 4. Was the lake bottom:

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* 5. Was there evidence of snails on the bottom?

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* 6. What area of Intermediate Lake did you swim in?

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* 7. What is the gender and age of the affected individual?

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* 8. How many people who swam that day were affected?

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* 9. Were preventative measures taken such as applying creams or lotions before going into the water?

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* 10. Did the person affected dry vigorously with a towel after swimming?

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