E. coli outbreak

First name *

Last name *

Email *

What is your contact number? *

When did you purchase the recalled product? *

Day

Month

Year

Which shop was your recalled product purchased from? *

Please confirm the name of sandwich/wrap you consumed *

Did you retain proof of purchase? *

Yes

No

Have you been formally diagnosed with an E. coli infection? *

Yes

No

When did you first become ill? *

Day

Month

Year

What symptoms did you develop?

Have you sought medical treatment from your GP? *

Yes

No

Have you been admitted to hospital as a result of your illness? *

Yes

No

Did anyone else in your household become ill? *

Yes

No

How did you hear about us? *

We treat all data in accordance with our privacy policy.

Ockenden report must be the moment maternity care changes, says Leigh Day