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           OFERATION DESERT STOR)( ~EPLOYMENT QUESTZON~AIRE

      The Medical Departinent would like to ask a few Q~estions
 about your ex~eriencee in the ~eeert Storm theater of operation~.
 As you know, this is tbe first time that such large numbers of
 American personnel have been stationed in the Middle East.
 Some of the conditions here are quite dt~ferent from other
 Operetional site..   Please help us to assess your health-related
 experiences by answering the following questions   TNANJ( You

 YOUR ANS~its ARE CO~pLETELY CON~iDENTIAL IN ACCORDANCE W~T~ THE
 PRIVACY ACT Op l97~.


 1    Which of the following beet describes your MAIN Job durinq
      OPEItATION ~ESERT STORM.
      A.   Worked in my usual MOS.
      B.   Ness duty.
      C    Guard duty.
      D.   Other.

 2.   Did ~ou receive a   flu" shot ~ust before or during this
      deployment?
      A.   Yes
      B.   No

 ~    Which of the following best describe~ your experience since
 Operation Desert Storm began on 17 JAN 91?
      A.   I HAVE NOT BEEN SIcx at anv time durina the o~eration.
      B.   I bad some ~INOR SYMPTOMS, but I was able to work an~
           DID NOT go to lick call.
      C    I felt SICX (mo~e than iuat minor Symptoms) but DID NOT
           go to sick Call.
      D.   I felt SICx (more than ~ust minor symptoms)1 went to
           lick call and continued to work.
      E.   I felt SICK and was Officially placed SICX IN Q(JARTERs
           or


 SINCE OPERATIO~ DESE~T STORM BEGAN U7 JAN 91), DID YOU DEVELOP
 ANY OF TfrE FOLLOWING SYMPTOMS?  PLeas~ rate each one for
 severity.

 A.   No, none    B. Yea, mild  C. ?es1 moderate   D. Yes1 Severe


  4    Fever.

  ~    Three or inore loose (unformed) bowel movements in a 24 hour
       period.

  6.   Increased gas or loose stools ~saociated With taking
       ~hemical~biolog~~~1 warfare (CBW) protectiy~ medications.

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