Employee Medical Questionnaire for Food Handlers

This employee medical questionnaire template helps employers assess new hires working with food to meet employment, health and food safety requirements. It captures personal details and screens for gastrointestinal illness, skin conditions of the hands and face, ear, eye, gum, nose and throat infections, food allergies, asthma, chest problems, seizures, dizziness and color blindness. It also asks about recent travel and any health issues affecting previous employment. The form includes a confidentiality notice and a management declaration confirming fitness to work as a food handler.