All information is optional, but the more information given, the better we can determine the proper treatment action. Please be as objective as possible.
E-mail address:
Please give a brief description of the location of the activity:
What day did the activity occur? Today Yesterday The day before yesterday
What time of day did the activity occur? before dawn morning daylight afternoon evening daylight after dusk
How many mosquito bites occurred? 0 1 or 2 3 to 6 more than 6
How many blood bearing mosquitoes were seen or swatted? 0 1 or 2 3 to 6 more than 6
Any other information would be helpful: