Thank you for sharing your beach-related illness with us. Please describe your illness and location in the title and other fields. (Para español favor de cambiar el idioma arriba y elegir la forma correcta a continuación.")

To learn more about your local water quality, visit Please also consider reporting your sickness to your local health department and/or beach testing agency.

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Report Title *

Description *

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Categories *

What were your symptoms? Check all that apply: *

Did you see a doctor? *

If treated, what was the diagnosis and treatment?

How long after you were in the water did your illness symptoms start? *

How many times have you been sick from the water at this beach?

How long did your illness last? *

Will you allow Surfrider Foundation to contact you? If yes, please provide info below. This will not be shared publicly. *

Did you observe a distinct source of pollution or algal bloom? Please describe. *

Which state (if US) or country (if non-US) were you visiting? *

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Last Name


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* Search for your location using a location name OR latitude,longitude coordinates (format: 38.19, 85.61), OR click on the map to pinpoint the correct location..

Location Name *
Example: Corner of City Market, 5th Street & 4th Avenue, Johannesburg

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