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Questionnaire Related to your Upcoming Trip to Africa
Home
Questionnaire Related to your Upcoming Trip to Africa
Your upcoming vacation in Southern Africa
General
In order to be able to mitigate any potential risks associated with your upcoming travel in Africa as well as to get to know you a bit better on what you are expecting from your vacation, we would like to ask you kindly to fill out this form. The information will be treated confidentially but will be of great help to us in case we need to provide you with any assistance.
Your name
First
Last
Your best e-mail address
Current date
MM slash DD slash YYYY
Health
Health issues
Is there anyone travelling with you that has any health issues or (food) allergies that we need to be aware of? If so, please specify.
What is your blood type?
O+
A+
B+
AB+
O-
A-
B-
AB-
What is the blood type of your (flying) partner?
O+
A+
B+
AB+
O-
A-
B-
AB-
Not applicable
Blood type of others in your party?
If more than 2 are in your group, please specify the blood type of each extra participant.
Food
Food preferences
Is there anyone in your party that has any food allergies or who follows a special diet? If so, please specify.
What are the favorite drinks of those traveling with you?
Interests
Specific interests
Are there any specific interests such as seeing the Big Five, a special interest in birds, or seeing or observing something specific that you would like to share with us?
Emergency Contact Info
In case of emergencies, who can we contact?
Name
First
Last
Phone
Email
Other Comments
Additional info
Is there anything else we need to know or that you would like to share with us?
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