Travel vaccinations and health survey

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JOURNEY DETAILS
departure date
duration of travel
Destination(s) (please list the places you intend to visit in the order from first to last and specify how long you are planning to stay in each place)
1st destination and duration of stay
2nd destination and duration of stay
3rd destination and duration of stay
4th destination and duration of stay
other destinations
How long will you be staying in
rural areas?
towns and cities?
tourist destinations?
What is the purpose of your journey?
holiday
studies
voluntary work
visiting friends/relatives
other
Accommodation
hotel
hostel
Kampus
home
camping
other
Will your travel plans include any of the following?
(mountain) climbing
diving
hiking
boating/canoeing or similar water sport