[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-1-en-105":3,"doc-seo-238077-105":53,"doc-detail-238077-en":126},{"code":4,"msg":5,"data":6},0,"success",[7,14,19,24,29,34,39,44,49],{"id":8,"doc_module":9,"doc_module_name":10,"category_name":11,"show_sort_weight":12,"slug":13},11,1,"Template","Presentations",90,"presentations",{"id":15,"doc_module":9,"doc_module_name":10,"category_name":16,"show_sort_weight":17,"slug":18},12,"Resumes",80,"resumes",{"id":20,"doc_module":9,"doc_module_name":10,"category_name":21,"show_sort_weight":22,"slug":23},14,"Invoices",70,"invoices",{"id":25,"doc_module":9,"doc_module_name":10,"category_name":26,"show_sort_weight":27,"slug":28},15,"Posters",60,"posters",{"id":30,"doc_module":9,"doc_module_name":10,"category_name":31,"show_sort_weight":32,"slug":33},16,"Social Media",50,"social-media",{"id":35,"doc_module":9,"doc_module_name":10,"category_name":36,"show_sort_weight":37,"slug":38},17,"Forms",40,"forms",{"id":40,"doc_module":9,"doc_module_name":10,"category_name":41,"show_sort_weight":42,"slug":43},18,"Letters",30,"letters",{"id":45,"doc_module":9,"doc_module_name":10,"category_name":46,"show_sort_weight":47,"slug":48},21,"Paper Templates",5,"papers-templates",{"id":50,"doc_module":9,"doc_module_name":10,"category_name":51,"show_sort_weight":4,"slug":52},158,"General","general-158",{"code":4,"msg":54,"data":55},"ok",{"site_id":56,"language":57,"slug":58,"title":59,"keywords":60,"description":61,"schema_data":62,"social_meta":119,"head_meta":121,"extra_data":123,"updated_unix":125},105,"en","pre-travel-consultation-questionnaire-template","Pre-Travel Consultation Questionnaire Template","","Pre-travel consultation questionnaire template for travelers to provide personal details, trip information, and itinerary specifics, including departure date, return details, possible extensions, and prior international travel. Collects travel destination characteristics, travel companions, and purpose categories such as pleasure, business, healthcare, humanitarian, study, or visiting friends/family. Gathers planned activities, accommodations, car rental plans, insurance status, primary and emergency contacts, and comprehensive health history covering chronic conditions, medications, recent vaccinations, mental health, cardiovascular, respiratory, immune system, and related risk factors.",{"@graph":63,"@context":118},[64,80,101],{"@type":65,"itemListElement":66},"BreadcrumbList",[67,71,74,77],{"item":68,"name":69,"@type":70,"position":9},"https://docshare.wps.com","Home","ListItem",{"item":72,"name":10,"@type":70,"position":73},"https://docshare.wps.com/template/",2,{"item":75,"name":36,"@type":70,"position":76},"https://docshare.wps.com/template/forms/",3,{"item":78,"name":59,"@type":70,"position":79},"https://docshare.wps.com/template/pre-travel-consultation-questionnaire-template/238077/",4,{"url":78,"name":59,"@type":81,"image":82,"author":87,"headline":59,"publisher":90,"fileFormat":93,"inLanguage":57,"description":61,"dateModified":94,"datePublished":95,"encodingFormat":93,"isAccessibleForFree":96,"interactionStatistic":97},"DigitalDocument",{"url":83,"@type":84,"width":85,"height":86},"https://docshare.wps.com/thumbnails/pre-travel-consultation-questionnaire-template/238077.png","ImageObject",442,249,{"name":88,"@type":89},"Miles","Person",{"url":68,"name":91,"@type":92},"DocShare","Organization","application/pdf","2026-10-22","2026-09-11",true,{"@type":98,"interactionType":99,"userInteractionCount":15},"InteractionCounter",{"@type":100},"ViewAction",{"@type":102,"mainEntity":103},"FAQPage",[104,110,114],{"name":105,"@type":106,"acceptedAnswer":107},"What personal details are requested in this pre-travel questionnaire?","Question",{"text":108,"@type":109},"It asks for the traveler’s name (including preferred name), date of birth, phone numbers, country of birth, gender and preferred pronouns, email, and citizenship.","Answer",{"name":111,"@type":106,"acceptedAnswer":112},"What trip information must be provided?",{"text":113,"@type":109},"It requires departure date, return date or trip length, whether an extension is possible, prior international travel details, and a country-by-country itinerary in visit order.",{"name":115,"@type":106,"acceptedAnswer":116},"Which health history areas are covered?",{"text":117,"@type":109},"It covers chronic conditions and medication use, new or unstable health problems under clinician care, need for special equipment, last dental visit, vaccination history in the past 30 days, mental health and antidepressant use, and multiple medical risks including immune disorders and related medication exposure.","https://schema.org",{"og:url":78,"og:type":120,"og:title":59,"og:site_name":91,"og:description":61},"article",{"robots":122,"canonical":78},"index,follow",{"doc_id":124,"site_id":56},238077,1791255564,{"code":4,"msg":5,"data":127},{"doc_id":124,"user_id":128,"nickname":88,"user_avatar":129,"doc_module":9,"category_id":35,"category_name":36,"doc_title":59,"doc_description":61,"doc_content":130,"file_id":131,"file_url":132,"file_type":133,"file_size":134,"view_count":15,"is_deleted":4,"is_public":9,"is_downloadable":9,"audit_status":9,"page_count":76,"language":135,"language_code":57,"site_id":56,"html_lang":57,"table_of_contents":136,"faqs":137,"seo_title":138,"seo_description":61,"update_tm":139,"read_time":9},13056703019404,"https://ap-avatar.wpscdn.com/davatar_29158cc5080c5b710cf443261637dec0","PreTravel  \nConsultation Questionnaire Template  \nPersonal Information: Please complete this section Date:    \nTraveler’s Name: Preferred Name:  \n\n| Date of Birth: |  |\n| --- | --- |\n| Phone: (Cell) | (Home) |\n| Country Of Birth: |  |\n| Employer: |  |\n\n\n| ☐Male ☐Female ☐ Other: | Preferred Pronouns: |\n| --- | --- |\n| Email: |  |\n| Citizenship: |  |\n\nDate of Departure:   Return date/length of trip:   Possible Extension: ☐ Yes ☐ No  \nHave you traveled internationally in the past? ☐ Yes ☐ No Where?    \nDo you intend to travel frequently in the future? ☐ Yes ☐ No ☐ Maybe  \nItinerary: Please give ALL countries to be visited, including stopovers, in the order (if possible) to be visited:  \n1.   6.   2.   7.   3.   8.    \n4.   9.    \n5.   10.    \nDestination (􀀳all that apply) : ☐Urban ☐Rural ☐Remote ☐High Altitude ☐Jungle Is this a fixed itinerary? ☐ Yes ☐ No ☐ Unsure  \nWill You be traveling alone? ☐ Yes ☐ No If yes, please describe your group   \nPurpose of trip (check all that apply):  \n☐ Pleasure ☐ Business ☐ Mass Gathering ☐ Adoption  \n☐ Health Care Patient ☐ Group tour ☐ Volunteer/Humanitarian aid ☐Health Care Worker  \n☐ Visiting Friends/Family ☐ Long-stay traveler ☐ ☐ Study Abroad  \nAccommodations (check all that apply):  \n☐ Hotel ☐ Rented Home /Airbnb ☐ Camping/Glamping ☐ Hostel ☐ Dormitory  \n☐ Resort ☐ Safari Lodge ☐ Staying with locals/family/friends ☐ Cruise  \nPlanned Activities (check all that apply):  \n☐ Air Travel ☐ Office work ☐ Visiting plants or installations ☐ Biking / Hiking  \n☐ Snorkeling ☐ Swimming ☐ Rafting ☐ Visiting schools, hospitals  \nor orphanages  \n☐ Scuba ☐ Jogging ☐ Climbing/trekking ☐ Attending meetings/ classes  \n☐ Contact with animals ☐ Cave/spelunking ☐ Public transport (bus, train, etc.) ☐ Other:    \n☐ Medical or dental work ☐ Boating ☐ Volunteering:    \nDo you plan to rent a car? ☐ Yes ☐ No Have you obtained travel medical assistance insurance? ☐ Yes ☐ No  \nPrimary Health Care Provider:   Telephone:   Emergency Contact: Name: Relationship: Phone:  \nEmail:   \nHealth History:  \nDo you have any chronic health problems for which you take medication on a regular basis or see a health care provider? Yes No If  \nyes, please explain:    \nAre you currently under the care of a clinician for any new or unstable health problem?: ☐ Yes ☐ No  \nIf yes, please explain:   Do you have any chronic health problems requiring special equipment (i.e., oxygen, wheelchair, syringes, CPAP): ☐ Yes ☐ No  \nIf yes, please explain:   When was your last dental visit?    \nDo you currently have or do you have a past history of:  \nAny vaccinations in the past 30 days? ......................................................................... Yes No  \nAntidepressant or mental health medication use ........................................................... Yes No  \nDepression, anxiety, panic attacks .............................................................................. Yes No  \nDiabetes ................................................................................................................ Yes No  \nPsoriasis or eczema (skin disease) ............................................................................... Yes No  \nSeizures or convulsions .............................................................................................. Yes No  \nHeart conduction abnormality, irregular pulse, have a pacemaker ................................... Yes No  \nHeart disease or cardiac surgery .................................................................................. Yes No  \nBleeding disorder.................................................................................................................. Yes No  \nDeep Vein Thrombosis / risk factor.......................................................................................... Yes No  \nRespiratory (lung) disease  ....................................................................... Yes No  \nAsthma, Severe allergies..............................................","cbCaioFrvLUAcRVl","https://ap.wps.com/l/cbCaioFrvLUAcRVl","pdf",146698,"English","# Personal Information\n## Trip Details and Itinerary\n## Travel Preferences and Activities\n## Health and Emergency Information","[{\"question\":\"What personal details are requested in this pre-travel questionnaire?\",\"answer\":\"It asks for the traveler’s name (including preferred name), date of birth, phone numbers, country of birth, gender and preferred pronouns, email, and citizenship.\"},{\"question\":\"What trip information must be provided?\",\"answer\":\"It requires departure date, return date or trip length, whether an extension is possible, prior international travel details, and a country-by-country itinerary in visit order.\"},{\"question\":\"Which health history areas are covered?\",\"answer\":\"It covers chronic conditions and medication use, new or unstable health problems under clinician care, need for special equipment, last dental visit, vaccination history in the past 30 days, mental health and antidepressant use, and multiple medical risks including immune disorders and related medication exposure.\"}]","Pre-Travel Consultation Questionnaire Template | PDF",1789130701]