Questionnaire quarantine assistance

1. Which country are you from?

2. Do you need help on your first day of arrival?

yes

no

3. Do you know someone living in Gemany who can help you?

yes

no

4. When exactly will you arrive in Germany? (Date and Time!)

5. Where will you stay after arriving in Germany? Where will you quarantine?

6. Are there any specifics in your diet? (e.g. vegetarian)

yes

no

If yes, what exactly?

7. Are you allergic to something

yes

no

If yes, what allergies?

8. What is your name?

9. What is your gender?

male

female

diverse

10. What is your e-mail adress and phone number?

11. What is your phone number? *

12. Are you fully vaccinated? (In Germany, you are considered as fully vaccinated 14 days after the 2nd vaccination dose). *

yes

no

13. If yes, which vaccine did you receive? (BioNTech, AstraZeneca, ...)

I agree that my data will be saved and passed on to potential helpers for the purpose of quarantine assistance. *

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