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Missions Trip Questionnaire
1
Name
*
This field is required.
First Name
Last Name
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2
Phone Number
*
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Please enter a valid phone number.
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3
Name of Organization
*
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4
Email
*
This field is required.
example@example.com
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5
Please choose type of missionary work and a brief description of your ministry.
*
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Please Select
Street Evangelism
Building/Service
Medical
Church Services
Other
Please Select
Please Select
Street Evangelism
Building/Service
Medical
Church Services
Other
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6
What age will most of the team be?
This is so we can plan itinerary to better serve you. If you prefer not to answer, we respect your privacy.
Younger
Older
Mixed
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7
Are you interested in doing a scouting trip with just your leaders?
*
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YES
NO
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8
What are your estimated dates of travel?
*
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If you don't know yet, click next.
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9
What airport will you be flying out of?
*
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This is so we can estimate your airfare. We will estimate one carry on and two checked bags/person.
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10
Would like assistance in purchasing airfare?
*
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YES
NO
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11
Airfare Admin Fee
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12
How many estimated nights will you be staying?
*
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13
How many people do you estimate will be traveling?
*
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Doesn't need to be exact, just an estimate.
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14
Choose Your Lodging
*
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Please click here for more lodging details.
Casa Sayu $40/night/person
Casa Adulam $30/night/person
Casa 10 $10/night/person
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15
How many ministry events do you estimate you will have?
*
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We recommend around seven per week.
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16
Do you need translation services?
*
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YES
NO
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17
How many translators will you need?
*
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We recommend one translator per five people per event.
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18
Do you need transportation services?
*
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YES
NO
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19
Choose your mode of transport
*
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15 Passenger Van - $40/day
20 Passenger Bus - $50/day
25 Passenger Bus - $60/day
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20
What style of breakfast would you like?
*
This field is required.
Mixed means we will do one breakfast American and another Ecuadorian.
American
Ecuadorian
Mixed
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21
Do you need lunch and dinner meals provided?
*
This field is required.
Please note we will do pack lunches during ministry events
YES
NO
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22
What style of meals would you like?
*
This field is required.
Mixed means we will do one meal American and another Ecuadorian.
American
Ecuadorian
Mixed
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23
Is there anyone with special diet(s) or dietary restrictions?
We respect your privacy.
YES
NO
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24
Please list special diet(s) or dietary restrictions here
*
This field is required.
Please be as specific as possible
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25
Quito has an elevation of 9,350 feet, which is rather high. Is there anyone who has a medical condition we should be aware of related to high altitude?
This is so we can better assist. If you prefer not to share, we respect your privacy.
YES
NO
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26
Are there any other medical conditions we should be aware of?
This is so we can better assist. We respect your privacy.
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27
Will you be bringing medical equipment (non medication equipment)?
*
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YES
NO
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28
List all equipment with name, quantity, weight, and description of each item.
This is so we can communicate with customs of all medical items being brought into the country.
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29
Will you be bringing medicine for distribution?
*
This field is required.
YES
NO
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30
List medication name, quantity, dosage strength, and expiry date
*
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31
Is there anything else you would like to add?
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32
Lodging Estimate
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33
Food Estimate
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34
Translator Estimate Per Person
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35
Transportation Estimate Per Person
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36
Admin Cost Per Person
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37
Estimated Airfare Cost
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38
Estimated Cost Per Person Total
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39
Total Trip Cost
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40
Estimated Costs
Total Lodging/Person
{lodgingEstimate}
Total Meals/Person
${foodEstimate}
Total Translators Cost/Person
{translatorEstimate58}
Total Transport Cost/Person
{transportationEstimate}
Total Admin Cost/Person
{adminCost}
Total Airfare Admin Cost/Person
${airfareAdmin}
Total Airfare Cost/Person
${estimatedAirfare}
Grand Total Cost/Person
{estimatedCost}
Grand Total
$ {totalTrip}
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