Parent Quest Parent QuestionnaireΔ This questionnaire is for a parent/guardian to complete and is very helpful when we choose a host-family for your child/children. Please make sure we will receive it before the end of May, thank youStudent's NameStudent's Date of BirthEmergency Contact (full name)Emergency PhoneEmergency EmailAllergiesFood IntolerancesStudent's Diet- Please Select -I eat everythingI am vegetarianI am veganI am gluten-freeI am dairy-freeOther special diet (please specify in the box below)Note about the dietStudent's Sleeping Disorders- Please Select -I sleep wellI have InsomniaI suffer with Parasomnia (sleep walking)I have Somniloquy (sleep talking)I am dairy-freeOther sleeping disorders (please specify in the box below)Note about sleeping disordersDoes the Student smoke Yes NoLast Tetanus InjectionInfectious DiseasesMedical NoteParental Consent to medicine- Please Select -I agree to all kind of medicinesI agree to allopathic medicinesI agree to homeopathic, anthroposophic and other alternative remediesI do not agree to any medical treatment (if selected we contact you to discuss this option)To learn more about our protocol in case of emergency and medical treatment, please read our Terms&Conditions, paragraph 12 For any question about this questionnaire please contact admin@aelproject.com or call +447595450213 (also on WhatsApp)Submit