{"id":11222,"date":"2025-05-21T13:22:56","date_gmt":"2025-05-21T13:22:56","guid":{"rendered":"https:\/\/nileofhope.org\/?page_id=11222"},"modified":"2025-05-21T13:31:30","modified_gmt":"2025-05-21T13:31:30","slug":"pre-arrival-survey","status":"publish","type":"page","link":"https:\/\/nileofhope.org\/en\/pre-arrival-survey\/","title":{"rendered":"Appointments &#8211; Copy"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"11222\" class=\"elementor elementor-11222\" data-elementor-post-type=\"page\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-77b8852 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"77b8852\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element 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\ud83c\udf0d\ud83d\udc99<\/p>\n                        <\/div><form method='post' enctype='multipart\/form-data'  id='gform_27'  action='\/en\/wp-json\/wp\/v2\/pages\/11222' data-formid='27' novalidate>\n                        <div class='gform-body gform_body'><div id='gform_fields_27' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_27_1\" class=\"gfield gfield--type-text gfield--input-type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_27_1\" ><label class='gfield_label gform-field-label' for='input_27_1'>Full Name (as it should appear on ID, certificates)<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_1' id='input_27_1' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/div><fieldset id=\"field_27_3\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_hidden\"  data-js-reload=\"field_27_3\" ><div class='admin-hidden-markup'><i class='gform-icon gform-icon--hidden'><\/i><span>Hidden<\/span><\/div><legend class='gfield_label gform-field-label' >Have you been to Egypt before?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_27_3'>\n\t\t\t<div class='gchoice gchoice_27_3_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_3' type='radio' value='Yes'  id='choice_27_3_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_27_3_0' id='label_27_3_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_27_3_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_3' type='radio' value='No'  id='choice_27_3_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_27_3_1' id='label_27_3_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_27_4\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_hidden\"  data-js-reload=\"field_27_4\" ><div class='admin-hidden-markup'><i class='gform-icon gform-icon--hidden'><\/i><span>Hidden<\/span><\/div><legend class='gfield_label gform-field-label' >What are your primary goals for this visit Nile of hope hospital ?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_27_4'>\n\t\t\t<div class='gchoice gchoice_27_4_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_4' type='radio' value='To learn about healthcare practices in Egypt.'  id='choice_27_4_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_27_4_0' id='label_27_4_0' class='gform-field-label gform-field-label--type-inline'>To learn about healthcare practices in Egypt.<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_27_4_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_4' type='radio' value='To explore potential partnerships or collaborations.'  id='choice_27_4_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_27_4_1' id='label_27_4_1' class='gform-field-label gform-field-label--type-inline'>To explore potential partnerships or collaborations.<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_27_4_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_4' type='radio' value='To observe patient care and hospital operations.'  id='choice_27_4_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_27_4_2' id='label_27_4_2' class='gform-field-label gform-field-label--type-inline'>To observe patient care and hospital operations.<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_27_4_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_4' type='radio' value='To understand the challenges and successes of  Nile of hope hospital'  id='choice_27_4_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_27_4_3' id='label_27_4_3' class='gform-field-label gform-field-label--type-inline'>To understand the challenges and successes of  Nile of hope hospital<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_27_4_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_4' type='radio' value='To share knowledge and best practices.'  id='choice_27_4_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_27_4_4' id='label_27_4_4' class='gform-field-label gform-field-label--type-inline'>To share knowledge and best practices.<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_27_4_5'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_4' type='radio' value='gf_other_choice'  id='choice_27_4_5' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_27_4_5' id='label_27_4_5' class='gform-field-label gform-field-label--type-inline'>Other<\/label><br \/><input id='input_27_4_other' class='gchoice_other_control' name='input_4_other' type='text' value='Other' aria-label='Other Choice, please specify'  disabled='disabled' \/>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_27_5\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_27_5\" ><legend class='gfield_label gform-field-label' >Do you have any dietary restrictions or allergies?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_27_5'>\n\t\t\t<div class='gchoice gchoice_27_5_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_5' type='radio' value='Vegetarian'  id='choice_27_5_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_27_5_0' id='label_27_5_0' class='gform-field-label gform-field-label--type-inline'>Vegetarian<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_27_5_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_5' type='radio' value='Vegan'  id='choice_27_5_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_27_5_1' id='label_27_5_1' class='gform-field-label gform-field-label--type-inline'>Vegan<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_27_5_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_5' type='radio' value='Gluten-Free'  id='choice_27_5_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_27_5_2' id='label_27_5_2' class='gform-field-label gform-field-label--type-inline'>Gluten-Free<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_27_5_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_5' type='radio' value='Nut Allergy'  id='choice_27_5_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_27_5_3' id='label_27_5_3' class='gform-field-label gform-field-label--type-inline'>Nut Allergy<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_27_5_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_5' type='radio' value='gf_other_choice'  id='choice_27_5_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_27_5_4' id='label_27_5_4' class='gform-field-label gform-field-label--type-inline'>Other<\/label><br \/><input id='input_27_5_other' class='gchoice_other_control' name='input_5_other' type='text' value='Other' aria-label='Other Choice, please specify'  disabled='disabled' \/>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_27_6\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_27_6\" ><legend class='gfield_label gform-field-label' >Scrub \/ White Coat Size ( Woman )<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_27_6'>\n\t\t\t<div class='gchoice gchoice_27_6_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_6' type='radio' value='XXS'  id='choice_27_6_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_27_6_0' id='label_27_6_0' class='gform-field-label gform-field-label--type-inline'>XXS<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_27_6_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_6' type='radio' value='XS'  id='choice_27_6_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_27_6_1' id='label_27_6_1' class='gform-field-label gform-field-label--type-inline'>XS<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_27_6_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_6' type='radio' value='S'  id='choice_27_6_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_27_6_2' id='label_27_6_2' class='gform-field-label gform-field-label--type-inline'>S<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_27_6_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_6' type='radio' value='M'  id='choice_27_6_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_27_6_3' id='label_27_6_3' class='gform-field-label gform-field-label--type-inline'>M<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_27_6_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_6' type='radio' value='L'  id='choice_27_6_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_27_6_4' id='label_27_6_4' class='gform-field-label gform-field-label--type-inline'>L<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_27_6_5'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_6' type='radio' value='XL'  id='choice_27_6_5' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_27_6_5' id='label_27_6_5' class='gform-field-label gform-field-label--type-inline'>XL<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_27_6_6'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_6' type='radio' value='XXL'  id='choice_27_6_6' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_27_6_6' id='label_27_6_6' class='gform-field-label gform-field-label--type-inline'>XXL<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_27_6_7'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_6' type='radio' value='3XL'  id='choice_27_6_7' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_27_6_7' id='label_27_6_7' class='gform-field-label gform-field-label--type-inline'>3XL<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_27_38\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_27_38\" ><a style=\"font-weight:bold;text-decoration:underline\" href=\"https:\/\/docs.google.com\/document\/d\/1sxdFefYb6k2CoqoFO2-A4lQK4n11Of8h\/edit?usp=sharing&amp;ouid=109780960617501734088&amp;rtpof=true&amp;sd=true\" target=\"_blank\" rel=\"noopener\"> Size Charts <\/a><\/div><fieldset id=\"field_27_36\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_27_36\" ><legend class='gfield_label gform-field-label' >Scrub \/ White Coat Size ( Men )<\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_27_36'>\n\t\t\t<div class='gchoice gchoice_27_36_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_36' type='radio' value='XS'  id='choice_27_36_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_27_36_0' id='label_27_36_0' class='gform-field-label gform-field-label--type-inline'>XS<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_27_36_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_36' type='radio' value='S'  id='choice_27_36_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_27_36_1' id='label_27_36_1' class='gform-field-label gform-field-label--type-inline'>S<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_27_36_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_36' type='radio' value='M'  id='choice_27_36_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_27_36_2' id='label_27_36_2' class='gform-field-label gform-field-label--type-inline'>M<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_27_36_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_36' type='radio' value='L'  id='choice_27_36_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_27_36_3' id='label_27_36_3' class='gform-field-label gform-field-label--type-inline'>L<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_27_36_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_36' type='radio' value='XL'  id='choice_27_36_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_27_36_4' id='label_27_36_4' class='gform-field-label gform-field-label--type-inline'>XL<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_27_36_5'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_36' type='radio' value='XXL'  id='choice_27_36_5' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_27_36_5' id='label_27_36_5' class='gform-field-label gform-field-label--type-inline'>XXL<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_27_35\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_27_35\" ><a style=\"font-weight:bold;text-decoration:underline\" href=\"https:\/\/docs.google.com\/document\/d\/1sxdFefYb6k2CoqoFO2-A4lQK4n11Of8h\/edit?usp=sharing&amp;ouid=109780960617501734088&amp;rtpof=true&amp;sd=true\" target=\"_blank\" rel=\"noopener\"> Size Charts <\/a><\/div><div id=\"field_27_33\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_27_33\" ><label class='gfield_label gform-field-label' for='input_27_33'>Please provide your Crocs size .<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_33' id='input_27_33' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_27_7\" class=\"gfield gfield--type-text gfield--input-type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_27_7\" ><label class='gfield_label gform-field-label' for='input_27_7'>Do you have any medical needs or accessibility requests?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_7' id='input_27_7' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_27_8\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_hidden\"  data-js-reload=\"field_27_8\" ><div class='admin-hidden-markup'><i class='gform-icon gform-icon--hidden'><\/i><span>Hidden<\/span><\/div><label class='gfield_label gform-field-label' for='input_27_8'>Anything else we can do to make your visit special?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_8' id='input_27_8' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_27_12\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_hidden\"  data-js-reload=\"field_27_12\" ><div class='admin-hidden-markup'><i class='gform-icon gform-icon--hidden'><\/i><span>Hidden<\/span><\/div><h3 class=\"gsection_title\">On a scale of 1 to 5, where 1 is &quot;Not at all important&quot; and 5 is &quot;Extremely important&quot;, how important is it for you to:<\/h3><\/div><div id=\"field_27_9\" class=\"gfield gfield--type-survey gfield--input-type-rating gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_hidden gsurvey-survey-field \"  data-field-class=\"gsurvey-survey-field\" data-js-reload=\"field_27_9\" ><div class='admin-hidden-markup'><i class='gform-icon gform-icon--hidden'><\/i><span>Hidden<\/span><\/div><label class='gfield_label gform-field-label' >Understand patient outcomes<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container gsurvey-rating-wrapper'><div class='gsurvey-rating' id='input_27_9'><input name='input_9' type='radio' value='grating9c8933a9f'  id='choice_27_9_0'    \/><label for='choice_27_9_0' title='Excellent'><span>Excellent<\/span><\/label><input name='input_9' type='radio' value='grating98f2b131e'  id='choice_27_9_1'    \/><label for='choice_27_9_1' title='Pretty good'><span>Pretty good<\/span><\/label><input name='input_9' type='radio' value='grating933a3a104'  id='choice_27_9_2'    \/><label for='choice_27_9_2' title='Neutral'><span>Neutral<\/span><\/label><input name='input_9' type='radio' value='grating99260f566'  id='choice_27_9_3'    \/><label for='choice_27_9_3' title='Not so great'><span>Not so great<\/span><\/label><input name='input_9' type='radio' value='grating9167ad330'  id='choice_27_9_4'    \/><label for='choice_27_9_4' title='Terrible'><span>Terrible<\/span><\/label><\/div><\/div><\/div><div id=\"field_27_13\" class=\"gfield gfield--type-survey gfield--input-type-rating gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_hidden gsurvey-survey-field \"  data-field-class=\"gsurvey-survey-field\" data-js-reload=\"field_27_13\" ><div class='admin-hidden-markup'><i class='gform-icon gform-icon--hidden'><\/i><span>Hidden<\/span><\/div><label class='gfield_label gform-field-label' >Observe clinical procedures<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container gsurvey-rating-wrapper'><div class='gsurvey-rating' id='input_27_13'><input name='input_13' type='radio' value='grating9c8933a9f'  id='choice_27_13_0'    \/><label for='choice_27_13_0' title='Excellent'><span>Excellent<\/span><\/label><input name='input_13' type='radio' value='grating98f2b131e'  id='choice_27_13_1'    \/><label for='choice_27_13_1' title='Pretty good'><span>Pretty good<\/span><\/label><input name='input_13' type='radio' value='grating933a3a104'  id='choice_27_13_2'    \/><label for='choice_27_13_2' title='Neutral'><span>Neutral<\/span><\/label><input name='input_13' type='radio' value='grating99260f566'  id='choice_27_13_3'    \/><label for='choice_27_13_3' title='Not so great'><span>Not so great<\/span><\/label><input name='input_13' type='radio' value='grating9167ad330'  id='choice_27_13_4'    \/><label for='choice_27_13_4' title='Terrible'><span>Terrible<\/span><\/label><\/div><\/div><\/div><div id=\"field_27_14\" class=\"gfield gfield--type-survey gfield--input-type-rating gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_hidden gsurvey-survey-field \"  data-field-class=\"gsurvey-survey-field\" data-js-reload=\"field_27_14\" ><div class='admin-hidden-markup'><i class='gform-icon gform-icon--hidden'><\/i><span>Hidden<\/span><\/div><label class='gfield_label gform-field-label' >Discuss administrative processes<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container gsurvey-rating-wrapper'><div class='gsurvey-rating' id='input_27_14'><input name='input_14' type='radio' value='grating9c8933a9f'  id='choice_27_14_0'    \/><label for='choice_27_14_0' title='Excellent'><span>Excellent<\/span><\/label><input name='input_14' type='radio' value='grating98f2b131e'  id='choice_27_14_1'    \/><label for='choice_27_14_1' title='Pretty good'><span>Pretty good<\/span><\/label><input name='input_14' type='radio' value='grating933a3a104'  id='choice_27_14_2'    \/><label for='choice_27_14_2' title='Neutral'><span>Neutral<\/span><\/label><input name='input_14' type='radio' value='grating99260f566'  id='choice_27_14_3'    \/><label for='choice_27_14_3' title='Not so great'><span>Not so great<\/span><\/label><input name='input_14' type='radio' value='grating9167ad330'  id='choice_27_14_4'    \/><label for='choice_27_14_4' title='Terrible'><span>Terrible<\/span><\/label><\/div><\/div><\/div><div id=\"field_27_15\" class=\"gfield gfield--type-survey gfield--input-type-rating gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_hidden gsurvey-survey-field \"  data-field-class=\"gsurvey-survey-field\" data-js-reload=\"field_27_15\" ><div class='admin-hidden-markup'><i class='gform-icon gform-icon--hidden'><\/i><span>Hidden<\/span><\/div><label class='gfield_label gform-field-label' >Learn about medical equipment\/technology<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container gsurvey-rating-wrapper'><div class='gsurvey-rating' id='input_27_15'><input name='input_15' type='radio' value='grating9c8933a9f'  id='choice_27_15_0'    \/><label for='choice_27_15_0' title='Excellent'><span>Excellent<\/span><\/label><input name='input_15' type='radio' value='grating98f2b131e'  id='choice_27_15_1'    \/><label for='choice_27_15_1' title='Pretty good'><span>Pretty good<\/span><\/label><input name='input_15' type='radio' value='grating933a3a104'  id='choice_27_15_2'    \/><label for='choice_27_15_2' title='Neutral'><span>Neutral<\/span><\/label><input name='input_15' type='radio' value='grating99260f566'  id='choice_27_15_3'    \/><label for='choice_27_15_3' title='Not so great'><span>Not so great<\/span><\/label><input name='input_15' type='radio' value='grating9167ad330'  id='choice_27_15_4'    \/><label for='choice_27_15_4' title='Terrible'><span>Terrible<\/span><\/label><\/div><\/div><\/div><div id=\"field_27_16\" class=\"gfield gfield--type-text gfield--input-type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_27_16\" ><label class='gfield_label gform-field-label' for='input_27_16'>Are there any specific questions or topics you hope to have addressed during your visit?<\/label><div class='ginput_container ginput_container_text'><input name='input_16' id='input_27_16' type='text' value='' class='large'      aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_27_37\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  data-js-reload=\"field_27_37\" ><label class='gfield_label gform-field-label' for='input_27_37'>Are you someone who values meaningful details, practical details, or aesthetic details more?\u2060<\/label><div class='ginput_container ginput_container_text'><input name='input_37' id='input_27_37' type='text' value='' class='large'      aria-invalid=\"false\"   \/> <\/div><\/div><div id=\"field_27_19\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_hidden\"  data-js-reload=\"field_27_19\" ><div class='admin-hidden-markup'><i class='gform-icon gform-icon--hidden'><\/i><span>Hidden<\/span><\/div><h3 class=\"gsection_title\">Preferred Check-in  date for   Plaza Hotel Alexandria<\/h3><\/div><div id=\"field_27_17\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datepicker gfield--datepicker-no-icon gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_hidden\"  data-js-reload=\"field_27_17\" ><div class='admin-hidden-markup'><i class='gform-icon gform-icon--hidden'><\/i><span>Hidden<\/span><\/div><label class='gfield_label gform-field-label' for='input_27_17'>Date<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_17' id='input_27_17' type='text' value='' class='datepicker gform-datepicker mdy datepicker_no_icon gdatepicker-no-icon'   placeholder='mm\/dd\/yyyy' aria-describedby=\"input_27_17_date_format\" aria-invalid=\"false\" aria-required=\"true\"\/>\n                            <span id='input_27_17_date_format' class='screen-reader-text'>MM slash DD slash YYYY<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_27_17' class='gform_hidden' value='https:\/\/nileofhope.org\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/div><fieldset id=\"field_27_18\" class=\"gfield gfield--type-time gfield--input-type-time gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_hidden\"  data-js-reload=\"field_27_18\" ><div class='admin-hidden-markup'><i class='gform-icon gform-icon--hidden'><\/i><span>Hidden<\/span><\/div><legend class='gfield_label gform-field-label gfield_label_before_complex' >Time<\/legend><div class=\"ginput_container ginput_complex gform-grid-row\">\n                        <div class='gfield_time_hour ginput_container ginput_container_time gform-grid-col' id='input_27_18'>\n                            <input type='number' maxlength='2' name='input_18[]' id='input_27_18_1' value=''  min='0' max='12' step='1'  placeholder='HH' aria-required='false'   \/> \n                            <label class='gform-field-label gform-field-label--type-sub hour_label screen-reader-text' for='input_27_18_1'>Hours<\/label>\n                        <\/div>\n                        <div class=\"below hour_minute_colon gform-grid-col\">:<\/div>\n                        <div class='gfield_time_minute ginput_container ginput_container_time gform-grid-col'>\n                            <input type='number' maxlength='2' name='input_18[]' id='input_27_18_2' value=''  min='0' max='59' step='1'  placeholder='MM' aria-required='false'  \/>\n                            <label class='gform-field-label gform-field-label--type-sub minute_label screen-reader-text' for='input_27_18_2'>Minutes<\/label>\n                        <\/div>\n                        <div class='gfield_time_ampm ginput_container ginput_container_time below gform-grid-col' >\n                                \n                                <select name='input_18[]' id='input_27_18_3'  >\n                                    <option value='am' >AM<\/option>\n                                    <option value='pm' >PM<\/option>\n                                <\/select> \n                                <label class='gform-field-label gform-field-label--type-sub am_pm_label screen-reader-text' for='input_27_18_3'>AM\/PM<\/label>                                \n                           <\/div>\n                    <\/div><\/fieldset><div id=\"field_27_23\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_hidden\"  data-js-reload=\"field_27_23\" ><div class='admin-hidden-markup'><i class='gform-icon gform-icon--hidden'><\/i><span>Hidden<\/span><\/div><h3 class=\"gsection_title\">Preferred Check-out  date for   Plaza Hotel Alexandria<\/h3><\/div><div id=\"field_27_24\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datepicker gfield--datepicker-no-icon gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_hidden\"  data-js-reload=\"field_27_24\" ><div class='admin-hidden-markup'><i class='gform-icon gform-icon--hidden'><\/i><span>Hidden<\/span><\/div><label class='gfield_label gform-field-label' for='input_27_24'>Date<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_24' id='input_27_24' type='text' value='' class='datepicker gform-datepicker mdy datepicker_no_icon gdatepicker-no-icon'   placeholder='mm\/dd\/yyyy' aria-describedby=\"input_27_24_date_format\" aria-invalid=\"false\" aria-required=\"true\"\/>\n                            <span id='input_27_24_date_format' class='screen-reader-text'>MM slash DD slash YYYY<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_27_24' class='gform_hidden' value='https:\/\/nileofhope.org\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/div><fieldset id=\"field_27_25\" class=\"gfield gfield--type-time gfield--input-type-time gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_hidden\"  data-js-reload=\"field_27_25\" ><div class='admin-hidden-markup'><i class='gform-icon gform-icon--hidden'><\/i><span>Hidden<\/span><\/div><legend class='gfield_label gform-field-label gfield_label_before_complex' >Time<\/legend><div class=\"ginput_container ginput_complex gform-grid-row\">\n                        <div class='gfield_time_hour ginput_container ginput_container_time gform-grid-col' id='input_27_25'>\n                            <input type='number' maxlength='2' name='input_25[]' id='input_27_25_1' value=''  min='0' max='12' step='1'  placeholder='HH' aria-required='false'   \/> \n                            <label class='gform-field-label gform-field-label--type-sub hour_label screen-reader-text' for='input_27_25_1'>Hours<\/label>\n                        <\/div>\n                        <div class=\"below hour_minute_colon gform-grid-col\">:<\/div>\n                        <div class='gfield_time_minute ginput_container ginput_container_time gform-grid-col'>\n                            <input type='number' maxlength='2' name='input_25[]' id='input_27_25_2' value=''  min='0' max='59' step='1'  placeholder='MM' aria-required='false'  \/>\n                            <label class='gform-field-label gform-field-label--type-sub minute_label screen-reader-text' for='input_27_25_2'>Minutes<\/label>\n                        <\/div>\n                        <div class='gfield_time_ampm ginput_container ginput_container_time below gform-grid-col' >\n                                \n                                <select name='input_25[]' id='input_27_25_3'  >\n                                    <option value='am' >AM<\/option>\n                                    <option value='pm' >PM<\/option>\n                                <\/select> \n                                <label class='gform-field-label gform-field-label--type-sub am_pm_label screen-reader-text' for='input_27_25_3'>AM\/PM<\/label>                                \n                           <\/div>\n                    <\/div><\/fieldset><div id=\"field_27_20\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_hidden\"  data-js-reload=\"field_27_20\" ><div class='admin-hidden-markup'><i class='gform-icon gform-icon--hidden'><\/i><span>Hidden<\/span><\/div><h3 class=\"gsection_title\">Preferred Check-in  date for   la boutique hotel Giza<\/h3><\/div><div id=\"field_27_21\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datepicker gfield--datepicker-no-icon gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_hidden\"  data-js-reload=\"field_27_21\" ><div class='admin-hidden-markup'><i class='gform-icon gform-icon--hidden'><\/i><span>Hidden<\/span><\/div><label class='gfield_label gform-field-label' for='input_27_21'>Date<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_21' id='input_27_21' type='text' value='' class='datepicker gform-datepicker mdy datepicker_no_icon gdatepicker-no-icon'   placeholder='mm\/dd\/yyyy' aria-describedby=\"input_27_21_date_format\" aria-invalid=\"false\" aria-required=\"true\"\/>\n                            <span id='input_27_21_date_format' class='screen-reader-text'>MM slash DD slash YYYY<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_27_21' class='gform_hidden' value='https:\/\/nileofhope.org\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/div><fieldset id=\"field_27_22\" class=\"gfield gfield--type-time gfield--input-type-time gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_hidden\"  data-js-reload=\"field_27_22\" ><div class='admin-hidden-markup'><i class='gform-icon gform-icon--hidden'><\/i><span>Hidden<\/span><\/div><legend class='gfield_label gform-field-label gfield_label_before_complex' >Time<\/legend><div class=\"ginput_container ginput_complex gform-grid-row\">\n                        <div class='gfield_time_hour ginput_container ginput_container_time gform-grid-col' id='input_27_22'>\n                            <input type='number' maxlength='2' name='input_22[]' id='input_27_22_1' value=''  min='0' max='12' step='1'  placeholder='HH' aria-required='false'   \/> \n                            <label class='gform-field-label gform-field-label--type-sub hour_label screen-reader-text' for='input_27_22_1'>Hours<\/label>\n                        <\/div>\n                        <div class=\"below hour_minute_colon gform-grid-col\">:<\/div>\n                        <div class='gfield_time_minute ginput_container ginput_container_time gform-grid-col'>\n                            <input type='number' maxlength='2' name='input_22[]' id='input_27_22_2' value=''  min='0' max='59' step='1'  placeholder='MM' aria-required='false'  \/>\n                            <label class='gform-field-label gform-field-label--type-sub minute_label screen-reader-text' for='input_27_22_2'>Minutes<\/label>\n                        <\/div>\n                        <div class='gfield_time_ampm ginput_container ginput_container_time below gform-grid-col' >\n                                \n                                <select name='input_22[]' id='input_27_22_3'  >\n                                    <option value='am' >AM<\/option>\n                                    <option value='pm' >PM<\/option>\n                                <\/select> \n                                <label class='gform-field-label gform-field-label--type-sub am_pm_label screen-reader-text' for='input_27_22_3'>AM\/PM<\/label>                                \n                           <\/div>\n                    <\/div><\/fieldset><div id=\"field_27_27\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_hidden\"  data-js-reload=\"field_27_27\" ><div class='admin-hidden-markup'><i class='gform-icon gform-icon--hidden'><\/i><span>Hidden<\/span><\/div><h3 class=\"gsection_title\">Preferred Check-out  date for   la boutique hotel Giza<\/h3><\/div><div id=\"field_27_28\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datepicker gfield--datepicker-no-icon gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_hidden\"  data-js-reload=\"field_27_28\" ><div class='admin-hidden-markup'><i class='gform-icon gform-icon--hidden'><\/i><span>Hidden<\/span><\/div><label class='gfield_label gform-field-label' for='input_27_28'>Date<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_28' id='input_27_28' type='text' value='' class='datepicker gform-datepicker mdy datepicker_no_icon gdatepicker-no-icon'   placeholder='mm\/dd\/yyyy' aria-describedby=\"input_27_28_date_format\" aria-invalid=\"false\" aria-required=\"true\"\/>\n                            <span id='input_27_28_date_format' class='screen-reader-text'>MM slash DD slash YYYY<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_27_28' class='gform_hidden' value='https:\/\/nileofhope.org\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/div><fieldset id=\"field_27_29\" class=\"gfield gfield--type-time gfield--input-type-time gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_hidden\"  data-js-reload=\"field_27_29\" ><div class='admin-hidden-markup'><i class='gform-icon gform-icon--hidden'><\/i><span>Hidden<\/span><\/div><legend class='gfield_label gform-field-label gfield_label_before_complex' >Time<\/legend><div class=\"ginput_container ginput_complex gform-grid-row\">\n                        <div class='gfield_time_hour ginput_container ginput_container_time gform-grid-col' id='input_27_29'>\n                            <input type='number' maxlength='2' name='input_29[]' id='input_27_29_1' value=''  min='0' max='12' step='1'  placeholder='HH' aria-required='false'   \/> \n                            <label class='gform-field-label gform-field-label--type-sub hour_label screen-reader-text' for='input_27_29_1'>Hours<\/label>\n                        <\/div>\n                        <div class=\"below hour_minute_colon gform-grid-col\">:<\/div>\n                        <div class='gfield_time_minute ginput_container ginput_container_time gform-grid-col'>\n                            <input type='number' maxlength='2' name='input_29[]' id='input_27_29_2' value=''  min='0' max='59' step='1'  placeholder='MM' aria-required='false'  \/>\n                            <label class='gform-field-label gform-field-label--type-sub minute_label screen-reader-text' for='input_27_29_2'>Minutes<\/label>\n                        <\/div>\n                        <div class='gfield_time_ampm ginput_container ginput_container_time below gform-grid-col' >\n                                \n                                <select name='input_29[]' id='input_27_29_3'  >\n                                    <option value='am' >AM<\/option>\n                                    <option value='pm' >PM<\/option>\n                                <\/select> \n                                <label class='gform-field-label gform-field-label--type-sub am_pm_label screen-reader-text' for='input_27_29_3'>AM\/PM<\/label>                                \n                           <\/div>\n                    <\/div><\/fieldset><fieldset id=\"field_27_30\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_hidden\"  data-js-reload=\"field_27_30\" ><div class='admin-hidden-markup'><i class='gform-icon gform-icon--hidden'><\/i><span>Hidden<\/span><\/div><legend class='gfield_label gform-field-label' >Room Type Preference: Please indicate the type of room you would prefer during your stay.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_27_30'>\n\t\t\t<div class='gchoice gchoice_27_30_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_30' type='radio' value='Single Room'  id='choice_27_30_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_27_30_0' id='label_27_30_0' class='gform-field-label gform-field-label--type-inline'>Single Room<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_27_30_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_30' type='radio' value='Double Room'  id='choice_27_30_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_27_30_1' id='label_27_30_1' class='gform-field-label gform-field-label--type-inline'>Double Room<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_27_30_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_30' type='radio' value='gf_other_choice'  id='choice_27_30_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_27_30_2' id='label_27_30_2' class='gform-field-label gform-field-label--type-inline'>Other<\/label><br \/><input id='input_27_30_other' class='gchoice_other_control' name='input_30_other' type='text' value='Other' aria-label='Other Choice, please specify'  disabled='disabled' \/>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_27_31\" class=\"gfield gfield--type-text gfield--input-type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_hidden\"  data-js-reload=\"field_27_31\" ><div class='admin-hidden-markup'><i class='gform-icon gform-icon--hidden'><\/i><span>Hidden<\/span><\/div><label class='gfield_label gform-field-label' for='input_27_31'>If you want to choose a double room, you can mention the name of the person who wants to share the room with you<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container 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