Intake Questionnaire

Please fill out the form below:

Name *

First

Last

Email *

Phone

Do you have a valid passport?

Passports are NOT valid if they expire 6 months AFTER your departure date

How are you used to travelling? Transportation, accommodation? *

What high adrenaline activities have you participated in – E.g. Taya has zip-lined and driven in a Racecar. *

Do you play golf? Tennis? Ski? Pickle Ball? Do you play any sport? *

What is the best travel experience you've ever had? Why? *

What is the worst travel experience you've ever had? Why? *

Are you willing and able to rough it? E.g. Stay at a lower end Airbnb, sleep in a tent, fly coach not seated with people you know (helps with booking flights if we don't all have to sit together), cook for ourselves. *

Are you a smoker or vaper? (For roommate choice and finding smoking zones reasons)

Do you snore?

Are you an early bird or a night owl? *

Are you ok with a roommate or would you pay for a single supplement or both? *

Do you have any phobias? E.g. Taya is afraid of deep water - Are you afraid of heights? *

Do you have any allergies? *

Do you have any issues with mobility? *

Who is your bucket list celebrity? E.g. Taya's is Donny Osmond *

Have you ever fundraised before? *

If yes to fundraising, what did you do?

Are you willing to fundraise to go on experiences? *

Yes
No
Fundraise and/or Pay

Is there anything else you think we need to know? *

What experience(s) are you interested in? *

Intake Questionnaire

Please fill out the form below:

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