Questionnaire

Once your booking has been confirmed, please assist us in anticipating your requirements and/or matching you with another couple by completing the following questionnaire and pressing the Send to SEASIA button:

Email address:
Full Name:
Telephone Number:

Have you been on an overnight boat trip before?	Yes/No	Yes No
Would you like to be involved with the operation of the yacht?	Yes/No	Yes No
Do you suffer from seasickness?	Yes/No	Yes No
Is your swimming ability good?	Yes/No	Yes No
Do you smoke?	Yes/No	Yes No
Do you have a medical condition we should be aware of? (eg: epilepsy)   If yes, please specify	Yes/No   If Yes, please specify	Yes No

What nationality are you?
What languages do you speak?
What decade where you born in?

What activities do you like to participate in? Please give the following activities a rating of between 1 and 6 with 1 being the most preferred:	Sailing	1 (Best) 2 3 4 5 6 1 (Best) 2 3 4 5 6 1 (Best) 2 3 4 5 6 1 (Best) 2 3 4 5 6 1 (Best) 2 3 4 5 6 1 (Best) 2 3 4 5 6
	Swimming
	Snorkelling
	Fishing
	Jungle /wildlife
	Village visits
What other activities improve your holiday? Please give the following a rating of between 1 and 6 with 1 being the most preferred	Relaxing	1 (Best) 2 3 4 5 6 1 (Best) 2 3 4 5 6 1 (Best) 2 3 4 5 6 1 (Best) 2 3 4 5 6 1 (Best) 2 3 4 5 6 1 (Best) 2 3 4 5 6
	Reading
	Sunbaking
	Socialising
	Drinking
	Out there doing activities
For food fanatics, please give the following suggestions a rating of between 1 and 6 with 1 rating the highest	Variety of list below	1 (Best) 2 3 4 5 6 1 (Best) 2 3 4 5 6 1 (Best) 2 3 4 5 6 1 (Best) 2 3 4 5 6 1 (Best) 2 3 4 5 6 1 (Best) 2 3 4 5 6
	Local (curries, fish, rice)
	Seafood (fish, prawns, squid)
	Meat (beef, chicken, lamb,)
	Western (burger, pizza)
	Pasta (spaghetti, lasagne)
Please advise any foods you don't like or are allergic to:	Food dislikes
Please advise who you are making a booking with:	Partner Family Friends