Full Name:
Email:
Have you ever been to Cambodia?
Ye
No
Are you travelling with others?
Yes
No
Total People In Your Group:
1
2
3
4
6
7
8
9
10
11
12
13
15+
Total Nights:
Have you booked flights already?
Yes
No
Departure Flight Details:
Intended Travel Month
January
February
March
April
May
June
July
August
September
October
November
December
Would you like airport transfer services?
Y
No
Other
Would you like us to take care of your accommodation?
Y
No
Other
What type of accommodation options would you like to see?
Luxury
Mid-range
Budget
Additional notes on your accommodation preferences:
Do you need support with transportation during your stay?
Yes
No
Othe
Do you have a preferred mode of transport
I am happy with all modes of transportation
I prefer to travel by tuk tuk
I prefer to travel by car
Do you want to include cycling in your tour?
Yes, a lot of cycling
Yes, some cycling
No
On the days that include cycling, how many kilometres are you comfortable riding?
10-25km
25-35km
Option 3
45-60km
New Option
New Option
Other
Would you like meals included?
Yes, just lunches
Yes, all meals
No
What types of eateries would you like us to include?
$
$$
$$$
Which best describes your eating preferences?
Cambodian
Asian Fusion
Option 3
French
New Option
Italian
Vegan / Vegetarian
Indian
Thai
Please note down any other important dietary preferences:
While you're with us, would you like to do activities and tours with our awesome guides?
Yes, every day!
Yes, I'd like several tours built in.
Option 3
No thanks
How adventurous are you / your group?
How active are you / your group?
How interested are you / your group in exploring the ancient temples?
How interested are you / your group in learning about causes?
What impact area interests you?
Education
Shelter
Environment
New Option
New Option
Inclusion
Other
Tick all of the cultural activities that appeal to you...
Learning about NGOs
Cambodian Circus (social enterprise)
Option 3
New Option
Understanding buddhism & monk chanting
Learning about demining and meeting the Hero Rats
New Option
Market & Cooking Lessons
Pottery Lessons
Floating Villages
Other
Tick all the adventure activities that appeal to you...
Cycling Adventures
Exploring Temples
Visiting the countryside
Camping
Learning about Eco-Soap production
Zip-lining through the temples
Visiting Waterfalls
Homestays
Elephant Sanctuaries
Other
Tick all of the leisure activities that appeal to you....
Yoga
Massage / Spa
Option 3
Other
How much free time would you like built into your trip?
Describe to us your ideal trip
Is there anything else we should know?
