Clone of RICO TRIBE

1

Name

First Name

Last Name

2

Email

example@example.com

3

Phone Number

Indicatif régional

Numéro de téléphone

4

Have you ever gone on a trip without access to your phone or the internet for several days?

Yes

No, but I'm eager to try

No

5

How do you feel about temporarily handing your phone over to our team, to be returned at the end of the experience?

A form of freedom

A major worry

Curiosity

Apprehension

I don’t want to be without my phone

6

Do you feel comfortable with an experience involving minimal physical effort ?

Yes, no problem at all

Yes, with some adaptation if needed

No, I prefer a very comfortable environment

7

Would you be willing to experience something, even if it means stepping out of your comfort zone?

Yes

Non

Yes, to a certain extent

8

The program is carefully curated but not revealed in advance. Are you comfortable with that?

yes

no

yes, under certain conditions

Other

9

How do you react when things are out of your control

I adapt

I resist

I shut down

I observe

10

What could potentially hold you back the most in this experience? open-ended question

11

What would you like this experience to bring you (and/or your loved ones/your team)? open-ended question

12

Thank you for your sincerity!

This adventure is not for everyone.

That is what makes it so precious.

This questionnaire is the first stage of the selection process.

We will contact you shortly regarding the next steps.