Quick Online Survey - Win a VIP Package

1

2

Your Name* This field is required.

First Name

Last Name

3

Email* This field is required.

example@example.com

4

Your Age

5

Gender

Male

Female

Do not identify

Neutral

6

CountryWhere do you reside?

7

After COVID-19 is controlled and the borders are opened, how soon are you willing to travel?Select one option

Immediately

3 months

6 months

over 1 year

When there is a cure

9

Have you ever had a medical procedure overseas?

No

Yes - minor procedures at home

Yes, minor procedure - overseas

Yes, major procedures at home

Yes, major procedures overseas

10

Would you be willing to pre-book your procedure now if you got a significant discount (10%+) and secure yourself as "priority" on the waiting list

No

Yes

Maybe, tell me more

11

Group tours can offer significant savings. Would you be interested in a group tour (max. 20) with other members if there was an additional discounts, accommodation and services included?

No

Yes

Maybe, tell me more

12

Are you interested in financing or using your Superannuation (Australia) to fund your procedure?

No

Yes

Maybe, tell me more

14

Are services on arrival important to you?Select the most important

No, I am a seasoned traveller

Yes, airport & local transport

Yes, daily nurse visits

Yes, local shopping and tours

Yes, accommodation/hotel

15

Affiliate: Would you be interested in earning money/pay for surgery to refer other patients?

Yes

Yes, I would like to know more

Yes, I am interested in a career

No, I am not interested

16

Teleconsultations are for members who want to get surgeon feedback before or after booking. Are you interested in a teleconsultation?Please select one.

Yes, if its free

Yes, if the fee can be reduced from my booking

Yes, i want the peace of mind and will pay

No, I am not interested in this service

17

Any questions or anything you wish to tell us!