Response-O-Matic Form

QUESTIONNAIRE

Your Participation is on a "Share Expenses" basis
US $10 day/person on full participation. Short term crew no longer considered.

Check below # (32) if interested to partner with us in the Video Production
"OCEANIS II SAIL ODYSSEY TO THE ANCIENT HUB OF CIVILAZIONS"

First/Last Name. (1)
Single/Maried/Divorced/Widowed. (2)
E-mail Address. (3)
Where did you learn about us. (4)
Sea Sickness/Alergies. (5)
Sail Experience As. Where/When (*). (6)
Sailing Courses. Specify/Where/When (*). (7)
Navigation Courses. Specify/Where/When (*). (8)
Crewing Experience. Best/Worst and Why(*). (9)
Why do you want to sail specifically on Oceanis II. (10)
Sail for the whole voyage. yes/no. (11)
Your Share per Day $10. yes/no. (12)
City/Country of Birth. (13)
City/Country present location. (14)
Nationality. (15)
Passport Expiration Date: yyyy/mm/dd. (16)
Health Condition. (17)
Birth Date: yyyy/mm/dd. (18)
Height (m/ft). (19)
Weight.(Kg/Lb). (20)
Faith. (21)
Language(s) Spoken. (22)
Diet Restrictions. (23)
Your profession. (24)
Hobbies. (25)
Sport Activities.(26)

Computer Proficiency. (27) None. Beginner. Intermediate. Experienced. Programer.

Sailing Level. (28) None. Beginner. Intermediate. Experienced. Veteran/Professional.

Food Habit. (29) None. Omnivore. Vegetarian. Quasi-Vegetarian. Vegan.

                     Preferred Crew Position. (30)    Deckhand.      Cook.            First Mate.      Can be all.
                               Video Production. (31)      No.         Camera.     Editor.        Sound.                     Writer.
                          Partnership with us. (32)    No.                 Active.             Passive.           Need Information.
                                   SWIMMER.(*) (33)       No.        Marginal.        Good.             Excellent.
                              SCUBA DIVER.(*) (34)    No.              Open Ocean.    Advanced.       Instructor.
            FIRST AID.(*) (35) No.          Yes.
                                          CPR.(*) (36)       No.              Yes.

Questions. (*) (37) (6)(7)(8)(9)(33)(34)(35) If lacking qualifications, please specify what you intend to do about them.

(38) Your Comment(s) and/or Question(s)

Bebore you submit this form, please answer ALL 37 questions, they are important.
Add any additional information about yourself,
They may help you become part of
A congenial Crew.

Please note:
(1) Oceanis is an ecology conscious vessel with zero tolerance for tobaco, drugs and alcohol.
(2) There is no insurance nor liability for personal property and
For anyone joining the voyage while on board and on land.
(3) A recent medical checkup (complete physical) is required
Signed by a practicing medical doctor of your choice.
(4) Your Participation is on a "Share Expenses" basis
US$10 per day per person on full participation.
(5) Short term crew no longer considered.

Home Page

First/Last Name. (1)

Single/Maried/Divorced/Widowed. (2)

E-mail Address. (3)

Where did you learn about us. (4)

Sea Sickness/Alergies. (5)

Sail Experience As. Where/When (*). (6)

Sailing Courses. Specify/Where/When (*). (7)

Navigation Courses. Specify/Where/When (*). (8)

Crewing Experience. Best/Worst and Why(*). (9)

Why do you want to sail specifically on Oceanis II. (10)

Sail for the whole voyage. yes/no. (11)

Your Share per Day $10. yes/no. (12)

City/Country of Birth. (13)

City/Country present location. (14)

Nationality. (15)

Passport Expiration Date: yyyy/mm/dd. (16)

Health Condition. (17)

Birth Date: yyyy/mm/dd. (18)

Height (m/ft). (19)

Weight.(Kg/Lb). (20)

Faith. (21)

Language(s) Spoken. (22)

Diet Restrictions. (23)

Your profession. (24)

Hobbies. (25)

Sport Activities.(26)