| 1. Personal Information |
| * Name: | |
| * E-mail address: | |
| Nationality: | |
| Occupation: | |
 | |
| 2. travelers information |
| Number of Travelers: | |
| Age of the Travelers: | |
| | |
| 3. When to go | |
| Date of the trip: | Fixed: |
| | Flexible:
“our trip could be arranged during the following month(s):
|
| How many days are you available in Peru? | |
| | |
| 4. Where to go
Please rate in order of priority the places you would like to visit during your trip (starting from # 1 as more important) |
| | | INCA TRAIL TO MACHU PICCHU (2D/1N) | | INCA TRAIL TO MACHU PICCHU (4D/3N) |
| | | SALKANTAY (6D/5N) | | CHOQUEQUIRAO (5D/4N) |
| | | SALKANTAY (5D/4N) | | SALKANTAY TO MACHU PICCHU (7D/6N) |
| | | LARES (4D/3N) | | THE COMBO EXPEDITION (8D/7N) |
| | | AUSANGATE (6D/5N) | |
| | | Other specific destinations: | |
| | |
| 5. Specific interests
Please rate the following list of interests in order of priority (starting from number 1 as more important) |
| | History |
| | Observation of flora and fauna |
| | Soft outdoor activities |
| | Outdoor sports (biking, river rafting, trekking,
sea kayaking, fishing, horseback riding…) |
| | Cultural experience (contact with local communities) |
| | Cultural activities (art, ceramics, music…) |
| | (please specify) |
| | Gastronomy |
| Other special interests (bird watching, orchids…) |
| |
| | |
| If you are interested in trying out any outdoor sports, activities during your trip, please fill out the following items: |
| Sports you usually perform at home | | Biking | | Running |
| | | Hiking | | Swimming |
| | | Tennis | | Gym |
| Other sports: | |
| | |
| How many hours a week do you usually exercise? | |
| | |
| Activities/sports you would like to try during your visit to Peru | | Mountain Biking | | Trekking |
| | | Hiking | | Sea Kayaking |
| | | River Rafting | | Horseback riding |
| | | Fishing | | Surfing |
| Other activities/sports: | |
| | |
| Would you like to spend one or more nights sleeping in a tent? |
| | yes no |
| | |
| 6. Accommodation | |
| Hotel category: | 5 stars 4stars 3 stars |
| | |
| 7. Tours and transportation |
| Would you like us to arrange the domestic flights for you? | yes no |
| Would you like the tours to be in: | Private service Group service? |
| Would you like all your tours to be guided: | yes no |
| If worth it, would you be up for traveling fairly long distances by land vehicle? | Yes Rather not |
| Besides the tour to Machu Picchu, would you particularly like to cover other extensions of your trip by train? | yes no |
| | |
| 8. Other special concerns or requests: | |
| | |
| | |
