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votre
aventure
Sirname
Name
Birth date
Mail
Phone number
Postal adress
Permits
Allergies
Diet
Size
Weight
Shoe size
Head size
54-56 cm (S)
56-58 cm (M)
58-60 cm (L)
60-62 cm (XL)
62-64 cm (XXL)
What kind of sportsman are you?
1 - Sport? I do it between Netflix episodes on Sundays... but it's rare!
2
3
4
5 - I take sport as part of my lifestyle, to keep fit and feel good.
6
7
8
9
10 - Sport is my passion, my life... I do it every day and it's not enough.
What kind of adventurer are you?
1 - Adventure is all very well on TV, but it's certainly not for me!
2
3
4
5 - I've never had the chance to go on an adventure, but I'm increasingly tempted, as long as it's comfortable.
6
7
8
9
10 - Mike Horn holds no secrets for me... I'm a true adventurer.
What is your greatest sporting achievement?
From a personal point of view, what do you expect from this experience?
Do you suffer from vertigo or fear of heights?
1 - Perched in the air, the void beneath my feet, I'm in my element and I love it!
2
3
4
5
7
8
9
10 - Just looking down at my feet makes me dizzy.
Are you claustrophobic, afraid of confined spaces?
1 - I could sleep in a cave, like a baby!
2
3
4
5
7
8
9
10 - Impossible to take the lift, I feel faint.
Are you afraid of water, the ocean or white water?
1 - I'm like a fish in water!
2
3
4
5
7
8
9
10 - Apart from my bath, I won't put a toe in the water.
Are you afraid of animals?
Dogs
Birds
Horses
Insects
Snakes
Any other fear?
To swim
0 - I don't know how to do it
1
2
3
4
5 - I know how!
To sing
0 - I don't know how to do it
1
2
3
4
5 - I know how!
To climb
0 - I don't know how to do it
1
2
3
4
5 - I know how!
To ride a bike
0 - I don't know how to do it
1
2
3
4
5 - I know how!
To ski
0 - I don't know how to do it
1
2
3
4
5 - I know how!
To cook
0 - I don't know how to do it
1
2
3
4
5 - I know how!
To ride a horse
0 - I don't know how to do it
1
2
3
4
5 - I know how!
To surf
0 - I don't know how to do it
1
2
3
4
5 - I know how!
Handicrafts
0 - I don't know how to do it
1
2
3
4
5 - I know how!
To fish
0 - I don't know how to do it
1
2
3
4
5 - I know how!
To play an instrument
Do you have a health problem to declare?
Have you ever heard of Mikado Adventure?
Yes
No
If so, how?
En validant le questionnaire, j’autorise Mikado Adventure à traiter mes données personnelles dans le cadre de la prochaine aventure !
En validant ce questionnaire, j'autorise Mikado Adventure à exploiter et utiliser les photos/vidéos de l'aventure où j'apparais, sous toutes formes et tous supports.
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