REALM OF THE TIGER PROGRAMME: Application Questionnaire
This questionnaire is for individuals who are interested to participate in the Realm of the Tiger programme in 23-27 March 2017. Please note that selection will be made by MYCAT based on an assessment of this questionnaire. Selected candidates will be notified via e-mail by 20 December 2016 or earlier to proceed with the registration process.
Full Name
Your answer
Gender
Age (as of 1 November 2016)
Your answer
E-mail address
Your answer
Current job title and affiliation
Your answer
T-shirt size
Medical condition
Blood type
Dietary requirement
Your answer
Your current height (cm) and weight (kg), (e.g. 160cm, 65kg)
Your answer
Do you have any medical condition (e.g. asthma, diabetes, heart condition) which might affect your ability to complete, or require emergency treatment during the trip?
Your answer
Do you have any allergies (e.g. bee sting, food allergy, penicillin)?
Your answer
How would you describe the state of your mental health?
How would you describe the state of your physical health?
Compared to others of the same age and gender, how fit are you?
Do you have permanent injuries/diabilities? (If yes, does it affect you in any way when carrying out strenuous activities?)
Your answer
Are you currently taking any medication? (If yes, what medicine(s) are you taking and for what condition?)
Your answer
Do you have medical and/or personal accident insurance?
Experience in outdoor activities
How confident are you in completing this programme with little/no help?
Do you have previous experience in hiking/trekking/camping? (If yes, please briefly describe the activities, the type of environment you hiked/camped in and how frequently you have been on such trips in the past year)
Your answer
Are you trained in First Aid, including CPR?
Do you own a hammock/tent? (If you are selected for this programme, do you plan to bring your hammock/tent for the overnight camping?)
Your answer
Please share any comments/concerns that you may have with us regarding your participation in this programme.
Your answer
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