Holiday Questionnaire
Holiday Questionnaire
Hello,
My name is Joseph Warner, I am 30 years old, I am of British origin and I am hearing impaired. I live near Rieupeyroux midway, in the countryside of Aveyronnaise (South of France).
I have an ambition to shortly start my own business, with the purpose of proposing holiday stays for the deaf and hearing impaired and other persons with disabilities in a relaxed setting, with different activities, including courses in the kitchen.
Our goal is to offer a holiday for equivalent quality to those who are non-disabled, also!
Your help will be invaluable to help us build our project, that is why we are asking you 5 minutes of your time to fill out this questionnaire, which will remain confidential.
We pledge to keep you informed of the evolution of our project.
You can also contact us directly:
- Joseph Warner:
josephdeafdestination@gmail.com
Thank you very much!!
* Required
1 : Have you taken a vacation for deaf people and hard of hearing before?
If Yes, Where?
Your answer
How many times?
Your answer
For how long?
Your answer
2: Would you be interested in a vacation adapted for deaf people in Aveyron (southern France)
Yes
No
Maybe
Clear selection
What length of stay would be suitable for you?
Less than a week
A week
10 days or more
4: Would you be interested in cooking classes?
Yes
No
Maybe
If yes, would you prefer to learn to cook with?
Organic health food
Foods from different countries of the world
All foods
Would you prefer your holiday to be about just learning to cook or would you prefer if there was also entertainment and if so what would be your preference ?
Not interested
Some what interested
Interested
Very interested
Yoga / Meditation
Relaxation
Cooking course
Nutritional Education
Indoor activities
Sewing
Reading
Board games
Table-tennis
Snooker
Darts
Sauna
Nature activites
Walk
Painting
Photography
Picnics by the river
Kayaking canoeing
Horse riding
Music and Dance
Not interested
Some what interested
Interested
Very interested
Yoga / Meditation
Relaxation
Cooking course
Nutritional Education
Indoor activities
Sewing
Reading
Board games
Table-tennis
Snooker
Darts
Sauna
Nature activites
Walk
Painting
Photography
Picnics by the river
Kayaking canoeing
Horse riding
Music and Dance
Clear selection
Do you have other ideas of activities that you enjoy or you might like to include?
Your answer
Regarding the age group, which group would you be most comfortable with?
Under 18
18 to 24 years
25 to 34 years
35 to 44 years
45 to 54 years
65 or over years
Or mixed
Clear selection
What is your gender?
Female
Male
Clear selection
What type of group would you prefer?
Married
Couples
Single
Family group
With children
Without children
Mixed groups
Hearing status:
I do not have a hearing problem
I'm hearing impaired
I am totally deaf
For your holiday, how would you prefer to communicate?
Only in sign language
In Spoken language
Or both
What type of group would you prefer to integrate?
People without hearing problem
Hard of hearing
Totally deaf
Mixed group
Would you reside?
In shared rooms with kitchen and shared lounges
Or separate residence
Please could you inform below:
Country and city? Your Address? your profession? Thank you.
Your answer
Thank you to enter your e-mail address.
*
Your answer
Do you know other people who might be interested in this questionnaire?
If yes, specify here their email address ... I thank you for your time!
Your answer
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