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Expedition Borneo health & saftey questionnaire

To continue with the process of selecting a winner to join us in Borneo, we require all participants to complete the form below. Please be completely honest with us regarding your health as we may need to make adjustments to the trip to accommodate you.

Please note that all data gathered from this questionnaire is confidential and will only be used for the purposes of assessing the health of participants in this competition. The data will not be stored. Please read our privacy policy for more information.

Name(Required)
DD slash MM slash YYYY
Do you suffer from any pre-existing long-term or current injury, condition, health issues, allergies or illness? e.g. diabetes, epilepsy, strain/sprain, wound etc(Required)
Are you currently taking any medication? This includes prescribed, cantraceptive and over the counter medication.(Required)
If yes, will you need medication on the trip?(Required)
Have you made provisions for any special medical requirements during your trip? e.g. adequate supplies of medication(Required)
Females only: Are you or could you be pregnant?(Required)
Please select which of the following up-to-date vaccines you have from the list below(Required)
Would you be willing to have the necessary vaccinations listed above (if required)?(Required)
See current vaccine advice for travelling to Malaysia here: https://travelhealthpro.org.uk/country/137/malaysia#Other_risks
Would you be willing to take anti-malaria medication (if required)?(Required)
Would you be willing to provide a fitness to travel letter from your doctor?(Required)
Have you travelled overseas or to the tropics before without issue?(Required)
Would you be able to participate in the following activities: air travel, boat travel, cave visit, forest visit(Required)