Global Travel Survey 2008

To be in with a chance of winning - please answer the following questions.

Have you visited or are you visiting one of the countries below:

Argentina, Bangladesh, Belize, Bolivia, Botswana, Brazil, Cambodia, Cameroon, China, Colombia, Costa Rica, Ecuador, Egypt, El Salvador, Ethiopia, Gambia, Ghana, Guatemala, Guyana, Haiti, Honduras, India, Indonesia, Kenya, Korea, Laos, Madagascar, Malawi, Malaysia, Mexico, Morocco, Mozambique, Myanmar, Namibia, Nepal, Nicaragua, Pakistan, Paraguay, Peru, Philippines, Saudi Arabia, South Africa, Sri Lanka, Tanzania, Thailand, Turkey, Uganda, Vanuatu, Venezuela, Vietnam, Zaire, Zambia, Zimbabwe

YES NO

During your travels did you / are you going to use the following?

Anti-malarials
YES    NO
Insect/bite Repellent?
YES    NO
Mosquito net?
YES    NO
Insect/bite Repellent with at least 50% DEET?
YES    NO    UNSURE

If you are currently travelling or have travelled:

Did you seek advice from a health professional before you left?
YES NO
How did you rate the advice?
GOOD OK POOR N/A
How do you rate your knowledge of malaria?
GOOD OK POOR N/A

About you:

Date of Birth:  
Sex:  
Male      Female
Nationality:  

PRIZE DRAW:

If you would like to be entered for our prize draw please enter your name, email address and choice of prize below:

First Name: Last Name:
Email:

My preferred prize is:

MONTH’S SUPPLY OF BEER ANNUAL CINEMA PASS
EUROHIKE 65L BACKPACK