NF Academy – participation survey

Your name: *

Your email:

Your profession/education/interests:

Enter the phone number that you will use in Portugal: *

We plan to use a WhatsApp group to communicate in Portugal.
Please state:

Yes - I am fine with that

No - I do not want to be part of a whatsapp group

FLIGHT :
I will arrive in Lisbon on:

I will arrive in Lisbon at:

Flight number /Airline:

I want a pick up from the airport and accompaniment to the first accommodation
at "Beco Anexo à Estrada Mata da Torre, 2785-599 São Domingos de Rana":

If you wish to give us more info regarding your travel, please enter here:

ACCOMMODATION :
During the NF Academy in Portugal you will share a double room with another participant. If you have special needs and you cannot share a room with others, please inform us. We try to take all your wishes into account up to availability: I want to have …

a double room together with... (please enter name below):

a single room (please please tell us what you need below):

FOOD:
Do you have food intolerances or are you not allowed to eat certain foods?

ACCOMPANIMENT:
For travelling within Portugal, we offer accompaniment for all journeys. Please tell us which accompaniment you prefer (1 or more answers possible):

I wish to be accompanied during all travels by the organizers.

I wish to be accompanied during all travels by the organizers or participants of the academy.

I would like to be taken to each departure point and picked up at the end point.

If I get clear instructions, I can travel on my own.

MY FITNESS LEVEL:

When being on the road/walking for more than 1/2 hour I need to make a rest.

Being on the road/walking for several hours a day is still relaxing for me.

LECTURE:
“Visit of a Molecular Biology Lab“
We are finalizing the program with the APNF team and work hard on the program´s details. We would like to ask you to summarize all the significant questions you may have related to scientific research. Please inform us of all the questions/topics that you wish to be addressed during the visit at the molecular biology lab with the scientists:

PROGRAM:
Please choose all kind of leisure time program you would like to do in Lisbon. We try to consider all wishes in the planning:

Visit a museum

Visit a theater

Swimming in a pool

Evening at the seaside

Visit location with view over the city/countryside

I prefer to use public transport

I prefer to go by private mini bus

More info you want to give regarding your stay at the NF Academy in Portugal:

Data privacy: *

I have read the Privacy Policy note. I agree that my details and data will be collected and stored electronically to answer my request.

NF Academy – participation survey

Your Stay at the NF Patients Academy 2023