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PLAN YOUR TRIP
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Plane Your Treatment
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» Plane Your Treatment
Personal Information
Full Name
Phone
E-mail
ADDRESS
What Is The Preferred Language
Age
Gender
What Type Of Journey You Plan ?
Treatment and tour
Treatments only
What Type Of Service You Need?
MAIN SERVICE
-What Type Of Service You Need-
Guide you in treatment planning in Sri Lanka
Travel itinerary planning according to your treatment plan
Doctor appointment scheduling
Assist you in hospital identification
Doctor on call
Health Insurance assistance
Concierge Services
Foreign Currency Exchange
Visa and Embassy Liaison
Medical Escort Services
Support for Eventualities
Online Consultation Services
Other. Please Specify In the Cage
ADDITIONAL SERVICE
-What Type Of Service You Need-
Guide you in treatment planning in Sri Lanka
Travel itinerary planning according to your treatment plan
Doctor appointment scheduling
Assist you in hospital identification
Doctor on call
Health Insurance assistance
Concierge Services
Foreign Currency Exchange
Visa and Embassy Liaison
Medical Escort Services
Support for Eventualities
Online Consultation Services
Other. Please Specify In the Cage
What type of treatment you are seeking ?
MAIN TREATMENT
-What type of treatment you are seeking -
Surgery
Ayurveda
Traditional Sri Lankan
Acuputure
Aroma therapy
Homeopathy
Dental treatment
Other. Please Specify In the Cage
ADDITIONAL TREATMENT
-What type of treatment you are seeking -
Surgery
Ayurveda
Traditional Sri Lankan
Acuputure
Aroma therapy
Homeopathy
Dental treatment
Other. Please Specify In the Cage
What type of facilities you need ?
Low cost treatments
Budget hospitals
Internationally Accredited Hospital
Stay Home And Treatments
Semi Government Hospitals
Other
Please Specify Your Further Requirements
TOUR PREFERENCES IF RELEVANT ONLY
What kind of Holiday do you prefer?
Wild and adventurous
Romantic and sensuous
Healthy and rejuvenating
Fun and exciting
Thought provoking and peaceful
Other
Other. Please Specify
What would you like to see in a holiday?
Beaches
Wild life
Fauna and flora
Archeological Sites
Mountains and waterfalls
Other
Other. Please Specify
What is the most important facility you need?
Comfortable accommodation
Transportation
Guide assistance
Excellent food
Communication
Other
Other. Please Specify
What kind of accommodation pleases you?
Budget Guesthouses
4-5 Star Hotels
2-3 Star Hotels
Other
Other. Please Specify
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