Contact & Trip Basics

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Let's start with the basics so we can reach you.

Full name
Email
Phone / WhatsApp
Preferred contact method
Are you traveling solo or with a group?
Target travel dates
How flexible are your dates?
Have you traveled to Colombia before?

What are you interested in?

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Select all that apply — this helps us tailor the rest of your questionnaire.

What are you interested in?

Cosmetic & Dermatology

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Good to know: nothing is priced or scheduled today — a board-certified physician reviews your goals during a free consultation before any procedure is confirmed.

What are you interested in?

Dentistry

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Good to know: your treatment plan is finalized with a board-certified dentist during a free virtual consultation — nothing is priced or scheduled today.

What are you interested in?
Dental history & goals

Tattoos

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The perfect way to make your transformational journey.

What kind of design do you have in mind?

Wellness Experiences

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Colombia offers a variety of wellness options to foster a holistic balance across your mind, body, and spirit. Which of the options below sound interesting?

Nothing is booked yet, this just helps us get an idea an idea of how we can structure your ideal wellness journey.

What kind of experiences sound good to you? (Select all that apply)

Discovering Colombia

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Most clients extend their trip beyond treatment — a few extra days in Colombia goes a long way. Tell us what sounds appealing.

Discovering Colombia

Travel Destinations & Traveler Type

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Which sounds appealing? Select all that apply.

Travel Destinations & Traveler Type
Which traveler type sounds like you?

Packages, Budget & Logistics

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Rough numbers are all we need right now — nothing here is a final quote.

Interested in a bundled treatment + travel package?
Approximate treatment budget
Approximate travel & lodging budget
Accommodation level
Interested in a private driver?
Bilingual coordinator support
Dietary restrictions (optional)
Trip extension plans (optional)
Companion arrangements (optional)

Anything Else

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Anything else we should know?

Review

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Take a look before you send this over — every section can be edited without losing the rest of your answers.

Thank you {firstName} — we’ve got it from here.

A member of our concierge team will reach out within 1 business day to schedule your free consultation. Nothing has been priced or booked yet — that happens together, after we've talked through your goals.