Complete before initial trip consultation.  Click on the link below “Trip Planning Questionnaire” and print off the form.  You may bring completed form with you or scan the document in a PDF format and attach to an email sent to me prior to visit.

1. Name_____________________
   1. Email____________________________________
   2. Telephone___________________________ (home or cell)
   3. Address_________________________________
   4. City____________________________________
   5. State_________________
   6. Zip___________________
2. Gender______________
3. Birth date________________
4. Name(s) and age(s) of those traveling with you ________________________________________________________________________________________________________________________________________________________________________________________________
5. Airline preference______________________
6. Lodging type preference (brand hotel, home rental, bed and breakfast, campground, hostel, RV rental)

__________________________________________________________________________________________________________________________________________________________________________________________________

7. Transportation preference (car rental, taxi, train, bus)_________________________________
8. Level of Adventure (active, moderate, relaxed)___________________________________________
9. Willingness to try new experiences________________________
10. Main reason for trip (Explore outdoors, visit historical places, most popular activities of area, experience culture, special event, shopping, sports, escape routine and relax, food of the area, theater, art or cultural opportunities, visit friends/ family, family bonding time, spiritual)

__________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

10. Length of trip and expected dates of travel_____________________________________________
11. What do you consider your best travel experience?

_________________________________________________________________________________________________________________________________________________________________________________________________

12. What do you consider your worst travel experience?

_________________________________________________________________________________________________________________________________________________________________________________________________

13. Preferred activity location (City life, country side, solitude)_________________________
14. Trip Budget__________________________
15. How did you hear about me? ______________________________

 

 

Trip Planning Questionnaire