Initial Questionnaire

Client Questionnaire

General information to explore trip options.
Date

MonthDayYear
Today's Date
Name - As printed on your legal identification *

PrefixFirst NameMiddle NameLast NameSuffix
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
E-mail*
example@gmail.com
Cell Phone*
Traveler Preferences
Departure Date*

MonthDayYear
Date
Return Date*

MonthDayYear
Date
YesNo
Desired Destination:*
List all options
HotelFlightCruiseToursExcursionsEntertainment TicketsTransportationOther
Relaxation, SpaDiving, Snorkeling, FishingRomanceWatersportsHistory, Art, MuseumsNightlife, Clubs, Bars, EntertainmentLocal CultureOther
Estimate Budget:*
(per person)
YesNo
YesNo
Total # of Adults 18 or older
Total # of Children
Age(s) of Children
YesNo
YesNo
Car RentalShare RidesTaxis/Shuttles
List Airline Preference:
American Airlines, Delta, Southwest, United Air, Etc.
MorningAfternoonEveningNo Preference
List Hotel Brand Preference Below:
Hilton, Marriott, IHG, Etc.
King Bed(s)Double Bed(s)Suite(s)Other
Preferred Cruise Line
Preferred Port
Inside CabinOcean-view CabinMini-SuitesSuites
Thank you for taking the time to complete your client questionnaire. This information is essential for creating your customized trip. I will begin searching for the best deals to fit your requests.

Once again thank you for choosing Travel Stress Free Agency for your travel needs.
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Client Questionnaire