Disney Cruise Questionnaire
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
How many times have you been on a Disney Cruise?
*
Never
1-5
5-10
10+
Sail Date:
*
/
Month
/
Day
Year
Doesn't have to be exact!
How many nights would you like to cruise?
1-3 nights
4 nights
5-6 nights
7 nights
7 or more nights
Where would you like to go?
*
Bahamas
Caribbean
Europe
Alaska
Transatlantic
Canada
Australia/New Zealand
Bermuda
Hawaii
Other
Which port would you like to depart from?
*
Port Canaveral, FL
Miami, FL
Galveston, TX
Fort Lauderdale, FL
San Diego, CA
New Orleans, LA
New York, NY
Other
How many adults are in your party? (Ages 18+)
*
Please include yourself
Adult #1
First Name
Last Name
Adult #2
First Name
Last Name
Adult #3
First Name
Last Name
Adult #4
First Name
Last Name
Adult #5
First Name
Last Name
Adult #6
First Name
Last Name
Adult #7
First Name
Last Name
Adult #8
First Name
Last Name
How many children are in your party?
*
**Please enter their full name AND age**
Child #1
Full Name
Age
Child #2
Full Name
Age
Child #3
Full Name
Age
Child #4
Full Name
Age
Child #5
Full Name
Age
Child #6
Full Name
Age
How many staterooms do you need?
*
1
2
3
4
Other
Do you have a preference for stateroom type/location?
Inside
Verandah
Oceanview
Concierge
Aft
Midship
Forward
Not sure
Are you interested in booking the following?
Senses Spa and Salon
Port Adventures
Remy/Palo adult dining
Bibbidi Bobbidi Boutique/Pirates League
Royal Court Tea
Nursery Services
Tell me about your budget for vacation. What is your price range not including travel?
Special considerations?
Wheelchair, Disability access
Pack n Play or mini crib
Celebrating an occasion (anniversary, birthday, first trip)
Dietary Restrictions
I need some extra help with plans, dates, etc.
Do you qualify for any discounts?
Disney Plus subscriber
Disney Visa
Military
Annual Passholder
Florida Resident
California Resident
Anything else I should know?
Submit
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