You can always press Enter⏎ to continue
Riccio Travel Survey
Hi there, please fill out and submit this form.
15
Questions
START
1
Name
*
This field is required.
First Name
Last Name
Previous
Next
Submit
Press
Enter
2
Email
*
This field is required.
example@example.com
Previous
Next
Submit
Press
Enter
3
Phone Number
*
This field is required.
Please enter a valid phone number.
Previous
Next
Submit
Press
Enter
4
Date of Birth
*
This field is required.
-
Date
Year
Month
Day
Previous
Next
Submit
Press
Enter
5
How did you find Riccio?
*
This field is required.
Previous
Next
Submit
Press
Enter
6
Which group trip are you interested in?
*
This field is required.
Venice - March 23rd - 28th, 2025
Venice - April 1st - 6th, 2025
Florence May 16-22, 2025
Ischia - September 8-13, 2025
Previous
Next
Submit
Press
Enter
7
Have you ever traveled internationally?
*
This field is required.
YES
NO
Previous
Next
Submit
Press
Enter
8
Riccio travel involves a lot of walking, does your health allow you to walk up to 3 miles a day?
*
This field is required.
Terrain is flat but there is a lot of walking. If you need a cab that is easily arranged but will be at your expense.
Huge
Large
Normal
Small
Ok
quote
Created with Sketch.
Ok
Previous
Next
Submit
Press
Enter
9
If you have any food allergies, please list them and their severity.
*
This field is required.
If you carry an EPI Pen, please share this as well. This experience is deeply intertwined with food, a pivotal aspect of Italian culture. If you have significant dietary concerns or restrictions, this may not be the ideal trip for you.
Huge
Large
Normal
Small
Ok
quote
Created with Sketch.
Ok
Previous
Next
Submit
Press
Enter
10
Please list any other health concerns I need to be aware of.
*
This field is required.
i.e. recent surgeries or illnesses that could affect your participation.
Huge
Large
Normal
Small
Ok
quote
Created with Sketch.
Ok
Previous
Next
Submit
Press
Enter
11
Do you have any specific preferences or requirements regarding lodging?
*
This field is required.
All lodging is single occupancy unless otherwise specified
Previous
Next
Submit
Press
Enter
12
Have you participated in group trips before?
*
This field is required.
Huge
Large
Normal
Small
Ok
quote
Created with Sketch.
Ok
Previous
Next
Submit
Press
Enter
13
What are your expectations/goals for this trip?
*
This field is required.
Huge
Large
Normal
Small
Ok
quote
Created with Sketch.
Ok
Previous
Next
Submit
Press
Enter
14
This is small group travel. If you have a particular interest or request please list it below and I will try and honor your request.
*
This field is required.
Huge
Large
Normal
Small
Ok
quote
Created with Sketch.
Ok
Previous
Next
Submit
Press
Enter
15
An in person call is recommended for potential clients who do not know me or my business. Please schedule a time through my website for a chat.
*
This field is required.
YES
NO
Previous
Next
Submit
Press
Enter
Should be Empty:
Question Label
1
of
15
See All
Go Back
Submit