Travel Interest Survey
Thanks so much for your interest in JC Wellness & Travel! I'd love to get to know you better before we chat! Can you tell me a little bit about your travel interests?
Name
First Name
Last Name
Phone Number
Format: (000) 000-0000.
Email
example@example.com
How did you hear about JC Wellness & Travel?
Preferred Contact Method
Phone
Email
Text
Travel Dates Availability (from)
-
Month
-
Day
Year
Date
To
-
Month
-
Day
Year
Date
Are your dates flexible?
Yes
No
Tell me more about your date flexibility...
1) What kind of trip are you thinking of?
Tell me a little bit about where you'd like to go and what kind of experience you're interested in once you get there!
Where would you like to explore?
Mexico
Caribbean
Hawaii
Alaska
Europe
Cruise
River Cruise
Other
Please elaborate a bit on where your imagination is taking you?
What kind of vibe are you looking for?
Romantic / Adults Only
Rest & Relaxation
Off the Beaten Path
Party Time
Local Culture / History
Kid/Family Friendly
Food/Wine
Adventure/Active
Bucket List
Sun & Sea
Other
What activities are you interested in?
Beach & Water Activities
Gambiling
Scuba
Adventure Activities
Golf
Nightlife
Theater/Arts
Hiking
Other
View or Cabin Preference?
Oceanview
Oceanfront
Garden
Inside Cabin (cruise)
Outside Cabin (cruise)
Balcony (cruise)
No preference
Other
If "Other", please explain
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2) Booking Details
Travel Budget and Details
What would you like included in your booking?
Air
Car Rental
Hotel/Resort/Cruise
Activities
Meals Included
Alcohol Included
All Inclusive
Tips Included
Airport Transfers
Other
Do you have a preferred airline / car rental / cruise line / hotel
Please list any and all companies you prefer to use (I will ask for your loyalty numbers later).
What is your estimated trip budget?
This does not have to be exact. A range is very helpful.
What is your travel style
Please Select
Bucket List Luxury - YOLO
Mid - On vacation, but let's not get too carried away.
Economy - $ is tight, but we all deserve a vacation
What resort/hotel star rating do you prefer?
5 star
4 star
3 star
If applicable, what size car rental will you need?
Compact/Economy
Standard
Full Size
SUV/Van/Pickup
Luxury
Other
Anything else you'd like to share regarding your budget?
Party Details
Size of Travel Party
Our party includes:
Infant / Toddler
Children (< 13)
Teens (13-19)
Adults (20-59)
Seniors (60+ years young)
People who require physical accommodations
Veterans/Military
Fire/Police
Number of Rooms / Bathrooms
Provide any special requests / arrangements desired
Traveling for a special occasion?
Birthday
Anniversary
Honeymoon
Destination Wedding
Destination Bachelor/Bachelorette Party
Family Reunion
Company Incentive/Reward Travel
Other
Will you need any special accommodations?
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If applicable, do all travelers have current passports that are valid for 6 months prior to travel dates?
Are we missing anything? What else would you like me to know about your party, budget and/or travel preferences?
Submit
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