Welcome to A Destination Anywhere! Client Questionnaire

Welcome to A Destination Anywhere! Client Questionnaire

Please fill out the following questionnaire to help us better understand your travel needs and preferences. This intake form is strictly used for informational purposes only and is not published nor made public, sold or distributed to any outside source without the express permission of the client.
Personal Information

Help me get to know you and your travel needs!!
Full Name*

First NameLast Name
Email Address*
example@example.com
Phone Number*
Please enter a valid phone number.
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Travel Preferences
Preferred Destination*
If you could go anywhere - where would you go?
Alternate Destination*
If you are unsure as to WHERE you would like to go - just let us know tropical/cruise/arctic/all inclusive/adults only...
Type of Travel*

Solo TravelCouples Travel (2 people - single room)Travel with friend(s)HoneymoonFamily VacationGroup (4-10 Rooms)Group (10+ Rooms)Other
If OTHER - what type of travel are you looking for?
How Many Travelers : Adults age 18+, Children (ages)
Starting Travel Date if known

MonthDayYear
When you want to leave
Ending Travel Date if known

MonthDayYear
When you need to be home
Travel MONTH if flexible dates (simply put the first of the month and year)

MonthDayYear
If you are flexible - put the month/year in for example - travel in May ... 05/01/2025.
Travel Budget (per person)
Please list your MAX budget per person. We work HARD to stay within/below your budget.
Accommodation Preferences*

HotelResortVilla/Condo/ApartmentBoutique HotelCruiseCruise : InteriorCruise : Ocean ViewCruise : BalconyCruise : Upper/Specialty ClassOther
If OTHER - type of accommodation/preference :

Activities of Interest*

	Beach Activities	Cultural Tours	Adventure/Sports	Shopping	Nightlife
Very Interested
Interested
Not Sure
Not Interested

Physical/Medical Restrictions &/or Allergies (particularly food)
If you are in need of special accommodations, please let me know!
Additional Comments and/or Questions!
Anything else you want me to know to make our first meeting the most productive!
Should be Empty:

Welcome to A Destination Anywhere! Client Questionnaire

Personal Information

Travel Preferences