Client Intake Form
RevivePass
Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Phone Number
*
Format: (000) 000-0000.
Preferred Contact Method
*
Email
Phone
Text
Trip Details
Have you already chose a destination for this trip?
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Yes
No
I've narrowed it down to a few options but need help deciding
If you know where you want to go, list it below. If you need help deciding or coming up with options, list any ideas or dream destinations below to give inspiration.
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Are there any places you do NOT want to consider?
Are your travel dates flexible?
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Yes
No
Departing
-
Month
-
Day
Year
Date
Returning
-
Month
-
Day
Year
Date
If dates are unknown or flexible, please give as much info as to number of nights and timeframe of travel. You may also list dates you are unavailable to travel.
Will you be driving or flying to your destination?
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Driving
Flying
Unsure
If flying, please list your originating airport(s)
How many stops will you consider?
Nonstop only
1 stop
2+ stops
If you have a preferred airline, please list it below
Number of Travelers
*
Are you traveling with children?
Yes
No
If so, please list their ages below
Please list the names of all travelers and whether there are any allergies or dietary restrictions
*
Are you celebrating a special occasion or milestone? If so, please explain
Are you traveling with pets and in need of friendly accommodations? If so, please list number, type, breed, and size
What type of trip are you planning?
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Hotel/resort
Cruise
Road Trip
Villa/vacation rental
Multi-destination
How much planning would you like help with? (Check all that apply). *Note: Full itinerary planning and booking are avaliable for an additional fee.
*
Accommodations
Transportation (flights, car rentals, etc.)
Tours/activites
Restaurant reservations/special events
Would you like to schedule a complimentary Zoom or phone call to discuss your trip in-depth?
*
No
Yes
If yes, do you prefer Zoom or phone call?
Please Select
Yes
No
Preferences
What type of environment are you seeking? (Check all that apply)
*
Beach
Mountain
City
Rainforest
Desert
Other
If Other selected, please explain
What vibe are you looking for?
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Adventure
Relaxation
Culture
Wellness
Romance
Family-friendly
Other
If Other, please explain
Do you prefer an all-inclusive experience?
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Yes
No
Undecided
What type of accommodation do you prefer?
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Large hotel chains or resorts - I'm all about amenities
Budget-friendly options - All I need is a bed
Renovated motels/glamping, etc - I got that Champagne taste on a beer budget
Vacation rental - I want a space all to my own
Other
If Other, please explain
Please rank your top 3 priorities for this trip from the following list: Budget, Location, Vibe, Room Quality, Food & Drink, Activities & Amenities, Available Upgrades
*
Do you have a preference for a specific hotel brand or partner? If so, please list below
Budget
What is your total trip budget?
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Under $1,000
$1,000 - $3,000
$3,000 - $5,000
$10,000 +
If 10,000 +, what is your MAX budget for this trip?
Does this budget include:
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Accommodations only
Accommodations + flights
Accommodations + flights + transportation + insurance
All-inclusive - all of the above + meals, tours, experiences, etc.
Is your budget fixed or flexible?
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Fixed
Somewhat flexible
Totally flexible
Inspiration
The below information is entirely optional. Please keep in mind the more information you provide, the more likely you are to experience your dream getaway!
What trips have worked well for you in the past? (Tell me about your favorite destinations, activities, vibes, food, culture, people, etc)
What hotels/resorts/cruise lines have you loved?
Do you have any bucket list destinations?
Would you like to create a Pinterest board to share the vibe or inspiration for your trip? If so, please share the URL below
Other Requests or Considerations
Do you have any additional needs, preferences, or considerations? (E.g., accessibility requirements, religious, or culture needs. etc.)
Please share any other details or information you'd like me to know while planning this trip.
How did you hear about us?
Social Media
Friend/Family
Google Search
Advertisement
Other
If Other, please explain
Submit
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