Passport, Set, Go! Client Intake Form

Client Intake Form
Thanks for reaching out, I am super excited to help plan your trip. I have a few questions to get started:
1. Name*

First NameLast Name
2. Email*
example@example.com
3. Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
4. Where do you want to go? (If you have somewhere in mind)
5. How long do you have for this trip*
6. What are your dates of travel?
BeachCityNatureMountainsSkiingAdventureCulturalKid-FriendlyMulti-cityWellnessAll InclusiveDiscoveryRejuvenationPersonal GrowthConnectionOther
BirthdayAnniversaryHoneymoonBucket ListFamily VacationBusinessLeisureOther
$100 - $200$200 - $400$400 - $600$600 - $800$800 - $1,000$1,000+Other
Bed and BreakfastBoutiqueBusiness HotelLuxuryResortApartment/AparthotelOther
11. What hotels or hotel chains have you stayed in before that you have loved?
12. Total Trip Budget*
13. What trips have really worked for you/your group previously? (The more details the better. Tell me your favorite destinations the activities you liked how you felt in these places what you liked most food/culture/the people etc.)
HotelsTranscontinental FlightsActivities/TouringRestaurant Reservations/Special EventsTransportation (Car rental, airport transfers, etc.)Other
Art/CultureSightseeingWellnessShoppingHistoryLocal CuisineNatureRomantic SpotsFun with the KidsGo with the FlowRelaxationUnique Experiences
16. Traveler Details
Primary Traveler

First NameLast Name
Primary Traveler - Dietary Requirements, Allergies, Limitations
Traveler #2

First NameLast Name
Traveler #2 Age (if child)
Traveler #2 Dietary Requirements, Allergies, Limitations
Traveler #3

First NameLast Name
Traveler #3 Age (if child)
Traveler #3 Dietary Requirements, Allergies, Limitations
Traveler #4

First NameLast Name
Traveler #4 Age (if child)
Traveler #4 Dietary Requirements, Allergies, Limitations
Traveler #5

First NameLast Name
Traveler #5 Age (if child)
Traveler #5 Dietary Requirements, Allergies, Limitations
Feel free to use this space to provide me with any additional information you think I should know.
Should be Empty:

Client Intake Form

16. Traveler Details