SOS Questionnaire

Full Name*

First NameLast Name
Email Address*
Phone Number*
What is your preferred method of contact?*
What is the best time to contact you?*
What Romantic Adventure(s) are you interested in?*
Date Day/Night; Day Trip; Staycation; Weekend Getaway; Just Because Gift Service
What are some of your Spouse's favorite things?*
Favorite flower, food, restaurant, perfume/cologne, color, activity, etc...
What are some things your Spouse likes to do? *
Crafting, Playing a sport, Reading, Being pampered, Hiking, etc..
How would you describe your Spouse?*
Creative/Artsy, Indoorsy, a Nature Lover, etc..
What is your Spouse's Love Language?*
What do you think is your Spouse's idea of the "Perfect Date"? *
What are some of YOUR favorite things?*
Favorite flower, food, restaurant, perfume/cologne, color, activity, etc...
What are some things YOU like to do?*
Crafting, Playing a sport, Reading, Being pampered, Hiking, etc..
How would you describe yourself?*
Creative/Artsy, Indoorsy, a Nature Lover, etc..
What is your Love Language?*
What is your idea of the "Perfect Date"?*
What is your age range?*
What type(s) of Romantic Adventures are you interested in?

RomanticAdventurousIntellectualActiveRelaxing
What is the budget for your romantic adventure?
(Do not include the planning service fee)
Proposed Date for your Romantic Adventure?

MonthDayYear
Date
Where are you located?*
If you are interested in a Day Trip or Weekend Getaway, what geographic locations are you interested in?
Do you need Travel arrangements?

YesNo
If you will need Travel arrangements, please indicate your needs.
Hotel, Rental Car, Airfare, etc...
Please list any specific dislikes, dietary restrictions, or any other off-limit items
Should be Empty: