Travel Questionnaire Form

Travel Questionnaire Form

Thank you for contacting Platinum Travel about your upcoming vacation. To help me find you the perfect vacation, I have a few preliminary questions to help get the ball rolling before we get started. Please take a couple minutes to answer them so I can find you the vacation of your dreams.
Primary Traveler*

PrefixFirst NameMiddle NameLast NameSuffix
Date of Birth*

MonthDayYear
Date
Traveler #2

PrefixFirst NameMiddle NameLast NameSuffix
Date of Birth*

MonthDayYear
Date
Traveler #3

PrefixFirst NameMiddle NameLast NameSuffix
Date of Birth*

MonthDayYear
Date
Traveler #4

PrefixFirst NameMiddle NameLast NameSuffix
Date of Birth*

MonthDayYear
Date
Traveler #5

PrefixFirst NameMiddle NameLast NameSuffix
Date of Birth*

MonthDayYear
Date
Traveler #6

PrefixFirst NameMiddle NameLast NameSuffix
Date of Birth*

MonthDayYear
Date
Email*
example@example.com
Phone Number

Area CodePhone Number
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Dates of Travel (Include start and end date)*
Destination
What airport do you want to fly out of?
Do you have a resort/hotel preference?
What amenities would you like to have at your resort or hotel (gourmet food, adults only, quiet resort, kids club, nightlife, etc.)?
What activities or excursions would you like to do on your vacation?
Are there any dietary restrictions I should be aware of?
Are there any mobility restrictions I should be aware of?
Any special requests or celebrations?
What is your budget? (including flights, accommodations, tours, etc.)*

$4,000 - $6,000$6,000 - $8,000$8,000 - $10,000$10,000+
Thank you for taking the time to fill this out. I will be in touch with you shortly to discuss your answers and start planning your amazing vacation. I look forward to working with you. If you think of anything else you would like to add you can email me at Sara@PlatinumTravelWI.com

Sara
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