MetaMovements Cultural Connections
Custom Program Questionnaire
Name
*
First Name
Last Name
E-mail
*
Phone Number
*
-
Area Code
Phone Number
Preferred Contact
Email
Phone
Either
Preferred Contact Time of Day
Morning
Afternoon
Evening (After 6)
Spanish level?
*
Advanced/Fluent
Intermediate/Working Knowledge
Basic (e.g. Hello)
Not a word
I am interested in traveling to:
*
Cuba
Dominican Republic
Other
1. Do you have specific dates or times of the year for your trip?
*
2. Do you plan to travel with family or friends? How many people do you estimate in your group?
*
3. Why do you want to go to your selected destination(s)? What are your primary goals for your trip?
*
4. What genres of music and dance are you most interested in?
*
5. What types of lessons are you interested in? (Dance, Music, or Language)
*
6. What type of evening cultural activities do you prefer?
*
7. What is your desired price range?
*
8. How did you hear about our Travel Programs?
9. Anything else you would like us to know?
Submit
Should be Empty: