Disney Vacation Questionnaire

Your Name: (as shown on State ID or Passport)

First NameLast Name

Your Date of Birth (we ask the DOB of travelers as Disney requires it for check in's)

Date

Best Contact Number

Please enter a valid phone number.Format: (000) 000-0000.

Email

example@example.com

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Is your billing address the same as your physical?

If they're different, please place Billing Address below!

Guest #2

First NameLast Name

Guest #2 Date of Birth

Date

Guest #3

First NameLast Name

Guest #3 Date of Birth

Date

Guest #4

First NameLast Name

Guest #4 Date of Birth

Date

Guest #5

First NameLast Name

Guest #5 Date of Birth

Date

Guest #6

First NameLast Name

Guest #6 Date of Birth

Date

If more space is needed for household members, please enter their names and respective birthdates below. Keep in mind, depending on the amount of people we may have to do several rooms and we cannot guarantee they will be side by side.

Which Disney Properties are you interested in?

From your selection above, please list your Top 3 locations you would prefer to have a quote on. If you're unsure, that's okay too! Give me just a little blurb on what kind of atmosphere you're looking for in a resort; are you looking for great pools and scenery? Close to the parks? Further away for peace and quiet? Or is the resort just a place to sleep and you'd just like the cheapest option to help with the budget. There is no wrong answer!

Check In Date

Date

Check Out Date

Date

If you're dates are flexible, tell me more about it! Is there a certain season, holiday, weather condition you'd like to stick with for a timeframe?

How many rooms do you need?

Would you like me to include other travel options in your quote?

Where would you like to fly from? If you're unsure, think of how far you'd like to travel to the airport and if you're comfortable either leaving your vehicle at a parking garage or if someone can drop you off and bring you back home. (Also, please keep in mind not all locations offer zero layovers if that is a must for you.)

Would you prefer to not have layovers? (Keep in mind this will be more expensive) Quote will be for a flight into Orlando MCO unless otherwise indicated by you.

What is your family's price range?

Does anyone in your family have any special needs such as wheelchairs or scooters, Service Dog or Dietary Restrictions that Disney and myself can assist you with?

Is this adventure to celebrate a special occasion?

What are your children's favorite Disney characters and movies? Don't have children coming along for the trip? That's okay! Let me know if there's any characters you'd love to meet! Disney is for adults too!

What are a few key things that are most important for you and your family to experience while at Disney?

Disney has several different vacation packages and options to chose from. Once you return this form to me I'll be able to help you decide which packages might suit your needs. I'll help you choose your resort, park days and tickets, dining reservations, and several other Disney options depending on the Level of Service you select.

I will be happy to meet with you once I receive this form to go over your options; either over the phone, in person, through email only or over FaceTime. (Please see Levels of Service PDF in your welcome email for further details on communication.)

EarResistible Travel recommends vacation travel protection insurance which will be offered at the time of the booking. (More details can be provided if you choose to add this option.)

Please remember, this is a tool that I have provided to you to help me shop for your ideal vacation. It does not obligate you to purchase but the more details the better!

Once you have completed this survey and returned it back to me I will send you a quote breakdown of your Top 3 Choices. Once you've acknowledge the quote and have chosen to move forward with our planning together, I will send you a contract and further instructions!

Thank you for your trust in my judgement and knowledge to help plan your next great adventure!

Kimberly Kimball / EarResistible Travel

China, ME

207.441.3888

earresistibletravel.kimk@gmail.com

Website - EarResistible Travel: Kim K.