JourneyZing - Questionnaire

Please complete the Zing! Questionnaire below as thoroughly as possible in order for our JourneyZing! consultants to assist you with your travel research. Required information is designated with (*). For more information about how your information will be used, please read our Privacy Notice. Thank you!

* Full Name:

Address:

Address (Line 2):

City:

* State:

ZIP:

* Telephone:

* Email Address:

Number and Age of Travelers:

Accessibility Issues?

Three Activities To Do:

1.
2.
3.

Activities To Avoid:

1.
2.
3.

When and where are you interested in traveling?

Number of Days:

Do you have a certain desired experience? If so, please describe it:

Special concerns or needs for this trip?

Special hopes and wishes or occasion to commemorate on this trip?

Type of experience you are looking for:

Luxury	Mid-level
Budget	Rustic/outdoors

Accomodations:

Hotel or Inn	Bed & Breakfast
Cottage or Lodge	Resort
Campground	Other
Smoking-Yes	Smoking-No

Preferred Food Types:

Gourmet	Vegetarian
Special Restrictions	Kosher

Locale Interests:

Historic Sites	Arts & Entertainment
Museums & Exhibits	Other

Hobbies/Interests:

Adventure	Fine Dining
Angling/Fishing	Hiking
Archaeology	Arts/Culture
Bars/Taverns/Pubs	Landmarks
Bicycling	Museums
Boating/Sailing	Parks & Zoos
Casino/Gambling	Photography
Markets	Shopping
Music	Sightseeing
Water Sports	Winter Sports
Dancing	Spa
Equestrian Events	Sports
Family & Kid Oriented	Festivals
Tours/Organized	Theater

Do you need?

Maps	Language References
Visa Information	Safety Information
Medical Requirements	Other