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The H.I.S Agency, LLC: Travel Consultation Questionnaire
Traveler Profile
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1.
Address
(Required.)
Name
*
Address
*
Address 2
City/Town
*
State/Province
*
AL Alabama
AK Alaska
AS American Samoa
AZ Arizona
AR Arkansas
CA California
CO Colorado
CT Connecticut
DE Delaware
DC District of Columbia
FM Federated States of Micronesia
FL Florida
GA Georgia
GU Guam
HI Hawaii
ID Idaho
IL Illinois
IN Indiana
IA Iowa
KS Kansas
KY Kentucky
LA Louisiana
ME Maine
MH Marshall Islands
MD Maryland
MA Massachusetts
MI Michigan
MN Minnesota
MS Mississippi
MO Missouri
MT Montana
NE Nebraska
NV Nevada
NH New Hampshire
NJ New Jersey
NM New Mexico
NY New York
NC North Carolina
ND North Dakota
MP Northern Mariana Islands
OH Ohio
OK Oklahoma
OR Oregon
PW Palau
PA Pennsylvania
PR Puerto Rico
RI Rhode Island
SC South Carolina
SD South Dakota
TN Tennessee
TX Texas
UT Utah
VT Vermont
VI Virgin Islands
VA Virginia
WA Washington
WV West Virginia
WI Wisconsin
WY Wyoming
ZIP/Postal Code
*
Country
Email Address
*
Phone Number
*
*
2.
What are your desired dates of travel? Enter departure date (MM/DD/YYYY) and return date (MM/DD/YYYY). If no specific dates are required, please enter month/year of travel and desired length of stay (i.e., 3 nights, 7 nights, etc.)
(Required.)
*
3.
What destination do you want to travel to? Please be as specific as possible (i.e., city, state, country, province).
(Required.)
*
4.
How many people will be traveling with you? Please indicate how many adults vs. children (list ages of children if under 18).
(Required.)
*
5.
Trip Budget: What is your "not to exceed" PER PERSON budgeted amount for this trip (i.e, total amount to spend on flight/lodging/transfers/travel insurance per person)? Do not include spending money, extracurricular activities, food, etc., in this amount. Please only enter a numerical response.
(Required.)
*
6.
What type of room occupancy do you want pricing for?
(Required.)
Single Occupancy
Double Occupancy (1 Bed)
Double Occupancy (2 Beds)
Triple Occupancy (2 Beds+)
Other (please specify)
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7.
What is your preferred airport(s) for departure?
(Required.)
DCA - Reagan National Washington, DC
BWI - Baltimore/Washington International MD
IAD - Dulles International VA
WAS (All Washington Area Airports Listed Above)
Not Applicable
Other (please specify)
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8.
Which of the following is the MOST important to you when choosing a flight for this particular trip?
(Required.)
Leaving from my preferred (1st choice) airport
Lowest Cost Flight (regardless of # of stops/layover)
Direct or Non-Stop Flights to Destination
Travel Times That Get Me To My Destination As Early and Quick As Possible
First Class/Business Class Seating
Assigned Seating (having a pre-assigned seat number is mandatory)
Not Applicable
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9.
What is MOST important to you when selecting a hotel/resort for this particular trip (check all that apply)
(Required.)
On-Site Amenities (restaurants, bars, spa, etc.)
Close Proximity to Off-Site Activities and Attractions
All-Inclusive Properties
Adults-Only
Kid-Friendly
Luxury
Economical
Large Hotels/Resorts (over 100 rooms)
Boutique Properties (typically under 100 rooms)
Private Villa Rental
Action, Nightlife, Upbeat
Isolated, Quiet, Serene
Other (please specify)
10.
Please add any additional comments/requests/information here that you want to share or specify regarding this trip (i.e., special occasion, room type, preferred hotel(s), All-inclusive vs European Plan, smoking/non-smoker, desired activities/tours, girls getaway, romantic getaway, solo trip, multi-destination etc.). If you already have a hotel(s)/resort(s) you want pricing for, please specify that here as well. The more detailed, the better!