The H.I.S Agency, LLC: Travel Consultation Questionnaire

Traveler Profile

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* 1. Address

Name *

Address *

Address 2

City/Town *

State/Province *

ZIP/Postal Code *

Country

Email Address *

Phone Number *

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* 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.)

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* 3. What destination do you want to travel to? Please be as specific as possible (i.e., city, state, country, province).

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* 4. How many people will be traveling with you? Please indicate how many adults vs. children (list ages of children if under 18).

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* 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.

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* 6. What type of room occupancy do you want pricing for?

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?

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?

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)

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)

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* 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!