New Client Questionnaire - 2019 Thank you for contacting Adventures Croatia! Question Title * 1. Email Question Title * 2. Which Travel Specialist are You Working With? Pamela Robinson Mimi J Kent Lisa Albert Ines Palac Bojana Nagy Natalia Baron Haven't spoken to anyone yet Question Title * 3. How can we help you? Please let us know why you are contacting us today. Question Title * 4. First name Question Title * 5. Last name Question Title * 6. Street Address Question Title * 7. City Question Title * 8. State Question Title * 9. Zip Code Question Title * 10. Phone number Question Title * 11. Cell phone number Question Title * 12. Have you been to Croatia? Question Title * 13. How did you learn about Adventures Croatia? Email Promotion Newsletter Online Search, found Adventures Croatia Website Other Marketing Colleague Facebook Friend/Personal Acquaintance If online search, what impressed you most about our website? Question Title * 14. How many travelers in your party/group? Question Title * 15. Please list the last name(s) of the other travelers in your group Question Title * 16. What is your age? 18 to 24 25 to 34 35 to 44 45 to 54 55 to 64 65 to 74 75 or older Question Title * 17. Please list the age range(s) of the other travelers in your group Question Title * 18. In what month do you wish to travel? January February March April May June July August September October November December Please enter specific dates, date range, and year of travel Question Title * 19. How many days do you have available for travel in Croatia and surrounding countries? Question Title * 20. What attracted you to travel in Croatia? Culture & Heritage Culinary & Wine Beaches/Swimming Cruises/Sailing In the news/media attention Saw a travel show on Croatia Is there something specifically you are interested in? Question Title * 21. What best describes you and the other travelers in your group? (click as many as apply) Foodie Love wine, wine tours, wine tasting Historian Interested in architecture Need to spend time IN the water, swimming etc Appreciate the finer things in life Love to cook Very intriqued with foreign cultures Need beach and relaxation Crave the outdoors Enjoy being ON the water, boating, cruising Looking for a romantic vacation Enjoy long walks and hikes Very Active Extremely Active Want to be in the scene, nightlife Spa time is a must do Question Title * 22. What type of accommodations do you prefer? Please note: European hotel * ratings are often lower standards than U.S.A. hotel star ratings, hence why we recommend 4* and 5* hotels in Croatia. Luxury Resort 5* Upscale and charming hotels in the best locations 4* Nicely appointed, well located Cruise- Best cabin possible Cruise- Secondary level cabin is fine Villa- Premium property in the best location Villa- Family location- on the water or with ocean views Villa- More affordable and not on the water Special hotel requests: Question Title * 23. How do you like to travel during your land tour? Private/Chauffeur Driven Self-Drive Tour Other: Question Title * 24. What are you interested in? Relaxation Romantic Cultural Historic Culinary 'Insider Experiences' Family Travel Sun and Spa Interacting with Locals City Tours Shopping Wine Tasting Activities for Kids Cafe Culture National Parks In-Home Experiences, learning from Croatians Museums Photography Dining Experiences, Cooking Classes Independent Time, Not Scheduled Walking Hiking Zip Lining/Outdoor Adventure White Water Rafter/River Rafting Biking Group Activities and Excursions OK Privately Guided Activities and Excursions only Other, specific interests: Question Title * 25. Do you have specific locations you would like to visit? (if you aren't sure, we'll help you!) Question Title * 26. Are you looking for a one week island hopping experience? Exclusive Island Hopping Adventure Ultra Deluxe Cruise Deluxe Cruise Private Charter Sail Private Charter Motor Yacht Private Charter Cruise Ship or Luxury Motor Yacht If you're interested in Day Trip excursions on the water, do you want Private or Group? Question Title * 27. If you are interested in an active vacation which includes sport activities; please detail your abilities, activity/fitness level and desired sport intensity. Please include examples of other active vacations. (ie: Climbed Mt. Kilimanjaro, white water rafting on class 5 rapids, swam with the sharks in South Africa, or ran the Iron Man/Tough Mudder, etc.) Question Title * 28. For planning purposes, what time do you prefer to start your first excursion, after breakfast? Question Title * 29. For planning purposes, what time do you prefer to have dinner? Question Title * 30. Would you like restaurant recommendations and dinner reservations made before your arrival? Yes, please! No, thank you Are you celebrating a special occasion and need reservations? If so, what date?: Question Title * 31. Does anyone in your group have any special needs or requirements? Croatia and its surrounding countries are not ADA compliant for accessibility. We offer our clients Walking Tours that include cobble stone streets, steep inclines, as well as stairs. Most boutique/city center hotels do not have elevators or ground floor hotel rooms, only the larger hotels do. Please list any and all physical limitations: Physical Limitations Food Allergies or Sensitivities Motion Sickness / Sea Sickness Need Wheelchair / Wheelchair Access Fear of Heights Mobility Issues Unable to Walk Up Stairs Unable to Sit for Long Periods of Time Unable to Walk Long Distances Other None Please explain in detail: Question Title * 32. Is there other information about your needs or requirements you would like to tell us about? Question Title * 33. Each trip is customized based on your date of travel and your wishes, and pricing can vary. Please let us know your travel budget range PER PERSON, and what you are comfortable spending on a custom plan. (not including air fare) Question Title * 34. Please let us know more about any dietary restrictions for you or anyone in your group, any food allergies, or if anyone does not eat seafood: Question Title * 35. Have you already booked flights for this trip? Yes No If yes, please include their schedule: Question Title * 36. Any other specifics about your trip that we can help you with? Thank you and we look forward to sharing the wonders of Croatia with you! Submit