"Let's Plan Questionnaire"
Date Night Planning Services
Email address *
Full Name: *
Your answer
Phone #: *
Your answer
Preferred method of contact:
Proposed date for romantic rendezvous? *
MM
/
DD
/
YYYY
Location: *
Required
What is the budget for your romantic rendezvous? *
Your answer
Schedule Consultation Today:
Let's Plan The Details...
What Date Night Package are you interested in purchasing? *
Required
When was your last date night?
MM
/
DD
/
YYYY
What type of romantic rendezvous are you celebrating? (Birthday, Anniversary, Just Because, etc...) *
Your answer
Let's Get To Know Your Significant Other!
Please answer the questions below as thoroughly as possible. Your responses allow us to get to know your spouse and to create a personalized and cohesive itinerary.
Significant Other's Name: *
Your answer
Significant Other's Birthday: *
Your answer
Significant Other's E-Mail: *
Your answer
What is your Significant Other's age range? *
Music Preference: *
What are some of your Significant Other's favorite things? (i.e.- favorite flower, color, food, restaurant, activity, etc.) *
Your answer
What are some of your Significant Other's dislikes or things that are off limits? *
Your answer
Please list any dietary restrictions. *
Your answer
What are some things/activities your Significant Other enjoys? (Playing sports, reading, crafting, swimming, walking) *
Your answer
How would you describe your significant other? (Creative, Introvert, Extrovert, Nature Lover, Etc.) *
Your answer
What is your Significant Other's Love Language? *
What is your Significant Other's idea of a "Perfect Date" *
Your answer
Now, Let's Get To Know You!
Please answer the questions below as thoroughly as possible. Your responses allow us to get to know you and to create a personalized and cohesive itinerary.
When is YOUR Birthday? *
Your answer
Your Music Preference: *
What are some of YOUR favorite things? (i.e.- favorite flower, color, food, restaurant, activity, etc.) *
Your answer
What are some things/activities YOU enjoy? (Playing sports, reading, crafting, swimming, walk) *
Your answer
How would you describe YOURSELF? (Creative, Introvert, Extrovert, Nature Lover, Etc.) *
Your answer
What is YOUR Love Language? *
What is YOUR idea of a "Perfect Date" *
Your answer
Please list any dietary restrictions. *
Your answer
Miscellaneous Information:
*Non-Refundable 50% Deposit MUST be paid for proposed Date/Travel Events to begin the planning process *

*Remainder of Balance MUST be paid prior to the release of Date/Travel Events*
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