This survey will collect information you provide in order to assess your needs. This data will not be sold to third parties. There are no fees associated to this consultation.
How did you find this travel planning request form?
Word of Mouth
I know Jazz
What is your FIRST Name
What is your LAST Name
What is your email address
What is your instagram or twitter account? (I may follow you)
What airport do you typically fly out of?
Is this Individual or Group trip?
Group (more than 2)
Not sure yet
Where are you traveling from and to?
If you are not sure where you are going, let me know where you want to travel to:
What is your expected departure date?
How long will the trip last?
Do you have a budget in mind?
A dollar figure you have to spend on your flight and accommodations, per person.
What's the motivation behind this trip?
I'm tapped out at work
I'm celebrating a special occasion
I need some quality time with my friends/family
This is a bucket list trip
What does a typical "vacation" look like to you?
A bundled "All inclusive" package with a beach
A backpack and a map
Arts and Culture
Where my girls/guys at? (Party/Nightlife)
How many personal trips do you go on per year?
Note: These are flight-only based trips and not arranged through your work.
I don't get to travel that much
I get out of town every opportunity I have
What is your dream trip/bucket list destination and why?
Do you have a valid passport?
I'm not sure
I've never had a passport
What prevents you from traveling more?
I don't have a burning desire to travel
Would you like to use the email address you provided above, to sign-up to receive future updates from The Urban Traveler?
Newsletters, Events, News, Offers, etc...
Why are you seeking assistance with planning your trip?
eg. Time restraints, need guidance, the internet is overwhelming, etc...
Is there is anything else about you or your trip that you would like to share, let me know in this space.
eg. Health issues, fears, concerns, etc...
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