GalaxSea Cruise Vacation Questionaire
Your Name
Trip Name
Phone
Your email address
Your Advisor's Name
Address
City
State
Zip code
Have you used our services before?
Yes
No
Unsure
If you haven't used us before, how did you hear about us?
If you have been referred to us, please give us your friend's name.
Where are you looking to Cruise to?
How long of a cruise are you looking for?
When are you looking to Cruise?
Are your dates flexible?
Yes
No
What type of cruise are you looking for?
Large Ship
River Cruise
Singles Cruise
Small Ship
Group Cruise
Adult Only Cruise
How many adult travelers?
1
2
3
4
5
6
7
8
More than 8
How many children under age 12?
1
2
3
4
5
6
7
More than 7
How many rooms?
Select
1
2
3
4
More than 4
Select
What type of Cruise Room?
Inside
Ocean View
Balcony
Suite
Adjoining Rooms
Is anyone celebrating a special occasion?
Anniversary
Honeymoon
Birthday
Other
What date is the special occasion?
Are you planning to fly?
Yes
No
Unsure
Which city will you fly from?
Are you wanting to schedule an appointment with an Advisor?
Yes, in person
Yes, by telephone
Please email me first
How can we best communicate with you on this trip?
I'd like to make an appointment to visit with an advisor
Email me
Please call me on my cell
This is a surprise, I need to communicate carefully
Have you cruised before?
Yes
No
If yes, which companies have you cruised with?
When was your last cruise? What did you enjoy most about it?
Which best describes your cruise vacation desires?
I'm looking for a hassle free cruise that fits into my budget
This is a trip of a lifetime for me, and I want to do it right
I'm more experienced in travel and know exactly what I want
I'm hoping GalaxSea's knowledge and experience can guide me to the best value
How soon will you be ready to make a trip deposit?
Today / This Week
More than a week
More than a few weeks
How would you like to pay for our services?
VIP Concierge Service Plan - $450
Travel Professional Plan - $150
Plan to Cruise Fee - $50
Are you working with a specific price budget?
Yes
No
Looking for help on pricing
What is that budget?
Under $1,000 per traveler
$1000-$1500 per traveler
$1500-$2000 per traveler
$2000-$3000 per traveler
$3000-$4000 per traveler
$4000 or more
What is the most important thing you wish to happen on this trip?
Give us the Traveler Name(s) and information here.
Name spelling should match passport or driver's license
Traveler Name
Passport Number
Date of Birth (MM/DD/YYYY)
Expiration Date (MM/DD/YYYY)
Gender
Male
Female
Male
No Passport
Add Another Traveler
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