Consultation Form | Prescription Travel

First and Last Name*

Preferred Contact Email*

Preferred Contact Phone number*

What is the best time of day to speak with a travel specialist?

Where do you want to travel on this journey?

What are your travel dates?

Have you ever used a travel specialist to plan your travel?

Yes

Is there anything you find unsettling or uncomfortable while traveling?

Will you be traveling with anyone?

What is the name(s) of your travel partner(s)?

Are you looking for a particular style on this trip?

What is your most essential hotel amenity or service?

What experiences do you find most rewarding, fulfilling, and memorable when you travel?

What is your favorite beverage of choice?

Provide five words that would describe what would make this a perfect vacation.

How do you (and your travel partner) like to spend your day?

List the following in terms of how important they are to you when traveling. First being most important and last being the least important. (Beautiful Hotel, Cultural Immersion, Perfect Weather, Culinary, Wellness and Relaxation)

When "Touring":

I enjoy having a guide who can show me the important sites and being a part of a group.

I like to rent a car and use maps and guide books to find my way- and don't mind getting lost as it's "part of the experience"

I prefer to have a private driver for my journey.

What is your favorite indulgence?

What are your budget considerations for this trip? (This is an important element in planning. A nightly hotel rate and budget for airfare is a great place to start if you don't have a total budget in mind.)

Please provide any other information that we should consider when planning your travels. Our aim is to provide the highest level of personalized service possible!