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We are so excited to help you plan your trip! Please fill out this intro form and we’ll be in touch with next steps for the vacation of your dreams.

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Thank you for your inquiry! We will reach out to you within 3 business days to start the planning process.

Name(required)

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Pronouns(required)

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Date of Birth (YYYY-MM-DD)(required)

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Email(required)

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Phone(required)

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Where would you like to go?(required)

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What is your desired length for the trip (days, weeks, a month, etc.)? If you already have dates in mind, please include them here.(required)

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Which of our services would you like to discuss? Select all that apply.
(See https://flyheart.travel/our-services/ for more info on what we offer.)(required)

Reservations Recommendations Full Package Group

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Which parts of this trip would you like us to plan? Select all that apply.(required)

Accommodations (hotels, home rentals, villas, etc.) Activities/tours All-inclusive (resorts, cruises, etc.) Dining & reservations Special events (wedding blocks, business travel, etc.) Transportation/transfers (car rentals, trains, etc.)

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Please list the names, pronouns, and dates of birth for all travel companions, excluding yourself.(required)

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What is your overall budget for this trip (for your entire group, not per person)?
Please specify the currency you prefer to use, if it’s not USD. Feel free to break it out into the overall budget for specific aspects of the trip, if you’d like.(required)

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What price range are you and your group comfortable with for your hotel/accommodations (in USD)?

$100–$200 per night $200–$400 per night $400–$600 per night $600+ per night

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How many rooms would you like to reserve?

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How many people to a room, and what is your preferred sleeping arrangement (how many beds, etc.)?

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Preferred room type? Select all that apply.

Regular room with walk-in shower Regular room with bathtub Wheelchair-accessible with roll-in shower Wheelchair-accessible with bathtub Hearing-accessible room Visual-accessible room Suite Villa Home rental Extended stay

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Preferred bed type? Select all that apply.

Accessible Twin Double Queen King California King

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When you think about your stay, which amenities are most important to you and your group? Please list your must-have and nice-to-have features.

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What would you like us to avoid when looking to book your stay?

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If needed, how much would you and your group be willing to spend on a car rental (in USD)?

$50–$100 per day $100–$150 per day $150–$200 per day $200+ per day

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Which features do you usually look for in a rental car? Do you have a preferred make and/or model? What about body style (sedan, hatchback, convertible, etc.), size (compact, mid-size, full size, etc.), or fuel type (hybrid, electric, gas, etc.)?

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If a car transfer is needed (one-time transportation from one location to another, like from the airport to your hotel), what are your preferences re: height of vehicle, accessibility, etc.?

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Please list any access needs (mental, physical, etc.) your group has that we should be aware of when planning your trip, including any allergies. You may also let us know later, if you prefer.

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Are you planning to bring any of the following assistive devices on your trip?

Manual wheelchair Power wheelchair Manual scooter Power scooter Rollator Walker Cane Crutches Hearing aids Service animal

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What are the dimensions/sizes of your assistive devices? Please include whether they are collapsible, and provide folded dimensions as well as expanded.

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What other types of assistance will you need to access during your trip?

Accessible parking Aisle chair on the plane Beach wheelchair Grab bars (in shower/bath, etc.) Lactation space/pump rooms Loaner wheelchair Non-slip mats (for shower/bath) Refrigerator (for storing medications, breast milk, etc.) Shower bench/chair Step-free path to entrance Stroller Transfer board Travel hoist Wheelchair service at the airport or on the plane

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Important details for the above (sizing, timing, etc.) can be provided here.

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Will you need to rent any equipment at the destination? If not listed above, please describe, and include a budget for the rental.

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Is there a special reason for this trip (birthday, anniversary, wedding, honeymoon, bucket list, family vacation, business, wellness, etc.)?

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Which level of activity would you/your group prefer?

Light (more relaxed, slower pace; limited travel between cities; half-days of planned activities with some rest days included) Medium (a mix of relaxed & high-energy activities; visit multiple cities; some full-day tours) Heavy (more jam-packed; activities scheduled down to the minute; back-to-back adventures & treks)

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Please list any specifics related to the mobility needs/energy levels of your group, including time needed between activities.

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What are your top priorities for this trip? Select 3–5.

Adventure/thrills Culture/arts Education/history Family bonding Fun for kids Local cuisine Nature/exploration Nightlife Retreat Romantic/intimate connections Shopping Sightseeing Team-building Wellness/relaxation

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Which of the following features, if any, appeal to you? Select all that apply.

Adults-only Amusement/theme parks Family/child-friendly Food tour LGBTQIA+–friendly Lifestyle communities/events Multi-city Skiing

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What trips have really worked for you/your group previously?
(The more details, the better! Tell us your favorite destinations, how you felt in those places, what you liked most—activities, food, culture, the people, etc.)

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Which hotels/types of accommodations have you stayed in before that you’ve loved, and what did you love about them?

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Please list any rewards/point systems you’re a member of (Marriott, Hyatt, American Airlines, etc.) and your membership number.

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Anything else we should know?
(Please list any travel confirmations [flights, trains, etc.] you’ve already obtained.)

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How did you hear about us?

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