Cruise Survey The Basics First Name * Last Name Address * Address Address Address City City State/Province State/Province Zip/Postal Zip/Postal Country Afghanistan Aland Islands Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bonaire, Sint Eustatius and Saba Bosnia and Herzegovina Botswana Bouvet Island Brazil British Indian Ocean Territory Brunei Bulgaria Burkina Faso Burundi Côte d'Ivoire Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Christmas Island Cocos (Keeling) Islands Colombia Comoros Congo Cook Islands Costa Rica Croatia Cuba Curacao Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic East Timor Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands (Malvinas) Faroe Islands Fiji Finland France French Guiana French Polynesia French Southern Territories Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guernsey Guinea Guinea-Bissau Guyana Haiti Heard Island and McDonald Islands Holy See Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Ireland Isle of Man Israel Italy Jamaica Japan Jersey Jordan Kazakhstan Kenya Kiribati Kosovo Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macao Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia Moldova Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island North Korea Northern Mariana Islands Norway Oman Pakistan Palau Palestine Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Poland Portugal Puerto Rico Qatar Reunion Romania Russia Rwanda Saint Barthelemy Saint Helena, Ascension and Tristan da Cunha Saint Kitts and Nevis Saint Lucia Saint Martin (French part) Saint Pierre and Miquelon Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Sint Maarten (Dutch part) Slovakia Slovenia Solomon Islands Somalia South Africa South Georgia and the South Sandwich Islands South Korea South Sudan Spain Sri Lanka Sudan Suriname Svalbard and Jan Mayen Swaziland Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand Timor-Leste Togo Tokelau Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States United States Minor Outlying Islands Uruguay Uzbekistan Vanuatu Vatican City Venezuela Vietnam Virgin Islands, British Virgin Islands, U.S. Wallis and Futuna Western Sahara Yemen Zambia Zimbabwe Country Phone * Email * Would you like to be included on our email list? Yes No We take your privacy seriously and will never share your email. Travel Dates available (from) To Tell us more about your date flexibility: Is this your first cruise? Yes No What cruise lines have you sailed on before? 1) What kind of trip are you thinking of? Trip Type Cruise Rail & Sail Where would you like to explore? (Check all that apply) Alaska Bahamas Bermuda Caribbean Europe Hawaii Mexico River Cruise OtherOther Want to elaborate on where your imagination is taking you? What kind of experience are you looking for? (Check all that apply) Family Romantic Off the Beaten Path Local Culture Food / Wine Rest and Relaxation Party OtherOther What activities are you interested in? (Check all that apply) Beach & Water Activities Scuba Golf Theater / Comedy Gambling Adventure Activities Nightlife OtherOther Cabin Preferences Inside Cabin Oceanview Balcony Suite Luxury Suite OtherOther 2) Travel Budget Details What would you like included in your booking? Air Airport Transfers Car Rental Hotel / Resort Before / After Cruise Activities Drinks / Alcohol Included Gratuities Included OtherOther What is your trip budget? What resort / hotel star rating do you prefer when you travel? 5 star 4 star 3 star No preference If applicable, what size car rental will you need? Compact / Economy Standard Full Size Van / SUV Luxury OtherOther Anything else you would like to share on your budget? 3) Party Details Size of Travel Party Our party includes: (Check all that apply) Infant / Toddler Children < 13 Teens (13 - 17) Adults (20 - 54) Seniors (+55) Veterans / Military People who require accessible rooms Do you need a crib in your cabin or any other special accomodations? How many children and what ages (at the time of the cruise)? How many seniors (+55) are in your party? Submit
