Questionnaire

This risk-free questionnaire gives us a head start in getting to know you. There is no obligation to purchase any services.

Fields marked * are required.

Your name:

E-mail address:

Primary Phone

Secondary Phone

City of Interest

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Age

Profession

Household Income
(choose one)

15k-25k
25k-35k
35k-55k
55k-75k
75k+

Time Management
(choose one)

	A minute wasted is a dollar lost
	I like to have most of my day scheduled, including time with family
	I have goals for the week
	This month I might...
	Time management, what is that exactly?

Activity
(choose one)

	I get exercise 3x or more a week
	I exercise once a week whether I like it or not
	I get out to the gym or to some activity a few times a month
	I stay active but don’t keep track
	I read a lot of articles on how to “motivate yourself” to exercise

Physical activity
(check all that apply)

	Gym: weights, classes or cardio
	Hiking
	Biking or roller blading
	Running (outside)
	Other:

Restaurants
you frequent
(check all that apply)

	The most exclusive, chef-on-site
	High quality chains e.g. Ruth’s Chris, PF Changs, etc
	Medium level, good food (like a lot of Italian places)
	All local – sometimes quality and price vary
	Primarily vegan/vegetarian

Bars
(check all that apply)

	The most exclusive, penthouse
	High quality chains, often found in good restaurants or resorts
	Sports bars
	All local – sometimes quality and price vary
	Dive bars, the darker and seedier the better

Drinks
(check all that apply)

Nightclubs/Dancing
(check all that apply)

What do you attend?

Theatre

	Mainstream theatre
	Underground/alternative theatre

Art

	Large museums
	Local and/or Underground Galleries

Dance

Ballet
Modern
Jazz
Hip Hop

Music

	Symphony/ Orchestral music
	Local bands
	Stadium size tours (e.g. U2, Neil Diamond, Hannah Montana, etc)

Sports

What are you most interested in doing in your destination city?

Historical or
fictional character
you would most
like to meet:

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