Name
*
First Name
Last Name
Email
*
Phone
We do not share this with anyone. Your travel mentor will reach out to talk about your answers and next steps.
(###)
###
####
Preferred Contact Method
Phone
Email
Either
Where do you live?
*
What best describes your mindset towards travel:
What is your intent on a wellness travel vacation/journey?
Are you open to alternative experiences?
Check all that apply
What motivates you?
We know this is vague, we just want to see what you share.
Do you want to have daily fitness and wellness lifestyle classes and lectures available?
SURVEY QUESTIONS
I am a spiritual person
I want this journey to go deep into spirituality
Staying near cities is important to me
Getting away from people is important to me
I prefer beaches
I prefer mountains
Peace, quiet and nature on my vacation are important to me
Rate your energy level
What is your activity level
Rate your stress level
Rate how important your health and wellness is to you at this time
Do you have a mind/body practice?
Do you have a wellness practice? Check to all that apply
Yoga Level
Meditation Practice
What wellness goals, would you like to support during a wellness vacation?
Check all that apply
How important is it to be with like-minded people?
What type of environment and accommodation is most conducive for you to relax and destress?
What do you imagine this vacation to look like?
Journey Type
*
What type of experience(s) are you interested in? (Check all that apply.)
Destination(s)
*
Details of where you'd like to go or requests to help us suggest destinations for you.
Date/Month of when would you like to travel?
*
Please provide windows of time as well as specifics if possible.
Number of Travelers
*
1
2
3
4
5
6
7
8
9
10+
Trip Length
*
<7 days
7-10 days
10+ days
Not sure
