Welcome to the Spin the Globe / travel New Client Questionnaire! Thank you for taking the time to fill out our traveler information form, as this will help us craft a more enjoyable accessible travel experience for you. The more detail you share with us about your experience and preferences, the better service we can provide. Name Full Address (Street, City, State, Country, ZIP) Home Phone Work Phone Mobile Phone Email What kind of mobility device(s) or aid(s) do you travel with? Manual wheelchair Power wheelchair Electric scooter Walker/rollator Cane/crutches OtherDo you require the physical assistance of a care provider when you travel? Always Sometimes NeverDo you require the rental of mobility equipment at your destinations, such as hoists, scooters, or wheelchairs? Always Sometimes NeverWhat physical conditions or factors have the potential to impact your ability to travel or comfort at your destination? (e.g. sensitive to heat, cold, requirement to catheter, fatigue, etc.)Do you require options for traveling with children or multiple family members? (e.g. multiple beds, pull-out sofas, adjoining rooms, etc.) Always Sometimes NeverIf you have previously stayed in a hotel, please describe in as much detail as possible the ideal room set-up to take care of your needs (e.g. high or low bed, space under bed for hoist, roll-in shower, accessible bathtub, etc.).What hotel amenities are most important to you? Central Location Hotel Dining City/Ocean Views Swimming Pool Gym Spa Air Conditioning Beach Roll-in Shower Accessible Parking Near Public Transportation Room Service Near Shopping Near Restaurants Internet AccessWhat forms of transportation have you used with a mobility aid? Airplanes Trains Accessible vans/taxis Cruise ships/ferries Local metro/subway Local buses and/or tramsWhere have you been? United States Canada Mexico Caribbean South America Europe Scandinavia Middle East South Asia Central Asia China Southeast Asia Japan Asia Pacific Australia/New Zealand Africa Central America OtherIs there a specific destination(s) you are interested in traveling to or learning more about today? Please explain in as much detail as possible your interest in this/these destination(s).Would you be interested in going on a cruise? If so, what itineraries might interest you? Caribbean Alaska Hawaii Mediterranean Europe Baltic Asia South America River CruiseHow would you describe your traveling style? I will bungee jump and skydive if given the opportunity! An African safari sounds amazing; I just don't want to get eaten. I love foreign travel, but I need a bed and air conditioning. Overseas travel makes me nervous, but I want to explore the US more. I hate flying, but road trips and train rides sound adventurous! I'm all about the staycation, maybe seeing sights a few hours away.Thanks again for letting us get to know you and your travel preferences better!