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Instructions:
We must receive your questionnaire and payment at least 4 weeks prior to your trip.
Use mouse or "tab" key to move down the questionnaire.
Press "enter" key or "submit" button (at bottom of this questionnaire) to send us your answers.
If you accidentally send before completing, press your browser's "back" button to complete and resend.
1. Please provide the following contact information:
Name * (as it appears on your Order Form) Telephone E-mail * (as it appears on your Order Form) * Required - we may need to contact you with follow-up questions.
* Required - we may need to contact you with follow-up questions.
2. Dates you will be in Northern Ireland:
3. What are your desired entry and exit points in Northern Ireland? (Examples: “Starting at Belfast airport and leaving somewhere along the County Donegal border” or “Heading into Northern Ireland from Dublin and want to return to Dublin” or “Entering Northern Ireland from the west and exiting into County Monaghan”):
4. Your primary method of transportation while in Northern Ireland:
Rental car Public transportation Bicycle Other (please specify):
5. Number of people traveling together and age range:
6. Daily budget for trip per person (estimate of daily costs for lodging/food/site-seeing per person in US Dollars):
7. Have you ever visited Northern Ireland before?
Yes No
8. Is there anything specific you know you want to see or do while in Northern Ireland?
9. When traveling, I/we prefer to (select any that apply):
Stay at one location for a few days and explore the immediate, nearby area Stay at one location for a few days and take "day trips" to other locations Stay at a different location each day, to cover lots of territory Other (please specify):
10. I/we like to stay in (select any that apply):
Large cities - usually in the city center Large cites - usually on the outer fringes Mid-sized towns/cities Small towns Rural areas Other (please specify):
11. My/our accommodations are usually (select any that apply):
Luxury hotels Small "boutique" hotels Chain hotels/motels Bed and Breakfast places Self-catering places (usually have kitchen facilities) Other (please specify):
12. I/we are interested in the following activities (select any that apply):
Biking Birding Family history/genealogy research Fly-fishing Golfing Guided tours Hiking Historical sites Historical sites related to "the troubles" Horseback riding Local arts and crafts Museums Photographing scenery Shopping Walking tours Other (please specify):
Biking Birding Family history/genealogy research Fly-fishing Golfing Guided tours Hiking Historical sites Historical sites related to "the troubles" Horseback riding Local arts and crafts Museums Photographing scenery Shopping
Walking tours Other (please specify):
13. What do you love about traveling to new places?
14. What really annoys you when you're traveling?
15. Please provide any additional information you think will help us plan a great Northern Ireland adventure for you:
16. How did you hear about Northern Ireland Travels (select any that apply)?
Irish Gazette article
Internet Search Engine
Jazz 88 FM (Celtic Nation - click here to listen on-line)
From a friend or family member
Other (please specify):
Thank you for completing this questionnaire. Please print a copy, for your reference, before submitting.
E-mail questions or comments to nirelandtravels@gmail.com Copyright © 2009 KMD Consulting, Inc. All rights reserved. Last modified: 08/25/09