WINE TRAVEL QUESTIONNAIRE
Number of travelers
Date Arriving   AM PM Date Leaving   AM PM
Children traveling? Yes No
Dogs traveling? Yes No
REGION TO VISIT: California: Anderson Valley/Mendocino/Lake Monterey County/Carmel Paso Robles/San Luis Obispo Santa Barbara/Santa Ynez Sierra Foothills/Lodi Temecula/San Diego New Zealand Livermore Valley Napa Valley Russian River/Sonoma County Santa Cruz/Santa Clara Sonoma Valley Oregon
Number of wineries per day desired?
OK to pay for wine tasting? Yes  No
Do you prefer: White  Rose  Red  Dessert  All
Average price of wine usually purchased:
Do you collect wine? Yes  No
How often do you drink wine? 1 Bottle/Week   2 - 4 Bottles/Week   5 or more Bottles/Week
Important to meet/talk with the Winemaker? (5 Being Most Important) Rate 1-5 1 2 3 4 5
DINING OUT EXPERIENCE Breakfast  Price Range Each $5.00 - $10.00 $10.00 - $20.00 $20.00 + Casual Nice Elegant Quiet Kid Friendly Dog Friendly Outside Dining Near Lodging Within 30 min. drive   Other:  Lunch  (not including wine) Price Range Each $5.00 - $10.00 $10.00 - $20.00 $20.00 - $30.00 $30.00 + Casual Nice Elegant Quiet Good Wine List Kid Friendly Dog Friendly Outside Dining Near Lodging Within 30 min. drive Other:  Dinner  (not including wine) Price Range Each $10.00 - $20.00 $20.00 - $30.00 $30.00 - $50.00 $50.00 + Casual Nice Elegant Quiet Good Wine List Kid Friendly Dog Friendly Outside Dining Near Lodging Within 30 min. drive Other:    LODGING: Bed and Breakfast Hotel Suites Hotel Boutique Hotel/Inn Motel House Rental   Other:    Price Per Night: Under:$100 $100-$150 $150-$200 $200-$300 $300-$500 $500-up   OTHER ACTIVITIES (check off the MOST important things to do on this vacation, not directly wine-related) Golf  Spa  Hike  Bike Ride  Limo Tours  Miniature Golf  Ice Cream  Travel into 'Big City'  Horseback Riding  Walk Along Beach  Whale Watching  Happy Hour  Bowling  Movies/Theatre  Shopping  Fishing  California Mission  Sporting Event  Art/Museums  Sightseeing  Coffee/Tea  Surfing  Relax by Pool  Hot Air Ballooning  Other:   Something we missed? Give us the details:   WHICH TOUR(S) ARE YOU INTERESTED IN? Seeker  Explorer  Ultimate Adventurer  Seeker Tour Info  Explorer Tour Info  Ultimate Adventurer Tour Info  RATES: The Seeker Tour requires a full non-refundable payment in order to begin the personalized itinerary process. The Explorer and the Ultimate Tour packages require a 50% deposit upon booking (we accept PayPal, Visa, Discover, MasterCard and American Express). The balance will be charged 14 days prior to your arrival. In the unlikely event that you need to cancel your trip or tour that we have designed and arranged for you, you must do so both in writing to info@vicivino.com, so there is a “time stamp” on your request, and by phone 925-872-7987. We will send a confirmation via email of your cancellation. We will then cancel all the reservations that we made for your trip. If there are any cancellation fees that occur due to your cancellation from the lodging or any of the advanced reservations we made for you, you will be charged those fees plus a $100.00 inconvenience fee. For more information, see the ViciVino.com Payment & Cancellation Policy.   First Name Last Name Address City State Zip Code Email Verify Email Password Verify Password Phone Number