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Private Family Experience: Intake Form
Family Information:
Contact Name:
*
The person who will be leading the details of the trip
Email
*
Phone Number
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🇷🇴 Romania (România) +40
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🇸🇮 Slovenia (Slovenija) +386
🇸🇧 Solomon Islands +677
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🇸🇸 South Sudan (جنوب السودان) +211
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🇱🇰 Sri Lanka (ශ්රී ලංකාව) +94
🇸🇩 Sudan (السودان) +249
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🇸🇪 Sweden (Sverige) +46
🇨🇭 Switzerland (Schweiz) +41
🇸🇾 Syria (سوريا) +963
🇹🇼 Taiwan (台灣) +886
🇹🇯 Tajikistan +992
🇹🇿 Tanzania +255
🇹🇭 Thailand (ไทย) +66
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🇻🇦 Vatican City (Città del Vaticano) +39
🇻🇪 Venezuela +58
🇻🇳 Vietnam (Việt Nam) +84
🇼🇫 Wallis and Futuna +681
🇾🇪 Yemen (اليمن) +967
🇿🇲 Zambia +260
🇿🇼 Zimbabwe +263
Preferred Method of Communication:
*
Email
Text
Number of Travelers:
*
Names and Ages of Family Members:
*
(e.g., John - 45, Sarah - 42, Emily - 12, Jack - 8)
Special Preferences or Needs:
Dietary restrictions, accessibility requirements, allergies, etc.
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Travel Preferences
Preferred Travel Dates:
*
(Please include arrival and departure dates or a range of dates.)
Preferred Destination(s) in Italy:
*
(e.g., Sorrento Coast, Florence)
Length of Stay
*
7 days
10 days
14 days
Longer. Please Specify.
Length of stay (longer than 14 days)
*
Activity Level of the Group:
*
Relaxed and laid-back
Moderate activity
Highly active and adventurous
What ratio of Fun to Personal Development do you prefer?
*
25% Work / 75% Fun & Excursions: A morning workshop and daily meditation is perfect.
50% Work / 50% Fun & Excursions: A morning workshop, daily meditation, health technologies, and bodywork.
75% Work / 25% Excursions: A deep dive into work, meditation, hiking or body movement, health technologies, bodywork, energy, and hypnosis work.
What is the intention & desired outcomes of the Family for This Trip?
*
(E.g., relaxation, bonding, exploring, self-growth, health reset, etc.)
Are there specific areas of life you want to work on?
*
(E.g., self, family, business, health, etc.)
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Accommodations
Type of Accommodations Preferred:
*
Luxury Hotel
Private Villa
Boutique Hotel
Other (please specify)
Minimum Number of Bedrooms Needed:
Minimum Number of Bathrooms Needed:
Level of Luxury:
*
5-star ultra-luxury
High-end luxury
Comfortable and upscale
Preferred Amenities:
(E.g., pool, spa, private chef, beachfront, walkability, views, etc.)
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Dining and Culinary Preferences
Preferred Dining Style:
*
Local catering
Michelin rated restaurants
Fine dining
Casual local cuisine
Mix of above: please specify
Interest in Culinary Experiences:
Private chef experiences
Cooking classes
Wine tastings
Food tours
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Excursions and Activities
What Type of Experiences Are You Interested In? (Check all that apply):
*
Cultural (museums, historical sites, architecture)
Outdoor Adventures (hiking, biking, water sports)
Relaxation (spa, beach, beach club, scenic views)
Family-friendly activities (e.g., cooking classes for kids)
Shopping (luxury brands, local markets)
Boating (yacht, standard boat)
Other (please specify)
Boating Location
Amalfi
Positano
Furore
Isle of Capri
Ischia
Any Specific Excursions You’re Dreaming Of?
(E.g., path of gods hike, private boat tour in Amalfi, trip to Ischia island, tour of capri, swimming blue grotto etc.)
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Transportation
Preferred Mode of Transportation:
*
Private driver
Rental car
Train
Other (please specify)
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Childcare Requests
Do You Require Childcare?
*
Yes
No
When Will Childcare Be Needed?
During Workshops
Onsite for the Whole Stay
During Workshops and Excursions
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Budget and Additional Notes
Budget and Additional Notes
*
The range is to make space for those looking for a highly luxurious experience. Ie. yacht over a standard boat, many boat trips, 5 star hotel, large villa with views & many amenities.
€20,000 - €30,000 per person
€30,000 - €50,000 per person
€50,000+ per person
Anything Else We Should Know to Make This Trip Perfect for Your Family?
(Feel free to share any additional details, dreams, or must-haves.)
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