Executive Hotel Stay Questionnaire

Executive Hotel Stay Questionnaire

Sponsoring Company Name:
Sponsoring Company Address:
                                            City: State:     ZIP:
Employee First Name: MI: Last Name:
Employee Address:
                                            City: State:     ZIP:
Company HR Dept. Phone:
Employee Home Phone:                 Employee Work Phone:
Date of Arrival:                         Date of Departure:
Number of Rooms Needed:
You will be accompanied by: Spouse/Companion       Child(ren)
Per Day Maximum Room Rate:
Room Rate Budget:     $100-$200    $200-$250    $250-$300    $300-$350
                                           $350-$400    $400-$450    $450-$500    $500-$550    $550+
Traveler's Health/Accident Insurance Needed    Yes    No

Location in Manhattan (Check all that may apply)
Upper Eastside (42nd St. & above, York Av. - East of 5th Av.)
Upper Westside (42nd St. & above, West of 5th Av. -12th Av.)
Midtown (23rd St. -42nd St., east & west)
Lower Eastside (14th St. - 23rd St., East of 5th Av.)
Lower Westside (14th St. - 23rd St., West of 5th Av. -12th Av.)
Lower New York (14th St. & below, east & west)
Indicate more specific locations:

Hotel / Room:
Single Occupancy    Double Occupancy
Non-Smoking    Smoking    No Preference
Floor Preference:

Separate Bedroom	Yes	No				No Preference
Kitchenette	Yes		No		No Preference
Health Club	Yes			No
Child Care	Yes			No
Internet Access	Yes			No
Business Computer Center	Yes			No
Safe Deposit	Yes			No
Special Security Arrangements	Yes			No
Accommodation for Disability	Yes			No
Translator	Yes			No
Tour Guide	Yes			No
Transportation needed from the Airport	Yes			No
Rental Car Needed	Yes			No
Car and Driver needed	Yes			No
Need Assistance with: Theater Reservations > Restaurant Reservations > Other, please specify: >	Yes			No
	Yes			No

Permanent Housing after > Hotel Stay > If yes: >	Yes			No
	Rentals			Condominium
	House			Coop