Pre-Ship Tour Survey SEAing is Believing Please complete this survey so we can prepare to ensure the Ship Tour meets your needs and answers your questions. Thank you Ship Tour Attending Date of Ship Tour Invalid Input Location City of Ship Tour Invalid Input Expectations Select all that apply Select all that applySee what a cruise ship is likeTo learn how a cruise vacation can work for my child and our familyLearn about Royal Caribbean's Autism Friendly ServicesLearn about Autism on the Seas Services Invalid Input Other Invalid Input Challenges Challenges / Concerns about Cruising or Vacationing - Select any that apply Challenges / Concerns about Cruising or Vacationing - Select any that applyConcerned my child will not adapt to the ship or being away from homeConcerned over challenges in getting to/onto the shipFear my child will jump overboardConcerned my child will not adapt to sleeping in a new place/on a shipConcerned by child is too much of an eloperConcerned the ship will not be able to accommodate my child’s dietConcerned that my adult child will not fit in or that there will not be enough appropriate activitiesConcerned my child’s behaviors will be too much for us to manageConcerned my child will leave our cabin without us knowingConcerned the AotS Staff cannot handle my child’s behaviorsConcerned my child will not act appropriately at meals or in publicConcerned my child will fall off of their Therapy Plan (ABA, Behavioral, ect)Overall concerned of the effort involved will not be a true vacationNothing specific at this time Invalid Input Other Invalid Input Family Members Touring Number of People Touring Invalid Input 1st Person - First Name Invalid Input This person is a This person is aParent or GuardianChild with Special NeedsChild without Special NeedsExtended Family Member/Friend Invalid Input Date of Birth Month010203040506070809101112 / Day01020304050607080910111213141516171819202122232425262728293031 / Year19201921192219231924192519261927192819291930193119321933193419351936193719381939194019411942194319441945194619471948194919501951195219531954195519561957195819591960196119621963196419651966196719681969197019711972197319741975197619771978197919801981198219831984198519861987198819891990199119921993199419951996199719981999200020012002200320042005200620072008200920102011201220132014201520162017201820192020202120222023202420252026202720282029203020312032203320342035203620372038203920402041204220432044204520462047204820492050205120522053205420552056205720582059206020612062206320642065206620672068206920702071207220732074207520762077207820792080208120822083208420852086208720882089209020912092209320942095209620972098209921002101210221032104210521062107210821092110211121122113211421152116211721182119212021212122212321242125212621272128212921302131213221332134213521362137213821392140214121422143214421452146214721482149215021512152215321542155215621572158215921602161216221632164216521662167216821692170217121722173217421752176217721782179218021812182218321842185218621872188218921902191219221932194219521962197219821992200 Invalid Input Cruise History Cruise HistoryParent/Guardian has Cruised in the Past (with special needs child)Parent/Guardian has Cruised in the Past (without special needs child)Child has Cruised in the PastHas Never CruisedExtended Family Member/Friend Invalid Input 2nd Person - First Name Invalid Input This person is a This person is aParent or GuardianChild with Special NeedsChild without Special NeedsExtended Family Member/Friend Invalid Input Date of Birth Month010203040506070809101112 / Day01020304050607080910111213141516171819202122232425262728293031 / Year19201921192219231924192519261927192819291930193119321933193419351936193719381939194019411942194319441945194619471948194919501951195219531954195519561957195819591960196119621963196419651966196719681969197019711972197319741975197619771978197919801981198219831984198519861987198819891990199119921993199419951996199719981999200020012002200320042005200620072008200920102011201220132014201520162017201820192020202120222023202420252026202720282029203020312032203320342035203620372038203920402041204220432044204520462047204820492050205120522053205420552056205720582059206020612062206320642065206620672068206920702071207220732074207520762077207820792080208120822083208420852086208720882089209020912092209320942095209620972098209921002101210221032104210521062107210821092110211121122113211421152116211721182119212021212122212321242125212621272128212921302131213221332134213521362137213821392140214121422143214421452146214721482149215021512152215321542155215621572158215921602161216221632164216521662167216821692170217121722173217421752176217721782179218021812182218321842185218621872188218921902191219221932194219521962197219821992200 Invalid Input Cruise History Cruise HistoryParent/Guardian has Cruised in the Past (with special needs child)Parent/Guardian has Cruised in the Past (without special needs child)Child has Cruised in the PastHas Never CruisedExtended Family Member/Friend Invalid Input 3rd Person? 3rd Person?NoYes Invalid Input 3rd Person - First Name Invalid Input This person is a This person is aParent or GuardianChild with Special NeedsChild without Special NeedsExtended Family Member/Friend Invalid Input Date of Birth Month010203040506070809101112 / Day01020304050607080910111213141516171819202122232425262728293031 / Year19201921192219231924192519261927192819291930193119321933193419351936193719381939194019411942194319441945194619471948194919501951195219531954195519561957195819591960196119621963196419651966196719681969197019711972197319741975197619771978197919801981198219831984198519861987198819891990199119921993199419951996199719981999200020012002200320042005200620072008200920102011201220132014201520162017201820192020202120222023202420252026202720282029203020312032203320342035203620372038203920402041204220432044204520462047204820492050205120522053205420552056205720582059206020612062206320642065206620672068206920702071207220732074207520762077207820792080208120822083208420852086208720882089209020912092209320942095209620972098209921002101210221032104210521062107210821092110211121122113211421152116211721182119212021212122212321242125212621272128212921302131213221332134213521362137213821392140214121422143214421452146214721482149215021512152215321542155215621572158215921602161216221632164216521662167216821692170217121722173217421752176217721782179218021812182218321842185218621872188218921902191219221932194219521962197219821992200 Invalid Input Cruise History Cruise HistoryParent/Guardian has Cruised in the Past (with special needs child)Parent/Guardian has Cruised in the Past (without special needs child)Child has Cruised in the PastHas Never CruisedExtended Family Member/Friend Invalid Input 4th Person? 4th Person?NoYes Invalid Input 4th Person - First Name Invalid Input This person is a This person is aParent or GuardianChild with Special NeedsChild without Special NeedsExtended Family Member/Friend Invalid Input Date of Birth Month010203040506070809101112 / Day01020304050607080910111213141516171819202122232425262728293031 / Year19201921192219231924192519261927192819291930193119321933193419351936193719381939194019411942194319441945194619471948194919501951195219531954195519561957195819591960196119621963196419651966196719681969197019711972197319741975197619771978197919801981198219831984198519861987198819891990199119921993199419951996199719981999200020012002200320042005200620072008200920102011201220132014201520162017201820192020202120222023202420252026202720282029203020312032203320342035203620372038203920402041204220432044204520462047204820492050205120522053205420552056205720582059206020612062206320642065206620672068206920702071207220732074207520762077207820792080208120822083208420852086208720882089209020912092209320942095209620972098209921002101210221032104210521062107210821092110211121122113211421152116211721182119212021212122212321242125212621272128212921302131213221332134213521362137213821392140214121422143214421452146214721482149215021512152215321542155215621572158215921602161216221632164216521662167216821692170217121722173217421752176217721782179218021812182218321842185218621872188218921902191219221932194219521962197219821992200 Invalid Input Cruise History Cruise HistoryParent/Guardian has Cruised in the Past (with special needs child)Parent/Guardian has Cruised in the Past (without special needs child)Child has Cruised in the PastHas Never CruisedExtended Family Member/Friend Invalid Input 5th Person? 5th Person?NoYes Invalid Input 5th Person - First Name Invalid Input This person is a This person is aParent or GuardianChild with Special NeedsChild without Special NeedsExtended Family Member/Friend Invalid Input Date of Birth Month010203040506070809101112 / Day01020304050607080910111213141516171819202122232425262728293031 / Year19201921192219231924192519261927192819291930193119321933193419351936193719381939194019411942194319441945194619471948194919501951195219531954195519561957195819591960196119621963196419651966196719681969197019711972197319741975197619771978197919801981198219831984198519861987198819891990199119921993199419951996199719981999200020012002200320042005200620072008200920102011201220132014201520162017201820192020202120222023202420252026202720282029203020312032203320342035203620372038203920402041204220432044204520462047204820492050205120522053205420552056205720582059206020612062206320642065206620672068206920702071207220732074207520762077207820792080208120822083208420852086208720882089209020912092209320942095209620972098209921002101210221032104210521062107210821092110211121122113211421152116211721182119212021212122212321242125212621272128212921302131213221332134213521362137213821392140214121422143214421452146214721482149215021512152215321542155215621572158215921602161216221632164216521662167216821692170217121722173217421752176217721782179218021812182218321842185218621872188218921902191219221932194219521962197219821992200 Invalid Input Cruise History Cruise HistoryParent/Guardian has Cruised in the Past (with special needs child)Parent/Guardian has Cruised in the Past (without special needs child)Child has Cruised in the PastHas Never CruisedExtended Family Member/Friend Invalid Input 6th Person? 6th Person?NoYes Invalid Input 6th Person - First Name Invalid Input This person is a This person is aParent or GuardianChild with Special NeedsChild without Special NeedsExtended Family Member/Friend Invalid Input Date of Birth Month010203040506070809101112 / Day01020304050607080910111213141516171819202122232425262728293031 / Year19201921192219231924192519261927192819291930193119321933193419351936193719381939194019411942194319441945194619471948194919501951195219531954195519561957195819591960196119621963196419651966196719681969197019711972197319741975197619771978197919801981198219831984198519861987198819891990199119921993199419951996199719981999200020012002200320042005200620072008200920102011201220132014201520162017201820192020202120222023202420252026202720282029203020312032203320342035203620372038203920402041204220432044204520462047204820492050205120522053205420552056205720582059206020612062206320642065206620672068206920702071207220732074207520762077207820792080208120822083208420852086208720882089209020912092209320942095209620972098209921002101210221032104210521062107210821092110211121122113211421152116211721182119212021212122212321242125212621272128212921302131213221332134213521362137213821392140214121422143214421452146214721482149215021512152215321542155215621572158215921602161216221632164216521662167216821692170217121722173217421752176217721782179218021812182218321842185218621872188218921902191219221932194219521962197219821992200 Invalid Input Cruise History Cruise HistoryParent/Guardian has Cruised in the Past (with special needs child)Parent/Guardian has Cruised in the Past (without special needs child)Child has Cruised in the PastHas Never CruisedExtended Family Member/Friend Invalid Input Contact Person - Parent/Guardian First and Last Name* Invalid Input Email* Invalid Input Cell Phone (to contact day of tour, if needed)* Invalid Input Comments, Questions, Request More Info, ect Invalid Input Security* I am not a robot Invalid Input Submit Reset