Block Island Tourism Council

First Name

Last Name

Mailing Address

City

State

select

Zip Code

Daytime Phone (optional)

Email Address (to be included on our email list)

Have you visited Block Island before?

YesNo

What inspired you to visit Block Island?

AdvertisingTravel AgentFriends/FamilyInternetTravel ArticleFacebookTwitterOther

What type of accommodations did you/will you enjoy?

InnB&BRental HomeTimeshareStay with Friends/FamilyOther

What is/was the primary purpose of your visit?

Family-Oriented VacationBusiness TravelMeeting/ConventionGroup Tour
Girl Friend GetawayMancationOther

What type of activities did you/will you do?

Arts (music, dance, theatre, galleries)BeachesNature/Education
Fairs & Festivals/Special EventsBirdingHistorical Sites/Lighthouses
Boating/SailingShoppingOutdoor Recreation (hiking, cycling, kayaking)
FishingDiningOther

What is important to you in selecting a vacation destination?

Special Offers/PackagesSpecial EventsEasy DriveEasy by AirFriends/FamilyEducational/CulturalOther

Please indicate which other regions(s) of the state you are considering visiting. (check all that apply)

Blackstone ValleyProvidenceSouth CountyNewport CountyWarwick/West BayBristol CountyNone

What resources did you use to plan your vacation?

InternetTravel BrochuresMagazine AdAAAOther

Do you plan to use this web site to make specific plans about your visit to Block Island?

YesNo

How much time, in total, will you/did you spend in Block Island on your trip?

day trip (no overnight)1 night2-3 nights4 or more nights

What is your gender?

MaleFemale

What is your age range?

Under 2525-3435-4445-5455+

Which category best describes the annual income of your household?

< $24,999$25,000 - $49,999$50,000 - $74,999$75,000 - $99,999$100,000 - $149,999$150,000 - $199,999$200,000+

Which category best describes your marital status?

SingleSingle with childrenSingle, children no longer at homeCouple, no children
Couple with childrenCouple, children no longer at home

Would you like to be entered to win a weekend getaway to Block Island?

YesNo

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