Transcription of MOBILITY QUESTIONNAIRE 車椅子質問書
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MOBILITY QUESTIONNAIRE 車椅子質問書
MOBILITY QUESTIONNAIRE Our records indicate you will be traveling with a MOBILITY device on your upcoming sailing. Please take a moment to fill out the below information so we can ensure proper arrangements are made for your cruise. Booking Information_____ _____ _____ _____ _____ Title First name Middle name Last name Suffix _____ _____ _____ _____ _____ _____ _____ Sail date Ship name Stateroom Category Booking # Embarkation port Disembarkation port Indicate what type of MOBILITY device you will be traveling with on your cruise. Please select all that apply. MOBILITY DeviceIndicate Type of Device Device Dimensions Standard Heavy Duty Collapsible Weight Width Height Length Power Weelchair Scooter (3-wheel) Scooter (4-wheel) Walker / Rollator Please indicate if the MOBILITY device is a rental to be delivered to the ship __ Yes __ No Please list any
MOBILITY QUESTIONNAIRE 車椅子質問書. Our records indicate you will be traveling with a mobility device on your upcoming sailing. Please take a moment to fill out the
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