Z- Airport: Travel Information #9999
Location #9999: Travel Information   Address :
VA US
Location Phone :    
Question Answer
The information you provide on this form will be submitted on a secure website. Your personal information WILL NOT be shared or distributed to a third party. All details that you include are only intended to be used for scheduling purposes. Should you have any questions, please contact Adrianne Taylor-White at ataylor@bareinternational.com
Where do you reside? United States
Country other than United States 
Your First Name:  
Your Last Name:  
Your Email Address (Enter the email address that you registered with. This is the email we will use to contact you):  
Please confirm your email address:  
Telephone number where you can be reached for scheduling purposes: (Home, Work, and/or Mobile)  
If traveling on multiple dates, please complete a separate survey form for each departure/return date.
DEPARTURE FLIGHT INFORMATION
Date of Departure Flight:
 
What time is your departure flight? (Be sure to select the correct AM/PM).  :  AM PM  
Will you have time to shop BEFORE your flight? (Keep in mind that you will need to allow extra time to go through security). YesNo 
How much time will you have to shop BEFORE your flight?  
Please select the airport from which you will depart:  
If the airport you are traveling from is not listed, please type it here:  
What airline will you be traveling with?  
Include Gate/Terminal information (if known)  
What airport are you traveling to:  
If the airport you are traveling to is not listed, please type it here:  
What is your flight's scheduled arrival time?  :  AM PM  
Will you have time to shop AFTER you reach your destination? YesNo 
How much time will you have to shop AFTER you arrive at your final destination?  
Do you have a layover? YesNo 
At which airport is your layover?  
How long is your layover?  
Please provide any details about your layover, if applicable.  
RETURN FLIGHT INFORMATION
Date of Return Flight:
 
What time is your return flight? (Be sure to select the correct AM/PM).  :  AM PM  
Will you have time to shop BEFORE your flight? (Keep in mind that you will need to allow extra time to go through security). YesNo 
How much time will you have to shop BEFORE your flight?  
Please select the airport from which you will depart:  
If the airport you are traveling from is not listed, please type it here:  
What is your flight's scheduled arrival time?  :  AM PM  
What airline will you be traveling with?  
Include Gate/Terminal information (if known)  
What airport are you traveling to:  
If the airport you are traveling to is not listed, please type it here:  
Will you have time to shop AFTER you reach your destination? YesNo 
How much time will you have to shop after you arrive at your final destination?  
Do you have a layover? YesNo 
At which airport is your layover?  
How long is your layover?  
Please provide any details about your layover, if applicable.  
Shop Completion
Are you able to enter your report online within 24 hours of shop completion? YesNo 
If not, within how many hours of shop completion can you submit your report online?  
Are you able to submit your proof of visit within 24 hours of shop completion? YesNo 
If not, within how many hours of shop completion can you submit your proof of visit?  
POST-SECURITY ACCESS
*Note - if you or a family member are employed with any of our client's airport vendors, we cannot schedule you for the airport shops.
If you are not traveling, do you have a security badge/pass that allows you to go beyond the security gates? (Please select N/A if you are traveling). YesNoN/A 
How do you have access beyond security?  
If an employee, with whom are you employed:  
Can you provide a copy of your security badge, if requested? YesNo 
Thank you for your time and travel details. Should your information meet assignments that we have available, we will contact you.
If there are other details of your trip that would be helpful for us to know when scheduling, please include here:
 

  
We are always looking for reliable evaluators to complete assignments world-wide. If you have a friend, family member or colleague who would like to shop, please have them register online with BARE www.bareinternational.com.