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 advise your further regarding appropriate arrangements for your cruise.

* indicates required fields

Guest Information

Please select a title

Please enter first name

Please enter last name

 

Booking Information

Please enter booking number

Enter a valid email address.

Please select a Ship.

Please Add a Sail Date

Indicate what type of mobility device you will be traveling with on your cruise. Please select all that apply.

Mobility Device

 

Please list any additional mobility equipment you will be bringing to travel with (e.g. hoist, portable commode, etc.)

Mobility devices with batteries must be a dry cell, gel, or lithium-ion type and must be stored and recharged in the stateroom.Mobility devices of any kind, like other items, may not be left outside the stateroom. Please be sure that your mobility equipment is no wider than 22" if booked in a standard cabin or no wider than 31" if booked in an accessible cabin.

 
Is the device collapsible?
Please indicate if the mobility device is a rental to be delivered to the ship

Mobility Status

Please indicate the usage of your mobility device by selecting one of the below options.
Are you able to negotiate steps on and off of a motorcoach?

Please select one of the above options.

If you answered no to the above question and a lift equipped vehicle is required for transportation, please list combined weight of passenger and device.

Are you able to transfer from your device to a seat?
Will you be traveling with a companion who is able to assist you?

Please select one option.

 

Pre- and Post-cruise programs

If you are booked on a Cruise tour or pre or post cruise hotel stay (excluding Alaska Cruisetours), please let us know if you are requiring an accessible hotel room.

I require Accessible hotel room?

Please select one of the above options.

If you require specific features in your room please list them below.

If you are booked on an Alaska Cruise tour, please inform us regarding your room requirements below

I require a ground floor lodge room (if elevator not available)?

Please select one of the above options.

I require an accessible lodge room?

Please select one of the above options.

 
 

Please note, certain features may not be available at all hotel properties and cannot be guarenteed; however, we will make every effort to accomodate your request.

Note: At ports where a tender is used, wheelchair/scooter access is limited and disembarkation is at the discretion of the Captain.

Please ensure this questionnaire is completed at least 60 days prior to your departure

Privacy notice: We respect your privacy and the personal information you provide us in this mobility questionaire will be treated with our privacy policy. In order to facilitate your cruise, certain information may be required by and disclosed to certain organizations (e.g. fleet staff, or medical staff onboard) but only as neccessary. You can access the personal information we have collected about you and obtain a copy of our privacy policy from our Privacy Officer.

We will not be able to facilitate the booking, carriage and administration of your cruise if you do not provide us with all of the information requested on this form.

If you need further assistance, please contact accessofficeprincess@princesscruises.com

 
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