TravelJoy

Tarun Butcher

Jireh Travel

Personalized Travel Planning

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    <form-template>&#13;
	<fields><field type="text" subtype="text" required="true" label="First name" className="form-control" name="first-name"></field><field type="text" subtype="text" required="true" label="Last name" className="form-control" name="last-name"></field><field type="text" subtype="text" required="true" label="Email" className="form-control" name="email"></field>&#13;
		<field type="header" subtype="h2" label="Questions for your trip"/>&#13;
		<field type="text" label="Where would you like to go?" description="If you're not sure  just give me a few destinations you're considering." placeholder="ex: Tahiti" name="destination" subtype="text" className="form-control"/>&#13;
		<field type="date" label="When would you like to depart?" description="This just gives me a general idea of when you like to go; it can be changed later." name="starting-at" className="form-control"/>&#13;
		<field type="date" label="When would you like to return?" description="This just gives me a general idea of when you like to return; it can be changed later." name="ending-at" className="form-control"/>&#13;
		<field type="checkbox-group" label="Are your dates flexible?" name="dates-flexible">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
		</field>&#13;
		<field type="text" label="What is your departure city?" description="Where will you be flying from?" name="departure-city" subtype="text" className="form-control"/>&#13;
		<field type="text" label="How many travelers?" name="number-of-travelers" subtype="text" className="form-control"/>&#13;
		<field type="text" label="How many adults and how many children will be travelling? (Please include age of children)" name="how-many-adults-and-how-many-children-will-be-travelling-please-include-age-of-children" subtype="text" className="form-control"/>&#13;
		<field type="radio-group" label="What is your budget for all travelers?" description="This just gives me a general starting point and can always be changed later." name="budget">&#13;
			<option label="$1,500 to $2,500" value="1500-2500">$1,500 to $2,500</option>&#13;
			<option label="$2,500 to $4,500" value="2500-4500">$2,500 to $4,500</option>&#13;
			<option label="$4,500 to $6,500" value="4500-6500">$4,500 to $6,500</option>&#13;
			<option label="$6,500 to $8,500" value="6500-8500">$6,500 to $8,500</option>&#13;
			<option label="$8,500 to $10,000" value="8500-10000">$8,500 to $10,000</option>&#13;
			<option label="$10,000+" value="10000">$10,000+</option>&#13;
		</field>&#13;
		<field type="radio-group" label="What best describes your accommodation preference?" name="hotel-preference" other="true">&#13;
			<option label="Economy" value="value">Economy</option>&#13;
			<option label="Moderate" value="moderate">Moderate</option>&#13;
			<option label="Luxury" value="luxury">Luxury</option>&#13;
			<option label="Boutique" value="boutique">Boutique</option>&#13;
		</field>&#13;
		<field type="checkbox-group" label="Accommodation Preference" name="accommodation-preference">&#13;
			<option label="Hotel " value="hotel-">Hotel </option>&#13;
			<option label="Resort " value="resort-">Resort </option>&#13;
			<option label="All Inclusive Resort" value="all-inclusive-resort">All Inclusive Resort</option>&#13;
			<option label="Bed and Breakfast" value="bed-and-breakfast">Bed and Breakfast</option>&#13;
			<option label="Hostel " value="hostel-">Hostel </option>&#13;
			<option label="Condo Style Rental " value="condo-style-rental-">Condo Style Rental </option>&#13;
			<option label="Vacation Home Rental (AirBnB Style)" value="vacation-home-rental-airbnb-style">Vacation Home Rental (AirBnB Style)</option>&#13;
			<option label="Villa style (Airbnb Lux Style) " value="villa-style-airbnb-lux-style-">Villa style (Airbnb Lux Style) </option>&#13;
			<option label="Other" value="other">Other</option>&#13;
		</field>&#13;
		<field type="checkbox-group" label="What kind of travel&amp;nbsp; are you looking for?" description="Check all that apply." name="vibe-preference" other="true">&#13;
			<option label="Romantic" value="romantic">Romantic</option>&#13;
			<option label="Rest and relaxation" value="rest-and-relaxation">Rest and relaxation</option>&#13;
			<option label="Off the beaten path" value="off-the-beaten-path">Off the beaten path</option>&#13;
			<option label="Party" value="party">Party</option>&#13;
			<option label="Local culture" value="local-culture">Local culture</option>&#13;
			<option label="Family friendly" value="family-friendly">Family friendly</option>&#13;
			<option label="Food and wine" value="food-wine">Food and wine</option>&#13;
			<option label="Adult Only " value="adult-only-">Adult Only </option>&#13;
		</field>&#13;
		<field type="checkbox-group" label="What activities are you interested in?" description="Check all that apply" name="activity-preferences" other="true">&#13;
			<option label="Beach and water" value="beach-water">Beach and water</option>&#13;
			<option label="Gambling" value="gambling">Gambling</option>&#13;
			<option label="Scuba" value="scuba">Scuba</option>&#13;
			<option label="Adventure activities" value="adventure">Adventure activities</option>&#13;
			<option label="Golf" value="golf">Golf</option>&#13;
			<option label="Nightlife" value="nightlife">Nightlife</option>&#13;
			<option label="Arts and theater" value="art-theater">Arts and theater</option>&#13;
			<option label="Rest &amp; Relaxation" value="rest-relaxation">Rest &amp; Relaxation</option>&#13;
		</field>&#13;
		<field type="checkbox-group" label="Are you Fully with a WHO accepted vaccination?&amp;nbsp;" name="are-you-fully-with-a-who-accepted-vaccination-">&#13;
			<option label="Yes" value="No">Yes</option>&#13;
		</field>&#13;
		<field type="checkbox-group" label="Do you have a visa to travel or transit through the US?" name="do-you-have-a-visa-to-travel-or-transit-through-the-us">&#13;
			<option label="Yes " value="yes-">Yes </option>&#13;
			<option label="No" value="no">No</option>&#13;
		</field>&#13;
		<field type="text" label="Anything you absolutely must do or see?" name="must-dos" subtype="text" className="form-control"/>&#13;
		<field type="textarea" label="What else would you like me to know?" description="What else would you like me to know about your travelers  budget and/or travel preferences?" name="notes" className="form-control"/>&#13;
		<field type="textarea" label="Tell us about where you have been and what you enjoyed!&amp;nbsp;" name="tell-us-about-where-you-have-been-and-what-you-enjoyed-" className="form-control"/>&#13;
		<field type="textarea" label="Are you planning a group trip?" name="are-you-planning-a-group-trip" className="form-control"/>&#13;
		<field type="text" label="Phone Number&amp;nbsp;" name="phone-number-" subtype="text" className="form-control"/>&#13;
		<field type="select" label="What Style of Proposal would you like?&amp;nbsp;" name="what-style-of-proposal-would-you-like-" className="form-control">&#13;
			<option label="A La Carte, Menu Style " value="a-la-carte-menu-style-">A La Carte, Menu Style </option>&#13;
			<option label="3 Set Options of Itineraries " value="3-set-options-of-itineraries-">3 Set Options of Itineraries </option>&#13;
			<option label="One Set Option for each Destination" value="one-set-option-for-each-destination">One Set Option for each Destination</option>&#13;
		</field>&#13;
		<field type="text" label="How did you hear about us?&amp;nbsp;" name="how-did-you-hear-about-us-" subtype="text" className="form-control"/>&#13;
	</fields>&#13;
</form-template>
  </body>
</html>