TravelJoy

Jacqueline Gohlke

Let’s get planning!

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	<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" required="true" label="Who will be going on this trip?" description="Why do I need this information? Some suppliers allow for a courtesy hold to be placed on a room/tour/service with just the guests&#39; first names  last names   and dates of birth!" placeholder="Please list the first name   last name  DOB for all" name="destination" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Where would you like to go?" description="If you&#39;re not sure  just give me a few destinations you&#39;re considering." placeholder="ex: Tahiti" name="text-1738427990880" subtype="text" className="form-control"/>&#13;
		<field type="date" required="true" 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" required="true" 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="Do all travelers have a valid passport?" placeholder="If the answer is no but you have applied  please provide your application date" name="do-all-travelers-have-a-passport" 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="checkbox-group" required="true" label="What are you looking for?" name="what-are-you-looking-for" other="true">&#13;
			<option label="Accommodations" value="accommodations">Accommodations</option>&#13;
			<option label="Cruises" value="cruises">Cruises</option>&#13;
			<option label="All-inclusives" value="allinclusives">All-inclusives</option>&#13;
			<option label="Activities/things to do" value="activitiesthings-to-do">Activities/things to do</option>&#13;
			<option label="Flights" value="flights">Flights</option>&#13;
			<option label="Other transportation (transfers, rental cars, private cars, trains, etc.)" value="other-transportation-transfers-rental-cars-private-cars-trains-etc">Other transportation (transfers, rental cars, private cars, trains, etc.)</option>&#13;
		</field>&#13;
		<field type="radio-group" required="true" label="What is your budget PER PERSON?" description="This just gives me a general starting point and can always be changed later." name="budget">&#13;
			<option label="under $500" value="under-500">under $500</option>&#13;
			<option label="$500 to $1,500" value="500-to-1500">$500 to $1,500</option>&#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 to $11,000" value="10000-to-11000">$10,000 to $11,000</option>&#13;
			<option label="$11,000 to $12,000" value="11000-to-12000">$11,000 to $12,000</option>&#13;
			<option label="$12,000 to $15,000" value="12000-to-15000">$12,000 to $15,000</option>&#13;
			<option label="$15,000+" value="15000">$15,000+</option>&#13;
		</field>&#13;
		<field type="select" label="Do you want to include flights?" name="do-you-want-to-include-flights" className="form-control">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
		</field>&#13;
		<field type="select" label="Does your above budget include flights?" name="does-your-above-budget-include-flights" className="form-control">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
		</field>&#13;
		<field type="radio-group" label="Are you interested in a guided group tour, an independent tour, or open to both/unsure?" description="Would you like to travel from start to finish with a group or do your own thing and be on your own schedule?" name="radio-group-1777234581020">&#13;
			<option label="Guided Group Tour" value="guided-group-tour">Guided Group Tour</option>&#13;
			<option label="Independent Travel" value="independent-travel">Independent Travel</option>&#13;
			<option label="Open to both/undecided" value="open-to-bothundecided">Open to both/undecided</option>&#13;
		</field>&#13;
		<field type="radio-group" label="What best describes your hotel 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="What kind of vibe 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;
		</field>&#13;
		<field type="text" label="Do you belong to any loyalty programs (for miles or points) or have any brand preferences?" placeholder="If so  please list which ones" name="do-you-belong-to-any-loyalty-programs-for-miles-or-points-or-have-any-brand-preferences" subtype="text" className="form-control"/>&#13;
		<field type="checkbox-group" label="Are you a first responder or a veteran?" description="Some (not all) suppliers offer discounts for these types of employees" name="checkbox-group-1773154670783">&#13;
			<option label="Active Duty Military" value="active-duty-military">Active Duty Military</option>&#13;
			<option label="Retired Military " value="retired-military-">Retired Military </option>&#13;
			<option label="First Responder" value="first-responder">First Responder</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="History" value="Sporting events">History</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="text" label="Do you have any dietary restrictions, allergies, medical conditions, &amp;nbsp;or accessibility needs that may require accommodations?" description="This may help in selecting vacations  accommodations, and/or activities that are catered to your needs" name="do-you-have-any-dietary-restrictions-allergies-medical-conditions-or-accessibility-needs-that-may-require-accommodations" 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 travel budget and/or travel preferences?" name="notes" className="form-control"/>&#13;
		<field type="paragraph" subtype="p" label="**PLEASE NOTE: My services are free, but this means I am planning your trip for free and do not get paid until you travel. I ask that you please be respectful of my time and do not book on your own or with another travel agent using my quotes. Thank you!**"/>&#13;
	</fields>&#13;
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