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Alesia Hawkins
Peacock Travel Agency
Group Travel Services
<form-template> <fields><field type="text" subtype="text" required="true" label="Last name" className="form-control" name="last-name"></field> <field type="header" subtype="h2" label="Group Travel Questionnaire"/> <field type="paragraph" subtype="blockquote" label="Thank you for considering Peacock Travel Agency's Group Travel Services.&nbsp; We are dedicated to providing excellent, professional service to our clients.&nbsp; We leave no detail undone in planning your trip so you can focus on having an amazing time!&nbsp;&nbsp;Please provide preliminary details for your Group's trip below.&nbsp; We will review your information and follow up with you."/> <field type="header" subtype="h2" label="Contact Person's Information"/> <field type="text" required="true" label="Full Name" name="first-name" subtype="text" className="form-control"/> <field type="text" required="true" label="Email" name="email" subtype="text" className="form-control"/> <field type="text" required="true" label="Phone number" name="phone-number" subtype="text" className="form-control"/> <field type="header" subtype="h2" label="Address"/> <field type="text" label="Line 1" name="address-line-1" subtype="text" className="form-control"/> <field type="text" label="Line 2" name="address-line-2" subtype="text" className="form-control"/> <field type="text" label="City" name="address-city" subtype="text" className="form-control"/> <field type="text" label="State" name="address-state" subtype="text" className="form-control"/> <field type="text" label="Zip" name="address-zip" subtype="text" className="form-control"/> <field type="text" required="true" label="What's the best time to contact you?" name="whats-the-best-time-to-contact-you" subtype="text" className="form-control"/> <field type="header" subtype="h1" label="General Information"/> <field type="text" required="true" label="What type of group travel would this be (i.e., reunion, birthday/anniversary celebration, retreat, graduating class trip, family/friends vacation, etc.)?" name="what-type-of-group-vacation-will-this-be-ie-reunion-celebration-familyfriends-girlsmen-vacation-etc" subtype="text" className="form-control"/> <field type="text" required="true" label="Where would you like to go?&nbsp;" 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"/> <field type="radio-group" required="true" label="Type of vacation experience." name="what-type-of-vacation-experience-do-you-want" other="true"> <option label="Cruise " value="cruise-">Cruise </option> <option label="Disney World" value="disney-world">Disney World</option> <option label="Disneyland" value="disneyland">Disneyland</option> <option label="Adults-Only, All-Inclusive Resort" value="adultsonly-allinclusive-resort">Adults-Only, All-Inclusive Resort</option> <option label="Adults-Only Resorts" value="adultsonly-resorts">Adults-Only Resorts</option> <option label="Family-Friendly, All-Inclusive Resort" value="familyfriendly-allinclusive-resort">Family-Friendly, All-Inclusive Resort</option> <option label="Family-Friendly Resort" value="familyfriendly-resort">Family-Friendly Resort</option> <option label="Hotel Only" value="hotel-only">Hotel Only</option> </field> <field type="text" required="true" label="How many nights?" name="how-many-nights" subtype="text" className="form-control"/> <field type="date" required="true" label="When would you like to leave?" name="when-would-you-like-to-leave" className="form-control"/> <field type="radio-group" label="Are your dates flexible?&nbsp; Enter any flexible dates in "Other"." inline="true" name="are-the-dates-flexible" other="true"> <option label="Yes" value="yes" selected="true">Yes</option> <option label="No" value="no">No</option> </field> <field type="checkbox-group" required="true" label="Preferred resort/hotel or cruise line?&nbsp; Enter your preference in "Other"." inline="true" name="whats-your-preferred-resorthotel-or-cruise-line-enter-your-preference-in-other" other="true"> <option label="I'm flexible" value="im-flexible">I'm flexible</option> </field> <field type="radio-group" required="true" label="Approximately, how many rooms/staterooms are needed?" name="approximately-how-many-roomsstaterooms-are-needed" other="true"> <option label="10 to 50 " value="10-to-50-">10 to 50 </option> <option label="51 to 100" value="51-to-100">51 to 100</option> <option label="Unknown at this time" value="unknown-at-this-time">Unknown at this time</option> </field> <field type="radio-group" required="true" label="Approximately, how many travelers are at least 18 years old?" name="approximately-how-many-travelers-are-at-least-18-years-old" other="true"> <option label="50 or less" value="50-or-less">50 or less</option> <option label="more than 50" value="more-than-50">more than 50</option> <option label="Unknown at this time" value="unknown-at-this-time">Unknown at this time</option> </field> <field type="radio-group" required="true" label="Approximately, how many travelers are 13 to 17&nbsp; years old?" name="approximately-how-many-travelers-are-13-to-17-years-old" other="true"> <option label="50 or less" value="50-or-less">50 or less</option> <option label="more than 50" value="more-than-50">more than 50</option> <option label="None" value="none">None</option> <option label="Unknown at this time" value="unknown-at-this-time">Unknown at this time</option> </field> <field type="radio-group" required="true" label="Approximately, how many travelers are 4 to 12 years old?" name="approximately-how-many-travelers-are-4-to-12-years-old" other="true"> <option label="50 or less" value="50-or-less" selected="true">50 or less</option> <option label="more than 50" value="more-than-50">more than 50</option> <option label="None" value="none">None</option> <option label="Unknown this time" value="unknown-this-time">Unknown this time</option> </field> <field type="radio-group" required="true" label="Approximately, how many travelers are 0 to 3 years old?" name="approximately-how-many-travelers-are-0-to-3-years-old" other="true"> <option label="50 or less" value="50-or-less">50 or less</option> <option label="more than 50" value="more-than-50">more than 50</option> <option label="None" value="none">None</option> <option label="Unknown at this time" value="unknown-at-this-time">Unknown at this time</option> </field> <field type="text" required="true" label="What's the minimum AND maximum number of people per room/stateroom?&nbsp; Enter "Unknown" if this hasn't been determined." name="how-many-people-per-room" subtype="text" className="form-control"/> <field type="header" subtype="h1" label="CRUISES"/> <field type="checkbox-group" required="true" label="Preferred stateroom(s)?&nbsp; Check all that apply." name="what-type-of-staterooms-do-you-prefer-check-all-that-apply" other="true"> <option label="N/A" value="na">N/A</option> <option label="Inside" value="inside">Inside</option> <option label="Ocean View" value="ocean-view">Ocean View</option> <option label="Balcony" value="balcony">Balcony</option> <option label="Junior Suite" value="junior-suite">Junior Suite</option> <option label="Suite" value="suite">Suite</option> <option label="Most Cost-Effective Stateroom" value="most-costeffective-stateroom">Most Cost-Effective Stateroom</option> </field> <field type="header" subtype="h1" label="RESORTS/HOTELS"/> <field type="radio-group" required="true" label="What best describes your resort/hotel preference?" name="hotel-preference" other="true"> <option label="N/A" value="na">N/A</option> <option label="Economy" value="value">Economy</option> <option label="Moderate" value="moderate">Moderate</option> <option label="Luxury" value="luxury">Luxury</option> <option label="Boutique" value="boutique">Boutique</option> </field> <field type="checkbox-group" required="true" label="Preferred type(s) of rooms?&nbsp; Check all that apply." name="what-type-of-rooms-do-you-prefer-check-all-that-apply"> <option label="N/A" value="na">N/A</option> <option label="Double" value="double">Double</option> <option label="Queen" value="queen">Queen</option> <option label="King" value="king">King</option> <option label="Suite" value="suite">Suite</option> <option label="Most Cost-Effective Room" value="most-costeffective-room">Most Cost-Effective Room</option> <option label="Other" value="other">Other</option> </field> <field type="checkbox-group" required="true" label="Preferred resort/hotel view(s)?&nbsp; Check all that apply." name="what-is-your-preferred-view-check-all-that-apply" other="true"> <option label="N/A" value="na">N/A</option> <option label="Ocean/Beach View" value="oceanbeach-view">Ocean/Beach View</option> <option label="City View" value="city-view">City View</option> <option label="Most Cost-Effective View" value="most-costeffective-view">Most Cost-Effective View</option> </field> <field type="header" subtype="h1" label="Airfare"/> <field type="radio-group" required="true" label="Are airline tickets needed?&nbsp;" inline="true" name="for-cruises-would-like-cruisearranged-airfare"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="radio-group" required="true" label="If yes, what's the preferred airline(s)?" name="whats-your-preferred-airlines" other="true"> <option label="N/A" value="na">N/A</option> <option label="I'm Flexible" value="im-flexible">I'm Flexible</option> <option label="American" value="american">American</option> <option label="United" value="united">United</option> <option label="Southwest" value="southwest">Southwest</option> <option label="Delta" value="delta">Delta</option> </field> <field type="text" label="What time do you prefer for the outbound flight?&nbsp; &nbsp;Enter "N/A" if airline tickets aren't needed.&nbsp; Enter "Unknown" if this hasn't been determined." name="preferred-time-of-flight-departure" subtype="text" className="form-control"/> <field type="text" required="true" label="What's the preferred departure city/airport?&nbsp; &nbsp;Enter "N/A" if airline tickets are not needed.&nbsp;" description="Where will you be flying from?" name="departure-city" subtype="text" className="form-control"/> <field type="text" required="true" label="What's the preferred arrival airport?&nbsp; Enter "N/A" if airline tickets aren't needed?&nbsp;&nbsp;" name="whats-your-preferred-arrival-airport-enter-na-if-airline-tickets-are-not-needed-" subtype="text" className="form-control"/> <field type="text" required="true" label="What time do you prefer for your inbound flight?&nbsp; Enter "N/A" if airline tickets aren't needed.&nbsp; Enter "Unknown" if this hasn't been determined." name="what-time-do-you-prefer-for-your-inbound-flight-enter-na-if-airline-tickets-arent-needed-enter-unknown-if-this-hasnt-been-determined" subtype="text" className="form-control"/> <field type="header" subtype="h1" label="Budget"/> <field type="radio-group" required="true" label="What's the budget PER TRAVELER?&nbsp; You may enter the Total Budget for the entire Group in "Other"." description="This just gives me a general starting point and can always be changed later." name="budget" other="true"> <option label="$100 to $500" value="100-to-500">$100 to $500</option> <option label="$500 to $1,000" value="500-to-1000">$500 to $1,000</option> <option label="$1,000 to $1,500" value="1000-to-1500">$1,000 to $1,500</option> <option label="$1,500 to $2,500" value="1500-2500">$1,500 to $2,500</option> <option label="$2,500 to $4,500" value="2500-4500">$2,500 to $4,500</option> <option label="$4,500 to $6,500" value="4500-6500">$4,500 to $6,500</option> <option label="$6,500 to $8,500" value="6500-8500">$6,500 to $8,500</option> <option label="$8,500 to $10,000" value="8500-10000">$8,500 to $10,000</option> <option label="$10,000+" value="10000">$10,000+</option> </field> <field type="header" subtype="h1" label="Activities"/> <field type="checkbox-group" label="What kind of vibe is your Group looking for?&nbsp; Check all that apply." description="Check all that apply." name="vibe-preference" other="true"> <option label="Romantic" value="romantic">Romantic</option> <option label="Rest and relaxation" value="rest-and-relaxation">Rest and relaxation</option> <option label="Off the beaten path" value="off-the-beaten-path">Off the beaten path</option> <option label="Party" value="party">Party</option> <option label="Local culture" value="local-culture">Local culture</option> <option label="Family friendly" value="family-friendly">Family friendly</option> <option label="Food and wine" value="food-wine">Food and wine</option> </field> <field type="checkbox-group" label="What activities is your Group interested in?&nbsp; Check all that apply." description="Check all that apply" name="activity-preferences" other="true"> <option label="Beach and water" value="beach-water">Beach and water</option> <option label="Gambling" value="gambling">Gambling</option> <option label="Scuba" value="scuba">Scuba</option> <option label="Adventure activities" value="adventure">Adventure activities</option> <option label="Golf" value="golf">Golf</option> <option label="Nightlife" value="nightlife">Nightlife</option> <option label="Arts and theater" value="art-theater">Arts and theater</option> </field> <field type="header" subtype="h1" label="Other"/> <field type="radio-group" label="Does anyone in your Group have dietary restrictions?&nbsp; Enter dietary restrictions in "Other"." inline="true" name="do-any-travelers-have-dietary-restrictions-enter-dietary-restrictions-in-other" other="true"> <option label="No" value="no">No</option> <option label="Not sure" value="not-sure">Not sure</option> </field> <field type="checkbox-group" label="Are any travelers a member of a Loyalty Program(s) for the preferred airline or hotel/resort?" name="are-any-travelers-a-member-of-a-loyalty-programs-for-your-preferred-airline-or-hotelresort" other="true"> <option label="Yes, Airline Loyalty Program" value="yes-airline-loyalty-program">Yes, Airline Loyalty Program</option> <option label="Yes, Cruise or Hotel/Resort Loyalty Program" value="yes-cruise-or-hotelresort-loyalty-program">Yes, Cruise or Hotel/Resort Loyalty Program</option> <option label="No" value="no">No</option> <option label="Not sure" value="not-sure">Not sure</option> </field> <field type="checkbox-group" label="Are any travelers (check all that apply):" name="are-any-travelers-check-all-that-apply"> <option label="Fire Department EMT" value="fire-department-emt">Fire Department EMT</option> <option label="U.S. Military" value="us-military">U.S. Military</option> <option label="Law Enforcement" value="law-enforcement">Law Enforcement</option> <option label="55+" value="55">55+</option> </field> <field type="checkbox-group" required="true" label="Would your Group need any of the following services?&nbsp; Check all that apply." name="would-your-group-need-any-of-the-following-services-check-all-that-apply"> <option label="Group Website" value="group-website">Group Website</option> <option label="Group E-Newsletter" value="group-enewsletter">Group E-Newsletter</option> <option label="Group Logo" value="group-logo">Group Logo</option> <option label="Trip Teaser Video" value="trip-teaser-video">Trip Teaser Video</option> <option label="Postcards to Group Members" value="postcards-to-group-members">Postcards to Group Members</option> <option label="Group Text Messages" value="group-text-messages">Group Text Messages</option> <option label="Assistance with Welcome Bags" value="assistance-with-welcome-bags">Assistance with Welcome Bags</option> <option label="No services would be needed" value="no-services-would-be-needed">No services would be needed</option> </field> <field type="text" label="Anything your Group absolutely must do or see?" name="must-dos" subtype="text" className="form-control"/> <field type="textarea" label="What else would you like Peacock Travel Agency to know that would make your Group's trip extra special?" name="notes" subtype="textarea" className="form-control"/> </fields> </form-template>
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