TravelJoy

Jacqueline Gohlke

Off to Disney!

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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" label="Have you been to Walt Disney World before or is this your first trip?" description="If some of you  but not all of you have  let me know!" name="destination" subtype="text" className="form-control"/>&#13;
		<field type="textarea" label="Who will be going?" placeholder="Please include names for everyone and dates of birth (for anyone under 18). I can use this info to place a complimentary hold, when available!" name="who-will-be-going" 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;
			<option label="No" value="no">No</option>&#13;
		</field>&#13;
		<field type="radio-group" label="Are you interested in flights?" description="If so  include this in your total budget &amp;amp; provide any airline preferences" name="radio-group-1737994165411">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</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="checkbox-group" required="true" label="Are you interested in resorts, tickets, or packages?" name="are-you-interested-in-resorts-tickets-or-packages">&#13;
			<option label="Resorts only" value="resorts-only">Resorts only</option>&#13;
			<option label="Tickets only" value="tickets-only">Tickets only</option>&#13;
			<option label="Packages (both)" value="packages-both">Packages (both)</option>&#13;
		</field>&#13;
		<field type="checkbox-group" required="true" label="Are you interested in meal plans?" name="checkbox-group-1762702546471">&#13;
			<option label="Yes, the Quick Service Plan" value="yes-the-quick-service-plan">Yes, the Quick Service Plan</option>&#13;
			<option label="Yes, the Disney Dining Plan" value="yes-the-disney-dining-plan">Yes, the Disney Dining Plan</option>&#13;
			<option label="I am interested but I don't know which one I want" value="i-am-interested-but-i-dont-know-which-one-i-want">I am interested but I don't know which one I want</option>&#13;
			<option label="No thanks!" value="no-thanks">No thanks!</option>&#13;
		</field>&#13;
		<field type="checkbox-group" required="true" label="Are you interested in one park per day or park hopper options?" name="checkbox-group-1762702369102">&#13;
			<option label="One Park per day" value="one-park-per-day">One Park per day</option>&#13;
			<option label="Park hopper" value="park-hopper">Park hopper</option>&#13;
			<option label="I don't know" value="i-dont-know">I don't know</option>&#13;
		</field>&#13;
		<field type="radio-group" required="true" 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 to $13,000" value="10000-13000">$10,000 to $13,000</option>&#13;
			<option label="$13,000 to $15,000" value="13000-15000">$13,000 to $15,000</option>&#13;
			<option label="$15,000+" value="15000">$15,000+</option>&#13;
		</field>&#13;
		<field type="radio-group" label="What best describes your resort preference?" name="hotel-preference" other="true">&#13;
			<option label="Value" value="value">Value</option>&#13;
			<option label="Moderate" value="moderate">Moderate</option>&#13;
			<option label="Deluxe" value="deluxe">Deluxe</option>&#13;
		</field>&#13;
		<field type="text" label="If you have a specific resort you are interested in, please list it here!" name="if-you-have-a-specific-resort-you-are-interested-in-please-list-it-here" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Do you have favorite characters?" name="text-1762702303219" subtype="text" className="form-control"/>&#13;
		<field type="radio-group" label="Are you a Florida resident?" name="are-you-a-florida-resident">&#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 (or your spouse, if applicable) an active or retired military service member?" name="are-you-or-your-spouse-if-applicable-an-active-or-retired-military-service-member">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
		</field>&#13;
		<field type="textarea" label="If yes, please provide veteran status &amp;nbsp;(active, retired for 20 years, etc.) for qualification purposes." name="if-yes-please-provide-veteran-status-active-retired-for-20-years-etc-for-qualification-purposes" className="form-control"/>&#13;
		<field type="checkbox-group" label="Have you worked with a travel agent before?" name="checkbox-group-1737994247206">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
		</field>&#13;
		<field type="text" label="How did you find me?" placeholder="Google search  Facebook group, referral (please share who referred you!), etc." name="text-1737994327225" 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="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;
</form-template>
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