TravelJoy

Angela Nettles

Travelmation LLC- Angela Nettles

Client Inquiry Group

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	<fields><field type="text" subtype="text" required="true" label="Email" className="form-control" name="email"></field>&#13;
		<field type="header" subtype="h2" label="Full name"/>&#13;
		<field type="text" label="Prefix" name="prefix" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="First name" name="first-name" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Middle name" name="middle-name" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Last name" name="last-name" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Suffix" name="suffix" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Preferred name" name="preferred-name" subtype="text" className="form-control"/>&#13;
		<field type="select" label="What type of hotel accommodations would you like?" name="what-type-of-hotel-accommodations-would-you-like" className="form-control">&#13;
			<option label="National Hotel Chain" value="national-hotel-chain" selected="selected">National Hotel Chain</option>&#13;
			<option label="Unique Options" value="unique-options">Unique Options</option>&#13;
		</field>&#13;
		<field type="select" label="Where do you want to stay?" name="where-do-you-want-to-stay" className="form-control">&#13;
			<option label="In the Heart of the City" value="in-the-heart-of-the-city" selected="selected">In the Heart of the City</option>&#13;
			<option label="Outside of the City" value="outside-of-the-city">Outside of the City</option>&#13;
			<option label="Somewhere in between" value="somewhere-in-between">Somewhere in between</option>&#13;
		</field>&#13;
		<field type="text" label="How many days would you like to have for the entire trip?&amp;nbsp; Is that number of days flexible?" name="how-many-days-would-you-like-to-have-for-the-entire-trip-is-that-number-of-days-flexible" subtype="text" className="form-control"/>&#13;
		<field type="textarea" label="How many nights do you want to spend at each stop? Is there some locations you would like more or less time at?" name="how-many-nights-do-you-want-to-spend-at-each-stop-is-there-some-locations-you-would-like-more-or-less-time-at" className="form-control"/>&#13;
		<field type="text" label="How many hours do you want to drive on your travel days?" name="how-many-hours-do-you-want-to-drive-on-your-travel-days" subtype="text" className="form-control"/>&#13;
		<field type="select" label="Would you like longer or more frequent stops on your travel days?" name="would-you-like-longer-or-more-frequent-stops-on-your-travel-days" className="form-control">&#13;
			<option label="Just food and bathroom breaks" value="just-food-and-bathroom-breaks" selected="selected">Just food and bathroom breaks</option>&#13;
			<option label="Just if there are interesting stops along the way" value="just-if-there-are-interesting-stops-along-the-way">Just if there are interesting stops along the way</option>&#13;
			<option label="We would like longer or more frequent stops" value="we-would-like-longer-or-more-frequent-stops">We would like longer or more frequent stops</option>&#13;
		</field>&#13;
		<field type="textarea" label="Please explain what your travel needs are if you need frequent or longer stops on travel days." description="Do you need to take a break to walk around every few hours, or other considerations?" name="please-explain-what-your-travel-needs-are-if-you-need-frequent-or-longer-stops-on-travel-days" className="form-control"/>&#13;
		<field type="checkbox-group" label="What type of activities would you like at each stop along your road trip?" name="what-type-of-activities-would-you-like-at-each-stop-along-your-road-trip" other="true">&#13;
			<option label="Things we can see and do on our own" value="things-we-can-see-and-do-on-our-own">Things we can see and do on our own</option>&#13;
			<option label="Tours or other group activities that are led by a guide" value="tours-or-other-group-activities-that-are-led-by-a-guide">Tours or other group activities that are led by a guide</option>&#13;
			<option label="We want to just go with flow and figure it out when we get there" value="we-want-to-just-go-with-flow-and-figure-it-out-when-we-get-there">We want to just go with flow and figure it out when we get there</option>&#13;
		</field>&#13;
		<field type="checkbox-group" label="What are your interest?" name="what-are-your-interest" other="true">&#13;
			<option label="Foodie" value="foodie">Foodie</option>&#13;
			<option label="History" value="history">History</option>&#13;
			<option label="Unique offerings for the area" value="unique-offerings-for-the-area">Unique offerings for the area</option>&#13;
			<option label="Ghost or Spooky things" value="ghost-or-spooky-things">Ghost or Spooky things</option>&#13;
			<option label="Hiking or other outdoor activities" value="hiking-or-other-outdoor-activities">Hiking or other outdoor activities</option>&#13;
			<option label="Shopping" value="shopping">Shopping</option>&#13;
		</field>&#13;
		<field type="select" label="If your trip is a round trip one, would you like to travel the same route there and back?" name="if-your-trip-is-a-round-trip-one-would-you-like-to-travel-the-same-route-there-and-back" className="form-control">&#13;
			<option label="Yes" value="yes" selected="selected">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
		</field>&#13;
		<field type="textarea" label="Are there any medical or accessibility concerns I need to be aware of?" description="Do you have medical supplies that you need to bring with you?  Are there mobility, developmental, or neurodivergent concerns?  Etc." name="are-there-any-medical-or-accessibility-concerns-i-need-to-be-aware-of" className="form-control"/>&#13;
		<field type="textarea" label="Is there anything else I should know about your trip?&amp;nbsp; Can you help me understand your vision for this trip?&amp;nbsp; Why do you want to go on a road trip?&amp;nbsp; The more information you can provide me, the better I will be able to make your trip unique to you!" name="is-there-anything-else-i-should-know-about-your-trip-can-you-help-me-understand-your-vision-for-this-trip-why-do-you-want-to-go-on-a-road-trip-the-more-information-you-can-provide-me-the-better-i-will-be-able-to-make-your-trip-unique-to-you" className="form-control"/>&#13;
	</fields>&#13;
</form-template>
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