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Amber Minor
Travelmation LLC
<html> <body> <form-template> <fields> <field type="header" subtype="h2" label="Walt Disney World Vacation Questionnaire"/> <field type="text" required="true" label="First name" name="first-name" subtype="text" className="form-control"/> <field type="text" label="Middle name" name="middle-name" subtype="text" className="form-control"/> <field type="text" required="true" label="Last name" name="last-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="select" required="true" label="Are you able and willing to receive text messages on this phone number directly from me regarding your vacation?" name="are-you-able-and-willing-to-receive-text-messages-on-this-phone-number-directly-from-me-regarding-your-vacation" className="form-control"> <option label="Yes" value="Yes">Yes</option> <option label="No" value="No">No</option> </field> <field type="textarea" required="true" label="When would you like to travel? (Please include how many nights you want to stay)" name="when-would-you-like-to-travel" className="form-control"/> <field type="select" required="true" label="Are your dates flexible?" name="are-your-dates-flexible" className="form-control"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="radio-group" required="true" label="How soon are you looking to book?&nbsp;" name="how-soon-are-you-looking-to-book-"> <option label="Today" value="today">Today</option> <option label="Within next 7 - 10 days" value="within-next-7-10-days">Within next 7 - 10 days</option> <option label="In a few months" value="in-a-few-months">In a few months</option> <option label="Just considering options" value="just-considering-options">Just considering options</option> </field> <field type="text" required="true" label="How many travelers?" name="number-of-travelers" subtype="text" className="form-control"/> <field type="textarea" required="true" label="First/Last Name and Age (at time of travel) of entire party" name="firstlast-name-birthdate-gender" className="form-control"/> <field type="text" required="true" label="What is your max budget for all travelers?" description="This helps me to know what you are comfortable spending. I will always try to find the most economical option that matches what you want." name="what-is-your-max-budget-for-all-travelers" subtype="text" className="form-control"/> <field type="select" required="true" label="Do you want to stay on Disney property at one of their many resorts?" name="do-you-want-to-stay-on-disney-property-at-one-of-their-many-resorts" className="form-control"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="text" label="Do you know the name of the resort/hotel you would prefer to stay at? If so, what is the name?" name="do-you-know-the-name-of-the-resorthotel-you-would-prefer-to-stay-at-if-so-what-is-the-name" subtype="text" className="form-control"/> <field type="radio-group" label="If you are unsure which property you would like to stay at, what best describes your hotel preference?" name="hotel-preference" other="true"> <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="select" label="If you need help finding the perfect resort, please select some resort qualities you are interested in having (select all that apply):" name="if-you-need-help-finding-the-perfect-resort-please-select-some-resort-qualities-you-are-interested-in-having-select-all-that-apply" multiple="multiple" className="form-control"> <option label="Heavy Disney Theming" value="Heavy Disney Theming">Heavy Disney Theming</option> <option label="Mild Disney Theming (may be themed otherwise, example: Wilderness Lodge is themed like a cabin)" value="Mild Disney Theming">Mild Disney Theming (may be themed otherwise, example: Wilderness Lodge is themed like a cabin)</option> <option label="Suites (sleep more than 4 individuals)" value="Suites">Suites (sleep more than 4 individuals)</option> <option label="Multiple bathrooms" value="Multiple bathrooms">Multiple bathrooms</option> <option label="Laundry in room (only available at select DVC resorts on Disney property)" value="Laundry in room ">Laundry in room (only available at select DVC resorts on Disney property)</option> <option label="Large pool/water recreation area" value="Large pool/water recreation area">Large pool/water recreation area</option> <option label="Whirlpool spas" value="Whirlpool spas">Whirlpool spas</option> <option label="Fitness Center" value="Fitness Center">Fitness Center</option> <option label="Club Level (lounges are available in some resorts, mainly deluxe resorts)" value="Club Level ">Club Level (lounges are available in some resorts, mainly deluxe resorts)</option> <option label="Disney Skyliner Transportation" value="Disney Skyliner Transportation">Disney Skyliner Transportation</option> <option label="Disney Monorail Transportation" value="Disney Monorail Transportation">Disney Monorail Transportation</option> <option label="Disney Boat Transportation" value="Disney Boat Transportation">Disney Boat Transportation</option> </field> <field type="text" required="true" label="How many days of park tickets would you like during your vacation?" name="how-many-days-of-park-tickets-would-you-like-during-your-vacation" subtype="text" className="form-control"/> <field type="select" required="true" label="Would you like parkhopper tickets that allow you to visit more than one park each day?" name="would-you-like-parkhopper-tickets-that-allow-you-to-visit-more-than-one-park-each-day" className="form-control"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> <option label="Undecided" value="undecided">Undecided</option> </field> <field type="select" required="true" label="What Disney World parks are you interested in visiting (select all that apply)?" name="what-disney-world-parks-are-you-interested-in-visiting-select-all-that-apply" multiple="multiple" className="form-control"> <option label="Animal Kingdom (Avatar, Safari, Mt. Everest)" value="Animal Kingdom">Animal Kingdom (Avatar, Safari, Mt. Everest)</option> <option label="Epcot (Guardians of the Galaxy, Frozen Ever After, World Showcase)" value="Epcot">Epcot (Guardians of the Galaxy, Frozen Ever After, World Showcase)</option> <option label="Hollywood Studios (Galaxy's Edge - Star Wars, Toy Story Land)" value="Hollywood Studios">Hollywood Studios (Galaxy's Edge - Star Wars, Toy Story Land)</option> <option label="Magic Kingdom (Cinderella's Castle, Dumbo, Pirates of the Caribbean, Haunted Mansion, It's a Small World, Space Mountain)" value="Magic Kingdom">Magic Kingdom (Cinderella's Castle, Dumbo, Pirates of the Caribbean, Haunted Mansion, It's a Small World, Space Mountain)</option> </field> <field type="select" required="true" label="Are you interested in adding a Memory Maker package to your vacation? (https://disneyworld.disney.go.com/memory-maker/)" name="are-you-interested-in-adding-a-memory-maker-package-to-your-vacation-httpsdisneyworlddisneygocommemorymaker" className="form-control"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> <option label="Undecided" value="undecided">Undecided</option> </field> <field type="select" required="true" label="Would you like to attend a Special Event during your vacation? (Dates are subject to change and availability is always limited, additional charges apply) If so, select all that apply:" name="would-you-like-to-attend-a-special-event-during-your-vacation-dates-are-subject-to-change-and-availability-is-always-limited-additional-charges-apply-if-so-select-all-that-apply" multiple="multiple" className="form-control"> <option label="After Hours at one of the parks" value="After Hours at one of the parks">After Hours at one of the parks</option> <option label="Mickey's Not-So-Scary Halloween Party (August-October)" value="Mickey's Not-So-Scary Halloween Party">Mickey's Not-So-Scary Halloween Party (August-October)</option> <option label="Mickey's Very Merry Christmas Party (November-December)" value="Mickey's Very Merry Christmas Party">Mickey's Very Merry Christmas Party (November-December)</option> <option label="I am not interested in attending a Special Event" value="N/A">I am not interested in attending a Special Event</option> </field> <field type="text" label="Is this the first visit to Disney World for anyone in your party? If so, who?" name="anything-you-absolutely-must-do-or-see" subtype="text" className="form-control"/> <field type="text" label="Are you celebrating anything while you are at Disney World? If so, what?" name="are-you-celebrating-anything-while-you-are-at-disney-world-if-so-what" subtype="text" className="form-control"/> <field type="text" label="Does anyone in your party have any special needs? If so, what are those special needs?" name="does-anyone-in-your-party-have-any-special-needs-if-so-what-are-those-special-needs" subtype="text" className="form-control"/> <field type="text" label="Does anyone in your party have food allergies? If so, what food allergies?" name="does-anyone-in-your-party-have-food-allergies-if-so-what-food-allergies" subtype="text" className="form-control"/> <field type="select" required="true" label="Do you need stroller rental during your vacation?" name="do-you-need-stroller-rental-during-your-vacation" className="form-control"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="select" required="true" label="Do you need wheelchair/scooter rental during your vacation?" name="do-you-need-wheelchairscooter-rental-during-your-vacation" className="form-control"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="select" required="true" label="Will you be flying or driving to your destination?" name="will-you-be-flying-or-driving-to-your-destination" className="form-control"> <option label="Flying" value="flying">Flying</option> <option label="Driving" value="driving">Driving</option> </field> <field type="select" label="If you are flying, would you like to include airfare in your vacation quote?" name="if-you-are-flying-would-you-like-to-include-airfare-in-your-vacation-quote" className="form-control"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="text" label="If you are flying, what is your departure city/airport?" description="Where will you be flying from?" name="departure-city" subtype="text" className="form-control"/> <field type="select" label="If you are flying, would you like to include transportation from the airport to your resort in your vacation quote?" name="if-you-are-flying-would-you-like-to-include-transportation-from-the-airport-to-your-resort-in-your-vacation-quote" className="form-control"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="select" label="If you answered yes to the question above, what type of transportation are you interested in from the airport to the resort?" name="if-you-answered-yes-to-the-question-above-what-type-of-transportation-are-you-interested-in-from-the-airport-to-the-resort" multiple="multiple" className="form-control"> <option label="Rental Car" value="Rental Car">Rental Car</option> <option label="Charter Bus" value="Charter Bus">Charter Bus</option> <option label="Uber/Lyft" value="Uber/Lyft">Uber/Lyft</option> <option label="Private Car Service" value="Private Car Service">Private Car Service</option> </field> <field type="radio-group" label="Are you interested in travel insurance?&nbsp;" name="are-you-interested-in-travel-insurance-"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> <option label="Maybe" value="maybe">Maybe</option> </field> <field type="select" required="true" label="Are you a Disney Visa Cardmember? (you may be eligible for discounts if so)" name="are-you-a-disney-visa-cardmember-you-may-be-eligible-for-discounts-if-so" className="form-control"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="select" required="true" label="Are you a Disney+ Subscriber (you may be eligible for discounts if so)" name="are-you-a-disney-subscriber-you-may-be-eligible-for-discounts-if-so" className="form-control"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="textarea" label="Who can I thank for referring you to me?" name="who-can-i-thank-for-referring-you-to-me" className="form-control"/> <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"/> <field type="header" subtype="h1" label="Thank you so much for your inquiry. I will get back to you shortly to confirm everything and start planning your vacation."/> </fields> </form-template> </body> </html>
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