<html> <body> <form-template> <fields> <field type="paragraph" subtype="p" label="Thank you for contacting me about your upcoming trip! I'd love to know more about what you have in mind. Please complete this form in its entirety and provide as many details as you can. I will be in touch soon!"/> <field type="header" subtype="h1" label="Client Information"/> <field type="text" required="true" label="First name" name="first-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="Street Address" name="address-line-1" subtype="text" className="form-control"/> <field type="text" required="true" label="City" name="address-city" subtype="text" className="form-control"/> <field type="text" required="true" label="State" name="address-state" subtype="text" className="form-control"/> <field type="text" required="true" label="Zip" name="address-zip" 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="date" required="true" label="Birthday" name="birthday" className="form-control"/> <field type="text" required="true" label="How did you hear about my travel planning services?" name="how-did-you-hear-about-my-travel-planning-services" subtype="text" className="form-control"/> <field type="radio-group" label="Would you like a phone consultation before I get started?" name="would-you-like-a-phone-consultation-before-i-get-started"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="header" subtype="h1" label="About Your Trip"/> <field type="textarea" required="true" label="What is your primary goal for this vacation?" placeholder="Family time making memories romance etc" name="what-is-your-primary-goal-for-this-vacation" className="form-control"/> <field type="textarea" required="true" label="Where are you at in the planning process?&nbsp;" name="where-are-you-at-in-the-planning-process" className="form-control"/> <field type="radio-group" required="true" label="Are you ready to pay a deposit once you find what you're looking for?" name="are-you-ready-to-pay-a-deposit-once-you-find-what-youre-looking-for"> <option label="Yes! " value="yes-">Yes! </option> <option label="No, but I would like to book within 60 days." value="no-but-i-would-like-to-book-within-60-days">No, but I would like to book within 60 days.</option> <option label="No, I am just shopping around and gathering ideas and information." value="no-i-am-just-shopping-around-and-gathering-ideas-and-information">No, I am just shopping around and gathering ideas and information.</option> </field> <field type="text" required="true" label="Where would you like to go?&nbsp;" placeholder="ex: Tahiti Jamaica Mexico etc" name="destination" subtype="text" className="form-control"/> <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"/> <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"/> <field type="radio-group" required="true" label="Are your dates flexible?" inline="true" name="are-your-dates-flexible"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="checkbox-group" required="true" label="Trip Components Desired" name="trip-components-desired" other="true"> <option label="Hotel/Resort" value="hotelresort">Hotel/Resort</option> <option label="Roundtrip Airport Transfers" value="roundtrip-airport-transfers">Roundtrip Airport Transfers</option> <option label="Rental Car" value="rental-car">Rental Car</option> </field> <field type="textarea" required="true" label="Please list names of each person in your travel party, including ages for children under 18 yrs old. If you need more than one room, please group travelers by room assignment." name="full-legal-names-and-dates-of-birth-for-all-travelers" className="form-control"/> <field type="radio-group" required="true" label="At the time of travel, will all travelers have a valid passport that does not expire within 6 months of the trip?" name="at-the-time-of-travel-will-all-travelers-have-a-valid-passport-that-does-not-expire-within-6-months-of-the-trip"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="header" subtype="h1" label="Budget Preferences"/> <field type="textarea" required="true" label="My goal is to plan a trip for you that includes quality food, service, and accommodations while respecting the constraints of your desired budget. Please tell me about your budget expectations for this trip.&nbsp;" name="my-goal-is-to-plan-a-trip-for-you-that-includes-quality-food-service-and-accommodations-while-also-doing-my-best-to-respect-your-desired-budget-please-tell-me-more-about-your-budget-expectations-for-this-trip-if-you-have-a-price-range-in-mind-it-is-very-helpful-but-it-is-okay-if-you-arent-sure-just-yet-just-tell-me-as-much-as-you-can-" className="form-control"/> <field type="textarea" required="true" label="What is the most important thing you look for when choosing a hotel/resort? What is least important?&nbsp;" name="what-is-the-most-important-thing-you-look-for-in-a-resort" className="form-control"/> <field type="header" subtype="h1" label="Resort Preferences"/> <field type="text" label="Do you have any preferred hotel brands? Is there a particular resort you have in mind for this trip?" name="do-you-have-any-preferred-hotel-brands-is-there-a-particular-resort-you-have-in-mind-for-this-trip" subtype="text" className="form-control"/> <field type="checkbox-group" label="Room Preferences" name="hotel-room-preferences" other="true"> <option label="King Bed" value="king-bed">King Bed</option> <option label="Two Queen/Double Beds" value="two-queendouble-beds">Two Queen/Double Beds</option> <option label="Water View (Ocean/Pool/River)" value="water-view-oceanpoolriver">Water View (Ocean/Pool/River)</option> <option label="No View Preference" value="no-view-preference">No View Preference</option> <option label="Balcony/Terrace" value="balconyterrace">Balcony/Terrace</option> <option label="Club/Preferred Room" value="clubpreferred-room">Club/Preferred Room</option> </field> <field type="checkbox-group" label="Resort Amenities" name="resort-amenities" other="true"> <option label="All Inclusive (not available for Hawaii)" value="all-inclusive-not-available-for-hawaii">All Inclusive (not available for Hawaii)</option> <option label="Adults Only" value="adults-only">Adults Only</option> <option label="Beachfront" value="beachfront">Beachfront</option> <option label="Pool(s)" value="pools">Pool(s)</option> <option label="Restaurants" value="restaurants">Restaurants</option> <option label="Water Sports (motorized & non-motorized)" value="water-sports-motorized-nonmotorized">Water Sports (motorized & non-motorized)</option> <option label="Club/Preferred Lounge" value="clubpreferred-lounge">Club/Preferred Lounge</option> </field> <field type="header" subtype="h1" label="Additional Information"/> <field type="clientLoyaltyPrograms" label="Loyalty Programs" name="loyalty-program" loyalty-program-note="*** This field allows your client to enter multiple loyalty program numbers (you only need one of these per form template) ***" className="form-control"/> <field type="textarea" label="Will you be celebrating any birthdays, anniversaries, or special events on your trip?" name="will-you-be-celebrating-any-birthdays-anniversaries-or-special-events-on-your-trip" className="form-control"/> <field type="textarea" label="Please list any mobility accommodations, food allergies, or any social/emotional/sensory concerns that would be important for me to know." name="are-there-any-mobility-or-dietary-issues-i-need-to-be-aware-of-for-anyone-in-your-travel-party-does-anyone-have-any-social-emotional-or-sensory-concerns-that-would-be-important-for-me-to-know-as-i-plan-your-trip" className="form-control"/> <field type="textarea" label="Is there anything else you would like to add? The more information I have about your vision for this trip, your expectations, and your preferences, the better!" name="notes" className="form-control"/> </fields> </form-template> </body> </html>
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