Share your information with Jazmyne Mott

Jazmyne Mott

Velora Luxe Travel Co.

<html>
  <body>
    <form-template>&#13;
	<fields><field type="text" subtype="text" required="true" label="Email" className="form-control" name="email"></field>&#13;
		<field type="header" subtype="h2" label="Travel DNA Survey"/>&#13;
		<field type="paragraph" subtype="p" label="I believe the best travel experiences begin with understanding the person behind the journey. This brief questionnaire helps me learn your travel style, preferences, and what matters most to you. I’ll use your preferences and expertise to curate recommendations that feel uniquely yours."/>&#13;
		<field type="paragraph" subtype="p" label="I respond to all inquiries within 2 business days. If you haven’t heard from me, please check your spam or junk folder, or reach out by email."/>&#13;
		<field type="paragraph" subtype="p" label="Velora Luxe Travel is a full-service travel agency, handling everything from airfare and accommodations to transportation, activities, tours, and more. During our consultation, we can also discuss special occasions and group travel."/>&#13;
		<field type="paragraph" subtype="p" label="In order to maintain exceptional service, there is a $30 travel planning fee required. This fee covers time spent researching destinations, curating tailored recommendations, coordinating logistics, and preparing a comprehensive itinerary suited to your preferences and budget. A credit will be added to your final booking when you book your trip with me. If you decide not to book, the fee is non-refundable and compensates for the time invested in the planning process. " className="field-hidden"/>&#13;
		<field type="header" subtype="h3" label="Your Information"/>&#13;
		<field type="text" required="true" label="First name" name="first-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="Preferred name" name="preferred-name" subtype="text" className="form-control"/>&#13;
		<field type="date" required="true" label="Birthday" placeholder="MM/DD/YYYY" name="birthday" className="form-control"/>&#13;
		<field type="radio-group" required="true" label="Do you have a passport?" name="radio-group-1787245647811">&#13;
			<option label="Yes " value="yes-">Yes </option>&#13;
			<option label="No" value="no">No</option>&#13;
		</field>&#13;
		<field type="file" label="Photo of passport ID page" name="passport_photo" subtype="file" className="form-control field-hidden"/>&#13;
		<field type="text" label="Phone number" name="phone-number" subtype="text" className="form-control"/>&#13;
		<field type="header" subtype="h3" label="About Your Journey&amp;nbsp;" className="field-hidden"/>&#13;
		<field type="text" label="Where are you hoping to travel?&amp;nbsp;" description="If you&#39;re not sure  just give me a few destinations you&#39;re considering." placeholder="ex: Tahiti" name="destination" subtype="text" className="form-control field-hidden"/>&#13;
		<field type="text" label="Do you have specific dates, or are you flexible?&amp;nbsp;" name="text-1787695151818" subtype="text" className="form-control field-hidden"/>&#13;
		<field type="radio-group" label="What is your budget for all travelers?" description="This budget includes- airfare  lodging  etc." inline="true" name="budget" other="true" className="field-hidden">&#13;
			<option label="$0-1500" value="01500">$0-1500</option>&#13;
			<option label="$1500-3000" value="15003000">$1500-3000</option>&#13;
			<option label="$3000-6000+" value="30006000">$3000-6000+</option>&#13;
		</field>&#13;
		<field type="radio-group" label="Do you need flights?" name="radio-group-1787697100348" className="field-hidden">&#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 preferred departing airport?" placeholder="ex. DIA" name="text-1787247059499" subtype="text" className="form-control field-hidden"/>&#13;
		<field type="text" label="Please provide traveler(s) TSA Pre-Check or Global Entry #s" placeholder="Enter traveler(s) 1 - 5  Name and Known Traveler Number" name="text-1787246925585" subtype="text" className="form-control field-hidden"/>&#13;
		<field type="text" label="Please provider any travel loyalty programs you participate with" placeholder="Please enter traveler(s) 1 - 5 Airline Mileage Program or Hotel Loyalty Program numbers" name="text-1787246432161" subtype="text" className="form-control field-hidden"/>&#13;
		<field type="text" label="If cruising, please list the preferred Cruise port city, if applicable." placeholder="ex. Port of Margaritaville at Sea" name="text-1787248254531" subtype="text" className="form-control field-hidden"/>&#13;
		<field type="text" label="Who will be traveling with you?&amp;nbsp;" name="text-1787695172910" subtype="text" className="form-control field-hidden"/>&#13;
		<field type="textarea" label="Additional Travelers Date of Birth" description="Enter DOB for each Traveler" name="textarea-1787248486033" className="form-control field-hidden"/>&#13;
		<field type="radio-group" label="Do we need accessible&amp;nbsp; accommodations?" name="radio-group-1787247868642" className="field-hidden">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
		</field>&#13;
		<field type="text" label="Please provide any additional vacation planning details.&amp;nbsp;" placeholder="ex. Travel vouchers  Mileage points  etc." name="text-1787248180683" subtype="text" className="form-control field-hidden"/>&#13;
		<field type="radio-group" label="Travel Insurance is included in all All Inclusive Packages&amp;nbsp;" description="With Travel Protection  if your vacation gets cancelled you can be reimbursed with a travel credit or refund.  Provides various benefits for travelers  including the ability to cancel their trip for any reason and receive a full travel credit back. This plan also includes pre-departure coverage  hurricane coverage  and no fees for vacation changes. During travel  it offers 24-hour travel support  baggage protection, and more." name="radio-group-1787246339792" className="field-hidden">&#13;
			<option label="Yes - I accept " value="yes-i-accept-">Yes - I accept </option>&#13;
			<option label="No - I decline" value="no-i-decline">No - I decline</option>&#13;
		</field>&#13;
		<field type="header" subtype="h3" label="Your Travel Style&amp;nbsp;" className="field-hidden"/>&#13;
		<field type="text" required="true" label="What does your ideal vacation look like?&amp;nbsp;" description="(Relaxing, adventurous, cultural, food-focused, romantic, packed with activities, etc.)" name="text-1789921673247" subtype="text" className="form-control"/>&#13;
		<field type="radio-group" label="When you picture an exceptional vacation, what matters most to you?&amp;nbsp;" name="radio-group-1787246812011" other="true" className="field-hidden">&#13;
			<option label="Relaxation &amp; beautiful surroundings" value="relaxation-beautiful-surroundings">Relaxation &amp; beautiful surroundings</option>&#13;
			<option label="Exceptional food &amp; wine" value="exceptional-food-wine">Exceptional food &amp; wine</option>&#13;
			<option label="Culture &amp; discovery" value="culture-discovery">Culture &amp; discovery</option>&#13;
			<option label="Adventure &amp; experiences" value="adventure-experiences">Adventure &amp; experiences</option>&#13;
			<option label="Privacy &amp; exclusivity" value="privacy-exclusivity">Privacy &amp; exclusivity</option>&#13;
			<option label="Time with family or loved ones" value="time-with-family-or-loved-ones">Time with family or loved ones</option>&#13;
			<option label="Wellness &amp; rejuvenation" value="wellness-rejuvenation">Wellness &amp; rejuvenation</option>&#13;
			<option label="A little bit of everything" value="a-little-bit-of-everything">A little bit of everything</option>&#13;
		</field>&#13;
		<field type="radio-group" label="How do you prefer your days to feel?&amp;nbsp;" name="radio-group-1787695756369" className="field-hidden">&#13;
			<option label="Unhurried and spontaneous" value="unhurried-and-spontaneous">Unhurried and spontaneous</option>&#13;
			<option label="A thoughtful balance of plans and free time" value="a-thoughtful-balance-of-plans-and-free-time">A thoughtful balance of plans and free time</option>&#13;
			<option label="Full of experiences" value="full-of-experiences">Full of experiences</option>&#13;
			<option label="I trust you to create the right balance" value="i-trust-you-to-create-the-right-balance">I trust you to create the right balance</option>&#13;
		</field>&#13;
		<field type="text" required="true" label="When you travel, what are the things you care about most?&amp;nbsp;" description="(Hotel, food, location, experiences, convenience, service, scenery, etc.)" name="text-1789921711171" subtype="text" className="form-control"/>&#13;
		<field type="radio-group" required="true" label="Are you more of a &quot;plan every detail&quot; traveler or a &quot;let&#39;s see what happens&quot; traveler?&amp;nbsp;" name="radio-group-1789921803409">&#13;
			<option label="The more details the better! " value="the-more-details-the-better-">The more details the better! </option>&#13;
			<option label="I like to see what happens!" value="i-like-to-see-what-happens">I like to see what happens!</option>&#13;
		</field>&#13;
		<field type="text" required="true" label="What&#39;s a trip you&#39;ve taken that you absolutely loved—and what made it so great?&amp;nbsp;" placeholder="Ex. Hotel felt so clean and was close to a lot of activities! " name="text-1789921871282" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="What are some things you absolutely don&#39;t want to deal with on vacation?&amp;nbsp;" placeholder="Ex. Crowds, early mornings, bad food, etc." name="text-1789922557955" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="When it comes to hotels, what makes you feel like you&#39;re staying somewhere really nice?" name="text-1789921910216" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Are you more interested in food, relaxing by the beaches/pools, sightseeing, exploring, nature, shopping, nightlife, history/culture, or a mix?" name="text-1789921922349" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Where are you willing to splurge, and where would you rather save?&amp;nbsp;" name="text-1789921931846" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Accommodation Preference" placeholder="ex. Garden View  Ocean View  Private Pool  or Doesn&#39;t Matter" name="text-1787247749436" subtype="text" className="form-control field-hidden"/>&#13;
		<field type="text" label="Anything you absolutely must do or see?" placeholder="ex. Great Pyramid of Giza" name="must-dos" subtype="text" className="form-control"/>&#13;
		<field type="header" subtype="h3" label="Personal Touches&amp;nbsp;"/>&#13;
		<field type="text" required="true" label="Favorite foods or restaurants:&amp;nbsp;" name="text-1787696653481" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Favorite drinks:&amp;nbsp;" name="text-1787696573450" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Hobbies, interests, or passions:&amp;nbsp;" name="text-1787696571914" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Allergies and Diet Restrictions" placeholder="ex. Nut allergy , Vegan, Halal" name="meal-preference" subtype="text" className="form-control"/>&#13;
		<field type="header" subtype="h3" label="One Last Question&amp;nbsp;"/>&#13;
		<field type="text" required="true" label="What gets you most excited for when you go on a trip?&amp;nbsp;" name="text-1787696622777" subtype="text" className="form-control"/>&#13;
	</fields>&#13;
</form-template>
  </body>
</html>