Na'imah Mustafa

Your Style Travel

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	<fields>&#13;
		<field type="header" subtype="h2" label="Questions for your trip"/>&#13;
		<field type="text" required="true" label="Primary Traveler First name" name="first-name" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Primary Traveler Last name" name="last-name" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Best Contact Number" placeholder="xxx-xxx-xxxx" name="phone-number" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Email" name="email" subtype="text" className="form-control"/>&#13;
		<field type="checkbox-group" required="true" label="Desired Cruise Package (select all that apply)?" name="desired-vacation-plan-select-all-that-apply">&#13;
			<option label="Voyage to Ancient Maya - 7 Night from Galveston (2026)" value="voyage-to-ancient-maya-7-night-from-galveston-2026">Voyage to Ancient Maya - 7 Night from Galveston (2026)</option>&#13;
			<option label="3 Night Bahamas on MSC Grandiosa from Port Canaveral (2025)" value="3-night-bahamas-on-msc-grandiosa-from-port-canaveral-2025">3 Night Bahamas on MSC Grandiosa from Port Canaveral (2025)</option>&#13;
			<option label="4 Night on MSC Seashore from Port Canaveral (2025)" value="4-night-on-msc-seashore-from-port-canaveral-2025">4 Night on MSC Seashore from Port Canaveral (2025)</option>&#13;
			<option label="Fall Escape 2025 on MSC Divina" value="fall-escape-2025-on-msc-divina">Fall Escape 2025 on MSC Divina</option>&#13;
			<option label="Personalized Cruise Package" value="personalized-cruise-package">Personalized Cruise Package</option>&#13;
		</field>&#13;
		<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 depart; it can be changed later." name="date-1724425680574" className="form-control"/>&#13;
		<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"/>&#13;
		<field type="checkbox-group" label="Are your dates flexible?" name="dates-flexible">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
		</field>&#13;
		<field type="text" required="true" label="What is your departure city?" description="Where will you be flying from?" name="departure-city" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Is this a Group or Family Cruise?" description="If you will need 8 or more cabins  consider this a &quot;Group Cruise&quot;" placeholder="&quot;Group Cruise&quot; is defined as a cruise the requires 8 or more cabins" name="is-this-a-group-or-family-cruise" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="How many travelers?" placeholder="If &quot;Group Cruise&quot;  give an approximate number. We will discuss exact amount later." name="number-of-travelers" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Total Number of Adults" placeholder="If &quot;Group Cruise&quot;  give an approximate number. We will discuss exact amount later." name="total-number-of-adults" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Total Number of Children and Their Ages" description="If &quot;Group Cruise&quot;  give an approximate number. We will discuss exact amount later." placeholder="ex: 3 children; 8  11  14" name="total-number-of-children-and-their-ages" subtype="text" className="form-control"/>&#13;
		<field type="radio-group" required="true" label="Is&amp;nbsp; Anyone Traveling Over the Age of 55?" name="is-anyone-traveling-over-the-age-of-55">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
		</field>&#13;
		<field type="radio-group" label="Does Anyone Traveling Have a Military Background?" name="does-anyone-traveling-have-a-military-background">&#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 passports up to date? (If required for travel)" name="radio-group-1728003769940">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
			<option label="Not Applicable" value="not-applicable">Not Applicable</option>&#13;
		</field>&#13;
		<field type="radio-group" label="Do any passengers require assistance with boarding, disembarking, or navigating the ship?" name="radio-group-1728003262404">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
			<option label="Maybe" value="maybe">Maybe</option>&#13;
		</field>&#13;
		<field type="radio-group" label="Are there any specific mobility aids or equipment that need to be accommodated?" name="radio-group-1728003438730">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
			<option label="Maybe" value="maybe">Maybe</option>&#13;
		</field>&#13;
		<field type="radio-group" label="Do any passengers require accessible cabins with features like wider doorways, roll-in showers, or grab bars?" name="radio-group-1728003500612">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
		</field>&#13;
		<field type="text" required="true" label="What is the preferred location of the accessible cabin (e.g., lower deck, near elevators)?" name="text-1728003660595" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Are there any additional requirements or preferences for accessible cabin amenities?" name="text-1728003708133" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Number of Staterooms/Cabins?" placeholder="ex. 2 Rooms/Staterooms; 2 guests in each room  etc." name="number-of-rooms-for-cruisers-number-of-stateroomscabins" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Room/Stateroom Preference" placeholder="i.e.  Interior  Ocean View  Balcony  Suite  Grand Suite" name="roomstateroom-preference" subtype="text" className="form-control"/>&#13;
		<field type="radio-group" required="true" label="What is your budget? (Please specify if per person or total)" description="This just gives me a general starting point and can always be changed later." name="budget" other="true">&#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+" value="10000">$10,000+</option>&#13;
		</field>&#13;
		<field type="radio-group" required="true" label="Payment Arrangement?" name="payment-arrangement">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
		</field>&#13;
		<field type="radio-group" required="true" label="Include Travel Insurance" description="If trip is cancelled/missed  you may qualify for full refund or credit of price of trip." name="include-travel-insurance">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
		</field>&#13;
		<field type="radio-group" required="true" label="How soon can you pay/make a deposit?" name="how-soon-can-you-paymake-a-deposit">&#13;
			<option label="ASAP" value="asap">ASAP</option>&#13;
			<option label="Next Week" value="next-week">Next Week</option>&#13;
			<option label="2 Weeks " value="2-weeks-">2 Weeks </option>&#13;
			<option label="Unsure" value="unsure">Unsure</option>&#13;
		</field>&#13;
		<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"/>&#13;
		<field type="textarea" label="Special Instructions or Anything else I need to know about your vacation/travel requests?" 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="radio-group" required="true" label="Are you interested in subscribing to our monthly newsletter?&amp;nbsp;" name="are-you-interested-in-subscribing-to-our-monthly-newsletter-">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
		</field>&#13;
		<field type="paragraph" subtype="p" label="If you have any additional information or inquiries, please send them to yourstyletravels@gmail.com.&amp;nbsp; Please allow 48-72 hours for your quote to be emailed to you."/>&#13;
	</fields>&#13;
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