<html> <body> <form-template> <fields> <field type="header" subtype="h2" label="Questions for your trip"/> <field type="header" subtype="h2" label="Full name"/> <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="Email" name="email" subtype="text" className="form-control"/> <field type="text" label="Phone number" name="phone-number" subtype="text" className="form-control"/> <field type="text" required="true" label="How many travelers?" name="number-of-travelers" subtype="text" className="form-control"/> <field type="text" label="How many cabins do you need?" name="how-many-cabins-do-you-need" subtype="text" className="form-control"/> <field type="text" label="Name(s) of additional traveler(s) and age(s) if under 18" description="enter names with commas" name="names-of-additional-travelers" subtype="text" className="form-control"/> <field type="header" subtype="h1" label="General Trip Info"/> <field type="radio-group" label="Estimated budget for this trip" description="Can include cost of cruise plus any pre/post stays" name="estimated-budget-for-this-trip" other="true"> <option label="$0-$5000" value="05000">$0-$5000</option> <option label="$5000-$10,000" value="500010000">$5000-$10,000</option> <option label="$10,000-$15,000" value="1000015000">$10,000-$15,000</option> <option label="$15,000+" value="15000">$15,000+</option> </field> <field type="text" required="true" label="Preferred destinations?" name="preferred-destinations" subtype="text" className="form-control"/> <field type="text" required="true" label="Ports you can depart from?" name="ports-you-can-depart-from" subtype="text" className="form-control"/> <field type="text" label="Cruise lines you've sailed before?" name="cruise-lines-youve-sailed-before" subtype="text" className="form-control"/> <field type="text" label="Cruise line you're interested in for this trip (if any)?" name="cruise-line-youre-interested-in-for-this-trip-if-any" 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="checkbox-group" required="true" label="Are your dates flexible?" inline="true" name="dates-flexible" other="true"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="text" required="true" label="How many nights would you like the cruise to be (can be a range)?" name="how-many-nights-would-you-like-the-cruise-to-be-can-be-a-range" subtype="text" className="form-control"/> <field type="checkbox-group" label="Promotions you qualify for (if available):" name="promotions-you-qualify-for-if-available"> <option label="Senior (55 and older)" value="senior-55-and-older">Senior (55 and older)</option> <option label="Military" value="military">Military</option> <option label="Fire/EMT/Law Enforcement" value="fireemtlaw-enforcement">Fire/EMT/Law Enforcement</option> <option label="Doctor" value="doctor">Doctor</option> </field> <field type="checkbox-group" label="Type of cabin(s) you prefer" name="type-of-cabins-you-prefer" other="true"> <option label="Inside" value="inside">Inside</option> <option label="Ocean view (window)" value="ocean-view-window">Ocean view (window)</option> <option label="Balcony" value="balcony">Balcony</option> <option label="Suite" value="suite">Suite</option> </field> <field type="radio-group" label="Do you get seasick easily?" name="do-you-get-seasick-easily"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="checkbox-group" label="Do you have a preference on where in the ship you'd like to be?" name="do-you-have-a-preference-on-where-in-the-ship-youd-like-to-be"> <option label="Mid-ship (usually best for those who get seasick, prices could be a bit higher)" value="midship-usually-best-for-those-who-get-seasick-prices-could-be-a-bit-higher">Mid-ship (usually best for those who get seasick, prices could be a bit higher)</option> <option label="Front of the ship" value="front-of-the-ship">Front of the ship</option> <option label="Back of the ship" value="back-of-the-ship">Back of the ship</option> <option label="I'd like to face the port" value="id-like-to-face-the-port">I'd like to face the port</option> <option label="I'd like to face the water (if ocean cruise)" value="id-like-to-face-the-water-if-ocean-cruise">I'd like to face the water (if ocean cruise)</option> </field> <field type="radio-group" label="What best describes your hotel/cruise preference?" name="what-best-describes-your-hotelcruise-preference"> <option label="Small Luxury" value="small-luxury">Small Luxury</option> <option label="Luxury but ok on bigger ship" value="luxury-but-ok-on-bigger-ship">Luxury but ok on bigger ship</option> <option label="Value" value="value">Value</option> </field> <field type="checkbox-group" label="What kind of vibe are you looking for?" name="what-kind-of-vibe-are-you-looking-for" other="true"> <option label="Romantic" value="romantic">Romantic</option> <option label="Rest & Relaxation" value="rest-relaxation">Rest & Relaxation</option> <option label="Off the beaten path" value="off-the-beaten-path">Off the beaten path</option> <option label="Party" value="party">Party</option> <option label="Local Culture" value="local-culture">Local Culture</option> <option label="Family friendly" value="family-friendly">Family friendly</option> <option label="Food and wine" value="food-and-wine">Food and wine</option> </field> <field type="checkbox-group" label="What activities are you interested in?" name="what-activities-are-you-interested-in" other="true"> <option label="Beach and water" value="beach-and-water">Beach and water</option> <option label="Gambling" value="gambling">Gambling</option> <option label="Scuba" value="scuba">Scuba</option> <option label="Adventure activities" value="adventure-activities">Adventure activities</option> <option label="Nightlife" value="nightlife">Nightlife</option> <option label="Arts & theater" value="arts-theater">Arts & theater</option> </field> <field type="radio-group" label="Will you be doing excursions provided by the cruise, or do you want me to send you alternative/private options?" name="will-you-be-doing-excursions-provided-by-the-cruise-or-do-you-want-me-to-send-you-alternativeprivate-options" other="true"> <option label="Cruise excursions" value="cruise-excursions">Cruise excursions</option> <option label="Want to look at private options" value="want-to-look-at-private-options">Want to look at private options</option> </field> <field type="radio-group" label="Dining&nbsp;" name="dining-"> <option label="Early" value="early">Early</option> <option label="Late" value="late">Late</option> <option label="Flexible" value="flexible">Flexible</option> </field> <field type="radio-group" required="true" label="Do you prefer I send you a&nbsp; quote for a refundable or non-refundable deposit?" description="Refundable will usually cost a bit more; also some cruise lines have only non-refundable options for higher cabin categories." name="do-you-prefer-i-send-you-a-refundable-or-nonrefundable-quote"> <option label="refundable if available" value="refundable-if-available">refundable if available</option> <option label="non-refundable" value="nonrefundable">non-refundable</option> </field> <field type="radio-group" required="true" label="Do you want to include prepaid gratuities?" name="do-you-want-to-include-prepaid-gratuities"> <option label="yes" value="yes">yes</option> <option label="no" value="no">no</option> </field> <field type="radio-group" required="true" label="Do you want to include drink package, wifi, etc. in the price (if applicable--some cruise lines offer it on a complimentary basis)?" name="do-you-want-to-include-drink-package-wifi-etc-in-the-price-if-applicablesome-cruise-lines-offer-it-on-a-complimentary-basis"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="radio-group" required="true" label="Do you want me to include the cruise line's travel protection just in case? It can usually be removed if you decide you don't want it." name="do-you-want-me-to-include-the-cruise-lines-travel-protection-just-in-case-it-can-usually-be-removed-if-you-decide-you-dont-want-it"> <option label="yes" value="yes">yes</option> <option label="no" value="no">no</option> </field> <field type="text" label="Are you celebrating a special occasion?" description="Like a honeymoon anniversary birthday milestone etc." name="are-you-celebrating-a-special-occasion" subtype="text" className="form-control"/> <field type="header" subtype="h1" label="Flights"/> <field type="radio-group" required="true" label="Will You Need Help with flights?" description="Do you want me to book flights for you or will you be booking your own flights?" name="will-you-need-help-with-flights"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="radio-group" label="If yes, what class seats do you prefer?" description="i.e. Economy Premium Economy Business First" inline="true" name="if-yes-what-class-seats-do-you-prefer"> <option label="Economy" value="economy">Economy</option> <option label="Premium Economy (if available)" value="premium-economy-if-available">Premium Economy (if available)</option> <option label="Business" value="business">Business</option> <option label="First Class" value="first-class">First Class</option> <option label="N/A" value="na">N/A</option> </field> <field type="select" label="What seats do you prefer?&nbsp;Press "shift" to select more than one" name="what-seats-do-you-prefer-press-shift-to-select-more-than-one" multiple="multiple" className="form-control"> <option label="Aisle" value="aisle">Aisle</option> <option label="Middle" value="middle">Middle</option> <option label="Window" value="window">Window</option> <option label="n/a" value="na">n/a</option> </field> <field type="text" label="Do you have a preferred airline?" name="do-you-have-a-preferred-airline" subtype="text" className="form-control"/> <field type="header" subtype="h1" label="Pre and Post Cruise"/> <field type="radio-group" required="true" label="Are you wanting help with any pre or post cruise stays?" description="This may include private guided tours small group tours and any activities that may include sight-seeing" name="are-you-interested-in-looking-at-potential-activitiesexperiences-or-just-wanting-help-with-hotel-reservations"> <option label="Yes, will be wanting pre or post cruise help" value="yes-will-be-wanting-pre-or-post-cruise-help">Yes, will be wanting pre or post cruise help</option> <option label="No, I just need help with the cruise" value="no-i-just-need-help-with-the-cruise">No, I just need help with the cruise</option> </field> <field type="header" subtype="h1" label="Hotels &amp; Accommodation"/> <field type="text" label="For pre or post cruise, Is there a specific hotel group or brand that you really love?" description="If not enter n/a" name="is-there-a-specific-hotel-group-or-brand-that-you-really-love" subtype="text" className="form-control"/> <field type="radio-group" label="What best describes your hotel preference? I'll try my best to find what you're looking for given your budget." description="Please note I can't book Air Bnbs or VRBO's but I work with trusted companies that vet homes/apartments if you're going that route" name="hotel-preference" other="true"> <option label="Luxury (5 star)" value="luxury-5-star">Luxury (5 star)</option> <option label="Boutique (4 star or 5 star)" value="boutique-4-star-or-5-star">Boutique (4 star or 5 star)</option> <option label="Clean but nothing fancy (3 star)" value="clean-but-nothing-fancy-3-star">Clean but nothing fancy (3 star)</option> <option label="Apartment or Home rental" value="apartment-or-home-rental">Apartment or Home rental</option> </field> <field type="checkbox-group" label="What kind of vibe are you looking for?" description="Check all that apply." name="vibe-preference" other="true"> <option label="Romantic" value="romantic">Romantic</option> <option label="Rest and relaxation" value="rest-and-relaxation">Rest and relaxation</option> <option label="Modern decor" value="modern-decor">Modern decor</option> <option label="Classic / traditional decor" value="classic-traditional-decor">Classic / traditional decor</option> <option label="Off the beaten path" value="off-the-beaten-path">Off the beaten path</option> <option label="Centrally located" value="centrally-located">Centrally located</option> <option label="Family friendly" value="family-friendly">Family friendly</option> </field> <field type="radio-group" label="Bed Preferences" name="bed-preferences" other="true"> <option label="I NEED a King Bed" value="i-need-a-king-bed">I NEED a King Bed</option> <option label="I'm ok with a Queen Bed" value="im-ok-with-a-queen-bed">I'm ok with a Queen Bed</option> <option label="I prefer two beds" value="i-prefer-two-beds">I prefer two beds</option> <option label="I'm ok with whatever is available" value="im-ok-with-whatever-is-available">I'm ok with whatever is available</option> </field> <field type="checkbox-group" label="Room Preferences" description="Select all that apply" name="room-preferences" other="true"> <option label="Views are important to me" value="views-are-important-to-me">Views are important to me</option> <option label="Won't be in room much so views are not that important to me" value="wont-be-in-room-much-so-views-are-not-that-important-to-me">Won't be in room much so views are not that important to me</option> <option label="I need to be close to the elevator" value="i-need-to-be-close-to-the-elevator">I need to be close to the elevator</option> <option label="I'd rather be away from the elevator" value="id-rather-be-away-from-the-elevator">I'd rather be away from the elevator</option> <option label="I need a spacious room like a Jr Suite" value="i-need-a-spacious-room-like-a-jr-suite">I need a spacious room like a Jr Suite</option> <option label="I need an ADA room or have mobility issues" value="i-need-an-ada-room-or-have-mobility-issues">I need an ADA room or have mobility issues</option> <option label="Any special requests for the room? Please include in "other" below (need Pack n Play, Crib, etc)" value="any-special-requests-for-the-room-please-include-in-other-below-need-pack-n-play-crib-etc">Any special requests for the room? Please include in "other" below (need Pack n Play, Crib, etc)</option> </field> <field type="text" label="Anything you absolutely must do or see?" name="must-dos" subtype="text" className="form-control"/> <field type="textarea" label="Do you have any dietary restrictions or allergies we need to be aware of?" description="Or other medical needs" name="do-you-have-any-dietary-restrictions-or-allergies-we-need-to-be-aware-of" className="form-control"/> <field type="textarea" label="Is there anything I should know about your travel style and travel needs?" description="i.e. need to be close to elevator prefer room far away from elevator need high floor etc." name="is-there-anything-i-should-know-about-your-travel-style-and-travel-needs" 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="checkbox-group" required="true" label="Once booked, I'd like to get a quote for Travel Insurance and recognize that it is highly recommended to protect my investment&nbsp;" name="once-booked-id-like-to-get-a-quote-for-travel-insurance-and-recognize-that-it-is-highly-recommended-to-protect-my-investment-"> <option label="Yes, please send me a quote" value="yes-please-send-me-a-quote">Yes, please send me a quote</option> <option label="I'm not interested in travel insurance and am aware of the consequences if I do not purchase" value="im-not-interested-in-travel-insurance-and-am-aware-of-the-consequences-if-i-do-not-purchase">I'm not interested in travel insurance and am aware of the consequences if I do not purchase</option> </field> <field type="checkbox-group" label="How did you hear about me?" name="how-did-you-hear-about-me" other="true"> <option label="Instagram" value="instagram">Instagram</option> <option label="Facebook" value="facebook">Facebook</option> <option label="Google Search" value="google-search">Google Search</option> <option label="Referral" value="referral">Referral</option> </field> <field type="textarea" label="Text Area" name="textarea-1625744740037" className="form-control"/> </fields> </form-template> </body> </html>
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