<html> <body> <form-template> <fields> <field label="Questions for your trip" subtype="h2" type="header"/> <field label="Full name" subtype="h2" type="header"/> <field label="First name" name="first-name" required="true" subtype="text" type="text" className="form-control"/> <field label="Last name" name="last-name" required="true" subtype="text" type="text" className="form-control"/> <field label="Email" name="email" required="true" subtype="text" type="text" className="form-control"/> <field label="Phone number" name="phone-number" subtype="text" type="text" className="form-control"/> <field label="How many travelers?" name="number-of-travelers" required="true" type="text" className="form-control"/> <field description="enter names with commas" label="Name(s) of all traveler(s), and&nbsp; their age(s) if under 18" name="names-of-additional-travelers" subtype="text" type="text" className="form-control"/> <field label="Are You Vaccinated? This is confidential and will help me determine what info I provide to you for your destination." name="are-you-vaccinated-this-is-confidential-and-will-help-me-determine-what-info-i-provide-to-you-for-your-destination" other="true" type="radio-group"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field label="General Trip Info" subtype="h1" type="header"/> <field description="If you're not sure just give me a few destinations you're considering." label="Where would you like to go?" name="destination" placeholder="ex: Tahiti" required="true" subtype="text" type="text" className="form-control"/> <field description="This just gives me a general idea of when you like to go; it can be changed later." label="When would you like to depart?" name="starting-at" required="true" type="date" className="form-control"/> <field description="This just gives me a general idea of when you like to return; it can be changed later." label="When would you like to return?" name="ending-at" required="true" type="date" className="form-control"/> <field inline="true" label="Are your dates flexible?" name="dates-flexible" other="true" required="true" type="checkbox-group"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field description="Where will you be flying from?" label="What is your departure city?" name="departure-city" required="true" subtype="text" type="text" className="form-control"/> <field description="Like a honeymoon anniversary birthday milestone etc." label="Are you celebrating a special occasion?" name="are-you-celebrating-a-special-occasion" subtype="text" type="text" className="form-control"/> <field description="This just gives me a general starting point and can always be changed later." label="What is your estimated investment for all travelers NOT including flights? Essentially for accommodations and activities?" name="budget" other="true" required="true" type="radio-group"> <option label="$8,500 to $10,000" value="8500-10000">$8,500 to $10,000</option> <option label="$10,000 to $12,500" value="10000-to-12500">$10,000 to $12,500</option> <option label="$12,500 to $15,000" value="12500-to-15000">$12,500 to $15,000</option> <option label="$15,000 to $20,000" value="15000-to-20000">$15,000 to $20,000</option> <option label="$20,000+" value="20000">$20,000+</option> </field> <field description="I will discuss all options with you but want to know what's more important to you--price or experience" label="What is more important to you: staying within budget parameters, or are you ok going a bit above that if need be to get the experience that you want?" name="what-is-more-important-to-you-staying-within-budget-parameters-or-are-you-ok-going-a-bit-above-that-if-need-be-to-get-the-experience-that-you-want" other="true" required="true" type="radio-group"> <option label="Ok going a bit over (within reason of course)" value="ok-going-a-bit-over-within-reason-of-course">Ok going a bit over (within reason of course)</option> <option label="Prefer to cut back in certain areas (please discuss options)" value="prefer-to-cut-back-in-certain-areas-please-discuss-options">Prefer to cut back in certain areas (please discuss options)</option> </field> <field label="Flights" subtype="h1" type="header"/> <field description="Do you want me to book flights for you or will you be booking your own flights?" label="Will You Need Help with flights?" name="will-you-need-help-with-flights" required="true" type="radio-group"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field description="i.e. Economy Premium Economy Business First" inline="true" label="If yes, what class seats do you prefer?" name="if-yes-what-class-seats-do-you-prefer" type="radio-group"> <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 label="What seats do you prefer?&nbsp;Press "shift" to select more than one" multiple="multiple" name="what-seats-do-you-prefer-press-shift-to-select-more-than-one" type="select" 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 label="Do you have a preferred airline?" name="do-you-have-a-preferred-airline" subtype="text" type="text" className="form-control"/> <field label="Guided Tours and Activities" subtype="h1" type="header"/> <field label="What sort of experiences are you looking for?" name="what-sort-of-experiences-are-you-looking-for" type="textarea" className="form-control"/> <field label="If wanting to do Safari/Game Drives, what sort of animals are you wanting to see?" name="if-wanting-to-do-safarigame-drives-what-sort-of-animals-are-you-wanting-to-see" type="textarea" className="form-control"/> <field label="If applicable, how many days of safari/game drives do you want to do?" name="if-applicable-how-many-days-of-safarigame-drives-do-you-want-to-do" subtype="text" type="text" className="form-control"/> <field label="Lodging &amp; Accommodation" subtype="h1" type="header"/> <field description="If not enter n/a" label="What level of accommodation do you require? If you are not sure, what brands of hotels do you typically lean towards when traveling?" name="is-there-a-specific-hotel-group-or-brand-that-you-really-love" subtype="text" type="text" className="form-control"/> <field label="Do you have any hotels or lodges in mind where you'd like to stay?" name="do-you-have-any-hotels-or-lodges-in-mind-where-youd-like-to-stay" subtype="text" type="text" className="form-control"/> <field 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" label="What best describes your accommodation preference? Select all that apply (I'll try my best to find what you're looking for given your budget)." name="what-best-describes-your-accommodation-preference-select-all-that-apply-ill-try-my-best-to-find-what-youre-looking-for-given-your-budget" other="true" required="true" type="checkbox-group"> <option label="Luxury (5 star)" value="luxury-5-star">Luxury (5 star)</option> <option label="Nice (4 star)" value="nice-4-star">Nice (4 star)</option> <option label="I prefer small boutique options" value="i-prefer-small-boutique-options">I prefer small boutique options</option> </field> <field description="Check all that apply." label="What kind of vibe are you looking for?" name="vibe-preference" other="true" required="true" type="checkbox-group"> <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 label="Bed Preferences" name="bed-preferences" other="true" required="true" type="radio-group"> <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 description="Select all that apply" label="Room Preferences" name="room-preferences" other="true" required="true" type="checkbox-group"> <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 a spacious room like a Jr Suite or Suite" value="i-need-a-spacious-room-like-a-jr-suite-or-suite">I need a spacious room like a Jr Suite or 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 (have specific room request, need Pack n Play, Crib, High Chair, etc)" value="any-special-requests-for-the-room-please-include-in-other-below-have-specific-room-request-need-pack-n-play-crib-high-chair-etc">Any special requests for the room? Please include in "other" below (have specific room request, need Pack n Play, Crib, High Chair, etc)</option> </field> <field label="Additional Considerations" subtype="h1" type="header"/> <field label="Anything you absolutely must do or see?" name="must-dos" subtype="text" type="text" className="form-control"/> <field description="Or other medical needs" label="Do you have any dietary or mobility restrictions or allergies we need to be aware of?" name="do-you-have-any-dietary-restrictions-or-allergies-we-need-to-be-aware-of" type="textarea" className="form-control"/> <field description="i.e. need to be close to elevator prefer room far away from elevator need high floor etc." label="Is there anything I should know about your travel style and travel needs?" name="is-there-anything-i-should-know-about-your-travel-style-and-travel-needs" type="textarea" className="form-control"/> <field description="What else would you like me to know about your travelers budget and/or travel preferences?" label="What else would you like me to know?" name="notes" type="textarea" className="form-control"/> <field label="Preferred Method of Communication" name="preferred-method-of-communication" other="true" type="checkbox-group"> <option label="Email" value="email">Email</option> <option label="Phone Call" value="phone-call">Phone Call</option> <option label="Text Message" value="text-message">Text Message</option> <option label="All Of The Above" value="all-of-the-above">All Of The Above</option> </field> <field 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-" required="true" type="checkbox-group"> <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 label="How did you hear about me (if referral please put person's name in other box)?" name="how-did-you-hear-about-me" other="true" type="checkbox-group"> <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> </fields> </form-template> </body> </html>
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