Share your information with Crystal Carter

Crystal Carter

Clear Conscience Travel

<html>
  <body>
    <form-template>&#13;
	<fields>&#13;
		<field type="header" subtype="h2" label="Trip Research Intake Form"/>&#13;
		<field type="paragraph" subtype="p" label="This form collects the essential details needed to begin researching travel options and preparing personalized recommendations. Providing accurate information helps ensure smooth booking, accurate documentation, and a well-planned travel experience."/>&#13;
		<field type="header" subtype="h3" label="Primary Traveler Information"/>&#13;
		<field type="text" required="true" label="First name (as listed on passport)" name="first-name" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Last name (as listed on passport)" name="last-name" subtype="text" className="form-control"/>&#13;
		<field type="date" required="true" label="Date of Birth" name="birthday" className="form-control"/>&#13;
		<field type="text" subtype="email" required="true" label="Email Address" name="email" className="form-control"/>&#13;
		<field type="text" subtype="tel" label="Phone Number" name="phone-number" className="form-control"/>&#13;
		<field type="radio-group" label="Preferred Method of Communication" name="preferred-method-of-communication" className="radio-group">&#13;
			<option label="Email" value="email">Email</option>&#13;
			<option label="Phone" value="phone">Phone</option>&#13;
			<option label="Text" value="text">Text</option>&#13;
		</field>&#13;
		<field type="header" subtype="h3" label="Additional Travelers"/>&#13;
		<field type="radio-group" required="true" label="Select number of travelers total" name="select-number-of-travelers-total">&#13;
			<option label="1" value="1">1</option>&#13;
			<option label="2" value="2">2</option>&#13;
			<option label="3" value="3">3</option>&#13;
			<option label="4" value="4">4</option>&#13;
			<option label="5+" value="5">5+</option>&#13;
		</field>&#13;
		<field type="conditionalLogic" label="Conditional Logic" name="conditionalLogic-1774995024689" rule="eyJ3aGVuRmllbGQiOiJhcmUtYW55LWtpZHMtdHJhdmVsaW5nIiwid2hlbkNvbmRpdGlvbiI6ImVxdWFscyIsIndoZW5WYWx1ZSI6InllcyIsInRoZW5BY3Rpb24iOiJzaG93IiwidGhlbkZpZWxkcyI6WyJpZi10cmF2ZWxpbmctd2l0aC1jaGlsZHJlbi1saXN0LWVhY2gtY2hpbGRzLWRhdGUtb2YtYmlydGgiXSwidGhlbkZpZWxkc0luZm8iOlt7Im5hbWUiOiJpZi10cmF2ZWxpbmctd2l0aC1jaGlsZHJlbi1saXN0LWVhY2gtY2hpbGRzLWRhdGUtb2YtYmlydGgiLCJsYWJlbCI6IklmIHRyYXZlbGluZyB3aXRoIGNoaWxkcmVuLCBsaXN0IGVhY2ggY2hpbGQncyBkYXRlIG9mIGJpcnRoLiJ9XX0="/>&#13;
		<field type="select" required="true" label="Are any kids traveling?" name="are-any-kids-traveling" className="form-control">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
		</field>&#13;
		<field type="textarea" label="List each child&#39;s date of birth." placeholder="Pricing is based on age of child at time of travel. Please enter accurate information" name="if-traveling-with-children-list-each-childs-date-of-birth" className="form-control"/>&#13;
		<field type="header" subtype="h3" label="Travel Details"/>&#13;
		<field type="radio-group" required="true" label="Type of Trip" name="type-of-trip" className="radio-group">&#13;
			<option label="Solo" value="solo">Solo</option>&#13;
			<option label="Couple" value="couple">Couple</option>&#13;
			<option label="Family" value="family">Family</option>&#13;
			<option label="Group" value="group">Group</option>&#13;
			<option label="Celebration" value="celebration">Celebration</option>&#13;
			<option label="Adults Only" value="adults-only">Adults Only</option>&#13;
		</field>&#13;
		<field type="text" required="true" label="Travel Destination" name="travel-destination" subtype="text" className="form-control"/>&#13;
		<field type="date" required="true" label="Departure Date" name="departure-date" className="form-control"/>&#13;
		<field type="date" required="true" label="Return Date" name="return-date" className="form-control"/>&#13;
		<field type="text" required="true" label="Departure Airport" name="departure-airport" subtype="text" className="form-control"/>&#13;
		<field type="radio-group" label="Preferred Travel Times" name="preferred-travel-times" className="radio-group">&#13;
			<option label="Morning" value="morning">Morning</option>&#13;
			<option label="Afternoon" value="afternoon">Afternoon</option>&#13;
			<option label="Evening" value="evening">Evening</option>&#13;
			<option label="Flexible" value="flexible">Flexible</option>&#13;
		</field>&#13;
		<field type="radio-group" label="*For international travel* Do all travelers currently have valid passport books?" name="valid-passport-books" className="radio-group">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
			<option label="Some" value="some">Some</option>&#13;
		</field>&#13;
		<field type="header" subtype="h3" label="Travel Style &amp;amp; Experience Preferences"/>&#13;
		<field type="checkbox-group" required="true" label="Type of Experience Desired" name="type-of-experience-desired" className="checkbox-group">&#13;
			<option label="All-Inclusive" value="all-inclusive">All-Inclusive</option>&#13;
			<option label="Local/Cultural experiences" value="localcultural-experiences">Local/Cultural experiences</option>&#13;
			<option label="Cruise" value="cruise">Cruise</option>&#13;
			<option label="Adventure" value="adventure">Adventure</option>&#13;
			<option label="Relaxation" value="relaxation">Relaxation</option>&#13;
			<option label="Luxury" value="luxury">Luxury</option>&#13;
		</field>&#13;
		<field type="radio-group" required="true" label="Accommodation Preference" name="hotel-preference" className="radio-group">&#13;
			<option label="Resort" value="resort">Resort</option>&#13;
			<option label="Hotel" value="hotel">Hotel</option>&#13;
			<option label="Villa" value="villa">Villa</option>&#13;
			<option label="Cabin" value="cabin">Cabin</option>&#13;
			<option label="Cruise" value="cruise">Cruise</option>&#13;
		</field>&#13;
		<field type="radio-group" required="true" label="Trip Vibe" name="trip-vibe">&#13;
			<option label="Relaxed &amp; quiet" value="relaxed-quiet">Relaxed &amp; quiet</option>&#13;
			<option label="Family Friendly" value="family-friendly">Family Friendly</option>&#13;
			<option label="Romantic" value="romantic">Romantic</option>&#13;
			<option label="Luxury $" value="luxury-">Luxury $</option>&#13;
			<option label="Adult Only" value="adult-only">Adult Only</option>&#13;
			<option label="Party! Party! Party!" value="party-party-party">Party! Party! Party!</option>&#13;
		</field>&#13;
		<field type="header" subtype="h3" label="Transportation Preferences"/>&#13;
		<field type="text" label="Preferred Airline (if any)" name="preferred-airline" subtype="text" className="form-control"/>&#13;
		<field type="radio-group" label="Seat Preference" name="seat-preference" className="radio-group">&#13;
			<option label="Window" value="window">Window</option>&#13;
			<option label="Aisle" value="aisle">Aisle</option>&#13;
			<option label="No Preference" value="no-preference">No Preference</option>&#13;
		</field>&#13;
		<field type="radio-group" label="Transportation Needs at Destination" name="transportation-needs-destination" className="radio-group">&#13;
			<option label="Private Transfers" value="private-transfers">Private Transfers</option>&#13;
			<option label="Rental Car" value="rental-car">Rental Car</option>&#13;
			<option label="Not Sure" value="not-sure">Not Sure</option>&#13;
		</field>&#13;
		<field type="header" subtype="h3" label="Loyalty &amp;amp; Rewards Information"/>&#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="header" subtype="h3" label="Financial Planning for Your Trip"/>&#13;
		<field type="radio-group" label="Estimated Travel Investment Per Traveler" name="estimated-travel-investment-per-traveler" className="radio-group">&#13;
			<option label="Under $1,500" value="under-1500">Under $1,500</option>&#13;
			<option label="$1,500 – $2,500" value="1500-2500">$1,500 – $2,500</option>&#13;
			<option label="$2,500 – $3,500" value="2500-3500">$2,500 – $3,500</option>&#13;
			<option label="$3,500 – $5,000" value="3500-5000">$3,500 – $5,000</option>&#13;
			<option label="$5,000+" value="5000-plus">$5,000+</option>&#13;
			<option label="Flexible based on recommendations" value="flexible">Flexible based on recommendations</option>&#13;
		</field>&#13;
		<field type="header" subtype="h3" label="Special Notes &amp;amp; Important Details"/>&#13;
		<field type="textarea" label="Celebrations, accessibility needs, dietary restrictions, preferred resorts, or anything important to your travel plans" name="notes" className="form-control"/>&#13;
		<field type="header" subtype="h3" label="Booking Readiness"/>&#13;
		<field type="radio-group" label="When are you planning to secure your reservation?" name="booking-readiness" className="radio-group">&#13;
			<option label="Ready to book immediately" value="ready-immediately">Ready to book immediately</option>&#13;
			<option label="Within the next 30 days" value="next-30-days">Within the next 30 days</option>&#13;
			<option label="Within the next 60–90 days" value="next-60-90-days">Within the next 60–90 days</option>&#13;
			<option label="Still exploring options" value="still-exploring-options">Still exploring options</option>&#13;
		</field>&#13;
	</fields>&#13;
</form-template>
  </body>
</html>