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Lissette Jenkins
The Curatefd Voyage
<html> <body> <form-template> <fields> <field type="header" subtype="h1" label="Personal Information"/> <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" required="true" label="Phone number" name="phone-number" subtype="text" className="form-control"/> <field type="text" required="true" label="Line 1" name="address-line-1" subtype="text" className="form-control"/> <field type="text" required="true" label="City" name="address-city" subtype="text" className="form-control"/> <field type="text" required="true" label="State" name="address-state" subtype="text" className="form-control"/> <field type="text" required="true" label="Zip" name="address-zip" 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" required="true" label="Names &amp; DOB of Travelers" name="names-ages-of-travelers" subtype="text" className="form-control"/> <field type="header" subtype="h1" label="Trip Questions"/> <field type="checkbox-group" required="true" label="Year of Travel" name="what-are-your-travel-needs"> <option label="2025" value="2025">2025</option> <option label="2026" value="2026">2026</option> <option label="2027" value="2027">2027</option> </field> <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?" name="dates-flexible"> <option label="Yes" value="yes">Yes</option> </field> <field type="select" required="true" label="What type of services are you looking for?" name="what-type-of-services-are-you-looking-for" className="form-control"> <option label="Booking Only (resort, park tickets or cruise)" value="booking-only-resort-park-tickets-or-cruise">Booking Only (resort, park tickets or cruise)</option> <option label="Full Service (resort, park tickets, ride reservations, restaurant reservations, etc.)" value="full-service-resort-park-tickets-ride-reservations-restaurant-reservations-etc">Full Service (resort, park tickets, ride reservations, restaurant reservations, etc.)</option> </field> <field type="select" required="true" label="What Disney destination are you looking for?" name="what-disney-destination-are-you-looking-for" className="form-control"> <option label="Walt Disney World (Orlando, FL)" value="walt-disney-world-orlando-fl">Walt Disney World (Orlando, FL)</option> <option label="Disneyland (Anaheim, CA)" value="disneyland-anaheim-ca">Disneyland (Anaheim, CA)</option> <option label="Disney Cruise Line" value="disney-cruise-line">Disney Cruise Line</option> <option label="Land & Sea (Park Visit & Cruise Combo)" value="land-sea-park-visit-cruise-combo">Land & Sea (Park Visit & Cruise Combo)</option> <option label="Aluani, Disney Resort & Spa (Ko'Olina, HI)" value="aluani-disney-resort-spa-koolina-hi">Aluani, Disney Resort & Spa (Ko'Olina, HI)</option> <option label="Adventures by Disney" value="adventures-by-disney">Adventures by Disney</option> </field> <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"/> <field type="radio-group" required="true" label="What is your budget for all travelers (NOT including airfare)?" description="This just gives me a general starting point and can always be changed later." name="budget"> <option label="$1,500 to $3,000" value="1500-to-3000">$1,500 to $3,000</option> <option label="$3,000 to $5,000" value="3000-to-5000">$3,000 to $5,000</option> <option label="$5,000 to $8,000" value="5000-to-8000">$5,000 to $8,000</option> <option label="$8,000 to $10,000" value="8000-to-10000">$8,000 to $10,000</option> <option label="We want to do ALL the things, no budget limits!" value="we-want-to-do-all-the-things-no-budget-limits">We want to do ALL the things, no budget limits!</option> </field> <field type="radio-group" required="true" label="Resort Type?" name="hotel-preference" other="true"> <option label="Value Resorts (from $175+/nt.)" value="value-resorts-from-175nt">Value Resorts (from $175+/nt.)</option> <option label="Moderate Resorts (from $275+/nt.)" value="moderate-resorts-from-275nt">Moderate Resorts (from $275+/nt.)</option> <option label="Deluxe Resort (from $450+/nt.)" value="deluxe-resort-from-450nt">Deluxe Resort (from $450+/nt.)</option> <option label="Villas/Suites (from $600+/nt.)" value="villassuites-from-600nt">Villas/Suites (from $600+/nt.)</option> <option label="Multi Room Villa/Suite (from $900+/nt.)" value="multi-room-villasuite-from-900nt">Multi Room Villa/Suite (from $900+/nt.)</option> </field> <field type="text" required="true" label="Do you have a specific resort in mind?" name="do-you-have-a-specific-resort-in-mind" subtype="text" className="form-control"/> <field type="checkbox-group" required="true" label="What type of park ticket are you interested in?" name="vibe-preference"> <option label="Base Ticket (1 park per day, no park hopping)" value="base-ticket-1-park-per-day-no-park-hopping">Base Ticket (1 park per day, no park hopping)</option> <option label="Park Hopper (any park, any time)" value="park-hopper-any-park-any-time">Park Hopper (any park, any time)</option> <option label="Park Hopper w/Water Park (includes water park admission)" value="park-hopper-wwater-park-includes-water-park-admission">Park Hopper w/Water Park (includes water park admission)</option> </field> <field type="select" required="true" label="How many days do you want to spend in the parks?" name="how-many-days-do-you-want-to-spend-in-the-parks" className="form-control"> <option label="2" value="2">2</option> <option label="3" value="3">3</option> <option label="4" value="4">4</option> <option label="5" value="5">5</option> <option label="6" value="6">6</option> <option label="7" value="7">7</option> <option label="8+" value="8">8+</option> <option label="Does not apply" value="does-not-apply">Does not apply</option> </field> <field type="select" required="true" label="Would you like to include a Disney Dining Plan?" name="would-you-like-to-include-a-disney-dining-plan" className="form-control"> <option label="Yes - Disney Quick Service Plan (Quick Service restaurants only)" value="yes-disney-quick-service-plan-quick-service-restaurants-only">Yes - Disney Quick Service Plan (Quick Service restaurants only)</option> <option label="Yes, (Disney Dining Plan (includes Quick Service & Table Service)" value="yes-disney-dining-plan-includes-quick-service-table-service">Yes, (Disney Dining Plan (includes Quick Service & Table Service)</option> <option label="No" value="no">No</option> <option label="I am not sure, please walk me through the different plans." value="i-am-not-sure-please-walk-me-through-the-different-plans">I am not sure, please walk me through the different plans.</option> <option label="Does not apply to my trip." value="does-not-apply-to-my-trip">Does not apply to my trip.</option> </field> <field type="checkbox-group" required="true" label="Are you interested in extras (check all that apply)." name="activity-preferences"> <option label="Character Meals" value="character-meals">Character Meals</option> <option label="Table Service Restaurants (specialty reservations)" value="table-service-restaurants-specialty-reservations">Table Service Restaurants (specialty reservations)</option> <option label="Lightning Lanes" value="lightning-lanes">Lightning Lanes</option> <option label="Private Transfer (to & from airport)" value="private-transfer-to-from-airport">Private Transfer (to & from airport)</option> <option label="Disney Memory Maker (photography service)" value="disney-memory-maker-photography-service">Disney Memory Maker (photography service)</option> <option label="Cabana Rentals (cruise only)" value="cabana-rentals-cruise-only">Cabana Rentals (cruise only)</option> <option label="Shore Excursions (cruise only)" value="shore-excursions-cruise-only">Shore Excursions (cruise only)</option> <option label="I am not sure, please explain in more detail." value="i-am-not-sure-please-explain-in-more-detail">I am not sure, please explain in more detail.</option> </field> <field type="select" required="true" label="Celebrating something special?" name="celebrating-something-special" className="form-control"> <option label="1st Time Visit" value="1st-time-visit">1st Time Visit</option> <option label="Birthday" value="birthday">Birthday</option> <option label="Anniversary" value="anniversary">Anniversary</option> <option label="Honeymoon" value="honeymoon">Honeymoon</option> <option label="Does not apply to me." value="does-not-apply-to-me">Does not apply to me.</option> </field> <field type="select" label="Is this your first visit or sailing?" name="is-this-your-first-visit-or-sailing" className="form-control"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="textarea" required="true" label="Does anyone in your party require special needs accommodations (mobile accommodations, sensory/ASD, etc.)?&nbsp; If so, please explain." name="does-anyone-in-your-party-require-special-needs-accommodations-if-so-please-explain" className="form-control"/> <field type="text" required="true" label="Does anyone in your party have food allergies?&nbsp; If so, please list." name="must-dos" subtype="text" className="form-control"/> <field type="text" label="Have you booked your flights?&nbsp; If so, please include below." name="have-you-booked-your-flights-if-so-please-include-below" subtype="text" 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="select" label="How did you hear about us?" name="how-did-you-hear-about-us" className="form-control"> <option label="Instagram" value="instagram">Instagram</option> <option label="Website" value="website">Website</option> <option label="Word of Mouth" value="word-of-mouth">Word of Mouth</option> <option label="Previous Client" value="previous-client">Previous Client</option> </field> <field type="checkbox-group" required="true" label="Agreement:&nbsp; I understand that completing this form does not guarantee travel planning services. Services are secured and commence once travel advisor and traveler have discussed trip in full and planning fee has been paid (if applicable)." name="agreement"> <option label="Agree" value="agree">Agree</option> </field> </fields> </form-template> </body> </html>
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