<form-template>
	<fields>
		<field type="header" subtype="h3" label="Ready to get started?&amp;nbsp;"/>
		<field type="paragraph" subtype="p" label="We appreciate you taking the time to give us initial insight into how we can help!&amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp;You will hear from us within two business days to schedule your complimentary consult call."/>
		<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="Address 1" name="address-line-1" subtype="text" className="form-control"/>
		<field type="text" label="Address 2" name="address-line-2" 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="Covid-19 Notice" name="text-1610506191914" value="By completing this form  you are aware that destinations can require Covid-19 vaccination and/or Covid-19 testing.These tests can range from complimentary - $150+ per person  based on destination.  You are also aware that you must test before returning to the US." subtype="text" className="form-control"/>
		<field type="checkbox-group" required="true" label="Are you vaccinated for Covid-19?" name="are-you-vaccinated-for-covid19">
			<option label="Yes" value="No" selected="true">Yes</option>
			<option label="No" value="no" selected="true">No</option>
		</field>
		<field type="checkbox-group" required="true" label="Where are you in the planning process?" name="where-are-you-in-the-planning-process">
			<option label="Just getting started." value="just-getting-started">Just getting started.</option>
			<option label="I have some ideas, but need help with research and planning." value="i-have-some-ideas-but-need-help-with-research-and-planning">I have some ideas, but need help with research and planning.</option>
			<option label="I know just what I want, but need help finalizing the details." value="i-know-just-what-i-want-but-need-help-finalizing-the-details">I know just what I want, but need help finalizing the details.</option>
		</field>
		<field type="text" required="true" label="Is this trip for a special occasion (birthday, anniversary, etc.)?" name="is-this-trip-for-a-special-occasion-birthday-anniversary-etc" subtype="text" className="form-control"/>
		<field type="text" required="true" label="Where would you like to travel?" name="where-would-you-like-to-travel" subtype="text" className="form-control"/>
		<field type="date" label="Departure Date" name="departure-date" className="form-control"/>
		<field type="date" label="Return Date" name="return-date" className="form-control"/>
		<field type="text" required="true" label="Names and relation of other people traveling with you:" description="Number of travelers and their relation to each other (e.g.: spouse/significant other   friends  family)." name="names-and-relation-of-other-people-traveling-with-you" subtype="text" className="form-control"/>
		<field type="text" required="true" label="What type of vacation experience are you hoping to have?" description="Luxury/Cultural/Relaxing/Romance/Food and Wine/Adventure/Nightlife/etc." name="what-type-of-vacation-experience-are-you-hoping-to-have" subtype="text" className="form-control"/>
		<field type="checkbox-group" required="true" label="What type of accommodations do you prefer?" description="You may choose more than one. We do not work with any Airbnb  Vrbo  etc. type lodging" name="what-type-of-accommodations-do-you-prefer">
			<option label="Boutique Hotels" value="boutique-hotels">Boutique Hotels</option>
			<option label="U.S. Based Hotel Chains" value="us-based-hotel-chains">U.S. Based Hotel Chains</option>
			<option label="Private Villas" value="private-villas">Private Villas</option>
			<option label="Other" value="other">Other</option>
		</field>
		<field type="text" required="true" label="Please let me know any onsite or room amenities you desire." description="e.g. onsite restaurant  onsite gym   accessible features   elevator   etc." name="please-let-us-know-any-onsite-or-room-amenities-you-desire" subtype="text" className="form-control"/>
		<field type="select" required="true" label="Ideal Budget For This Trip" description="Budget encompasses logistics on the ground  accommodations and activities. It does not include airfare or meals/personal expenses." name="ideal-budget-for-this-trip" className="form-control">
			<option label="$5000-$7500" value="50007500">$5000-$7500</option>
			<option label="$7501 - $10,000" value="7501-10000">$7501 - $10,000</option>
			<option label="$10,001 +" value="10001-">$10,001 +</option>
			<option label="$20K + " value="20k-" selected="true">$20K + </option>
		</field>
		<field type="checkbox-group" required="true" label="Are you comfortable booking your own airfare? I do not handle purchasing flights, but I am happy to advise.&amp;nbsp;&amp;nbsp;" name="are-you-comfortable-booking-your-own-airfare-hctc-does-not-handle-purchasing-flights-but-is-happy-to-advise-">
			<option label="Yes" value="yes">Yes</option>
			<option label="No" value="no">No</option>
		</field>
		<field type="text" required="true" label="From what airport will you be departing?" name="from-what-airport-will-you-be-departing" subtype="text" className="form-control"/>
		<field type="text" required="true" label="Do you have any allergies?" description="Our minimum budget  not including airfare  is $4000." name="do-you-have-any-allergies" subtype="text" className="form-control"/>
		<field type="text" required="true" label="What hotel have you loved staying at previously?" name="what-hotel-have-you-loved-staying-at-previously" subtype="text" className="form-control"/>
		<field type="text" required="true" label="What is your least favorite place you've traveled to?" name="what-is-your-least-favorite-place-youve-traveled-to" subtype="text" className="form-control"/>
		<field type="checkbox-group" required="true" label="Which sentence best describes you?" name="which-sentence-best-describes-you">
			<option label="I can easily make decisions." value="i-can-easily-make-decisions">I can easily make decisions.</option>
			<option label="I often overthink &amp; have a hard time making a decision." value="i-often-overthink-have-a-hard-time-making-a-decision">I often overthink &amp; have a hard time making a decision.</option>
		</field>
		<field type="text" required="true" label="What is your Instagram handle?" name="whats-your-instagram-handle" subtype="text" className="form-control"/>
		<field type="text" required="true" label="How did you hear about Heather Christopher Travel?" description="Personal referral   ad   internet search  etc." name="how-did-you-hear-about-heather-christopher-travel" subtype="text" className="form-control"/>
		<field type="text" required="true" label="Is there anything else I should know?" description="Do any of the travelers in the group have diet restrictions  etc." name="is-there-anything-else-we-should-know" subtype="text" className="form-control"/>
		<field type="checkbox-group" required="true" label="Would you like to be added to my 1x/month newsletter?" inline="true" name="would-you-like-to-be-added-to-my-monthly-newsletter">
			<option label="Yes" value="yes">Yes</option>
			<option label="No" value="no">No</option>
		</field>
		<field type="paragraph" subtype="p" label="Please note: I charge a non-refundable travel planning fee, starting at $400 for trips 7 days or less and $550 for trips that are 8+ days in length. This fee covers the time involved in researching, preparing and executing a completely customized travel experience for you. This form collects your name, email address, physical address, and phone number information so that I may communicate with you and provide assistance. Please check our Privacy Policy to see how I protect your submitted data."/>
		<field type="checkbox-group" required="true" label="Consent" name="consent">
			<option label="I consent to having Heather Christopher Travel collect my details via this form." value="i-consent-to-having-heather-christopher-travel-collect-my-details-via-this-form">I consent to having Heather Christopher Travel collect my details via this form.</option>
		</field>
	</fields>
</form-template>