<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="$7000 - $10,000" value="7000-10000">$7000 - $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: We charge a non-refundable travel planning fee, starting at $500. 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 we may communicate with you and provide assistance. Please check our Privacy Policy to see how we 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>