<html> <body> <form-template> <fields> <field type="header" subtype="h2" label="And The Adventure Begins..."/> <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="header" subtype="h1" label="Trip Details"/> <field type="date" 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" 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="text" label="How long of a trip?" description="A week? Two weeks? 4 Nights? Etc." name="how-long-of-a-trip" subtype="text" className="form-control"/> <field type="checkbox-group" label="Are your dates flexible?" inline="true" name="dates-flexible"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="text" label="What is your preferred departure airport(s)?" description="Put all that you're willing to fly out of" name="departure-city" subtype="text" className="form-control"/> <field type="text" label="Total number of travelers?" name="number-of-travelers" subtype="text" className="form-control"/> <field type="text" label="How many of those travelers are kids/teens?" name="how-many-childrenteens-and-age-at-time-of-travel" subtype="text" className="form-control"/> <field type="text" label="Ages of Kids/Teens?" description="Please list their ages during travel and use commas to separate" name="ages-of-kids" subtype="text" className="form-control"/> <field type="text" label="Are any of those travelers Seniors?" description="Please list how many if Yes" name="any-seniors-traveling-with" subtype="text" className="form-control"/> <field type="text" label="Are there any travelers who require physical accommodations?" description="(Visual? Auditory? Mobility issues/ wheelchair use?)" name="are-any-travelers-who-require-physical-accommodations" subtype="text" className="form-control"/> <field type="radio-group" label="Are any travelers Military or Veterans?" inline="true" name="any-military-or-veterans"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="header" subtype="h1" label="Budget"/> <field type="paragraph" subtype="p" label="Please choose one below and input budget - All Travelers or Per Person"/> <field type="paragraph" subtype="p" label="**This just gives me a general starting point and can always be changed later.**"/> <field type="text" label="All Travelers - What is your budget for All Travelers?" description="This category is best suited for family entities being paid by one person." placeholder="$" name="all-travelers-what-is-your-budget-for-all-travelers" value="$" subtype="text" className="form-control"/> <field type="text" label="Per Person - What is your Per Person budget?" description="This is for group trips friend or family trips where every individual is paying their own way." placeholder="$" name="per-person-what-is-your-per-person-budget" value="$" subtype="text" className="form-control"/> <field type="header" subtype="h2" label="What kind of trip are you thinking of?"/> <field type="paragraph" subtype="p" label="On land? Out at sea? R &amp; R or constant nightlife? Tell us a little bit about where you'd like to go what kind of experience you're interested in once you get there!&nbsp;"/> <field type="checkbox-group" required="true" label="Where would you like to adventure to?" description="If you're not sure just give me a few destinations you're considering." name="where-would-you-like-to-adventure-to" other="true"> <option label="Caribbean" value="caribbean">Caribbean</option> <option label="Mexico" value="mexico">Mexico</option> <option label="Hawaii" value="hawaii">Hawaii</option> <option label="Alaska" value="alaska">Alaska</option> <option label="Ocean Cruise" value="ocean-cruise">Ocean Cruise</option> <option label="River Cruise" value="river-cruise">River Cruise</option> <option label="Europe" value="europe">Europe</option> <option label="Domestic U.S." value="domestic-us">Domestic U.S.</option> </field> <field type="checkbox-group" label="What would you like included in this adventure?" name="what-would-you-like-included-in-this-adventure" other="true"> <option label="Flights" value="flights">Flights</option> <option label="Resort/Hotel/Cruise" value="resorthotelcruise">Resort/Hotel/Cruise</option> <option label="Airport Transfers" value="airport-transfers">Airport Transfers</option> <option label="Car Rental" value="car-rental">Car Rental</option> <option label="Meals Included" value="meals-included">Meals Included</option> <option label="Alcohol Included" value="alcohol-included">Alcohol Included</option> <option label="Tips Included " value="tips-included-">Tips Included </option> <option label="Activities" value="activities">Activities</option> </field> <field type="checkbox-group" label="Traveling for a special occasion?" name="traveling-for-a-special-occasion" other="true"> <option label="Honeymoon" value="honeymoon">Honeymoon</option> <option label="Family Vacation" value="family-vacation">Family Vacation</option> <option label="Birthday" value="birthday">Birthday</option> <option label="Anniversary" value="anniversary">Anniversary</option> <option label="Bachelor/Bachelorette Party" value="bachelorbachelorette-party">Bachelor/Bachelorette Party</option> <option label="Couple Getaway" value="couple-getaway">Couple Getaway</option> <option label="Family Reunion" value="family-reunion">Family Reunion</option> </field> <field type="checkbox-group" label="What kind of vibe are you looking for?" description="Check all that apply." name="vibe-preference" other="true"> <option label="Romantic" value="romantic">Romantic</option> <option label="Rest and relaxation" value="rest-and-relaxation">Rest and relaxation</option> <option label="Family friendly" value="family-friendly">Family friendly</option> <option label="Off the beaten path/Rustic" value="off-the-beaten-pathrustic">Off the beaten path/Rustic</option> <option label="Party" value="party">Party</option> <option label="Food and wine" value="food-wine">Food and wine</option> <option label="Adventure/Active" value="adventureactive">Adventure/Active</option> <option label="Multi-generational" value="multigenerational">Multi-generational</option> <option label="Small/Quiet" value="smallquiet">Small/Quiet</option> </field> <field type="checkbox-group" label="What activities are you interested in?" description="Check all that apply" name="activity-preferences" other="true"> <option label="Beach and water" value="beach-water">Beach and water</option> <option label="Snorkeling" value="snorkeling">Snorkeling</option> <option label="Scuba" value="scuba">Scuba</option> <option label="Adventure activities" value="adventure">Adventure activities</option> <option label="Sightseeing/Local Culture" value="sightseeinglocal-culture">Sightseeing/Local Culture</option> <option label="Golf" value="golf">Golf</option> <option label="Nightlife" value="nightlife">Nightlife</option> <option label="Arts and theater" value="art-theater">Arts and theater</option> </field> <field type="textarea" label="Elaborate on where your imagination is taking you..." description="Why this or these locations?" name="want-to-elaborate-on-where-your-imagination-is-taking-you" className="form-control"/> <field type="header" subtype="h1" label="Preferences"/> <field type="checkbox-group" label="View or Cabin Preference?" name="view-or-cabin-preference" other="true"> <option label="Oceanfront" value="oceanfront">Oceanfront</option> <option label="Oceanview" value="oceanview">Oceanview</option> <option label="Garden/Jungle View" value="gardenjungle-view">Garden/Jungle View</option> <option label="Balcony (cruise)" value="balcony-cruise">Balcony (cruise)</option> <option label="Outside Cabin (cruise)" value="outside-cabin-cruise">Outside Cabin (cruise)</option> <option label="Inside Cabin (cruise)" value="inside-cabin-cruise">Inside Cabin (cruise)</option> <option label="Pool View" value="pool-view">Pool View</option> <option label="Swim Out" value="swim-out">Swim Out</option> </field> <field type="radio-group" label="What best describes your hotel preference?" name="hotel-preference" other="true"> <option label="Economy (2 star)" value="economy-2-star">Economy (2 star)</option> <option label="Moderate (3 star)" value="moderate-3-star">Moderate (3 star)</option> <option label="Luxury (4 star)" value="luxury-4-star">Luxury (4 star)</option> <option label="Boutique (5 star)" value="boutique-5-star">Boutique (5 star)</option> </field> <field type="radio-group" label="Flight Preference" name="flight-preference" other="true"> <option label="Direct Flight/No Layover" value="direct-flightno-layover">Direct Flight/No Layover</option> <option label="Closest Airport/Layover Ok" value="closest-airportlayover-ok">Closest Airport/Layover Ok</option> <option label="Whatever is Most Cost Effective" value="whatever-is-most-cost-effective">Whatever is Most Cost Effective</option> </field> <field type="radio-group" label="Plane Seat preference (if applicable)" name="seat-preference"> <option label="Window" value="window">Window</option> <option label="Aisle" value="aisle">Aisle</option> <option label="Middle" value="middle">Middle</option> </field> <field type="radio-group" label="Bed preference" name="bed-preference" other="true"> <option label="King" value="king">King</option> <option label="2 Double/Queen" value="2-double-queen">2 Double/Queen</option> <option label="Two Rooms / Suite" value="two-rooms-suite">Two Rooms / Suite</option> </field> <field type="checkbox-group" label="If applicable, what size rental car would you need?" name="if-applicable-what-size-rental-car-would-you-need" other="true"> <option label="Compact/Economy" value="compacteconomy">Compact/Economy</option> <option label="Standard" value="standard">Standard</option> <option label="Full size" value="full-size">Full size</option> <option label="SUV/Van/Pickup" value="suvvanpickup">SUV/Van/Pickup</option> <option label="Luxury" value="luxury">Luxury</option> </field> <field type="text" label="Food Allergies / Preferences?" name="meal-preference" subtype="text" className="form-control"/> <field type="textarea" label="Anything that you absolutely must do or see?" description="Must haves?" name="anything-that-you-absolutely-must-do-or-see" 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="header" subtype="h2" label="Additional Info"/> <field type="radio-group" label="Do all travelers have current passports (if applicable)?" description="A current passport means that it doesn't expire 6 months after planned travel." inline="true" name="do-all-travelers-have-current-passports-if-applicable" other="true"> <option label="Yes (we ready to roll)" value="yes-we-ready-to-roll">Yes (we ready to roll)</option> <option label="No (need to get them)" value="no-need-to-get-them">No (need to get them)</option> <option label="N/A (not needed for this trip)" value="na-not-needed-for-this-trip">N/A (not needed for this trip)</option> </field> <field type="radio-group" label="How did you hear about me? &nbsp;Did someone refer you? Choose other and tell me who." description="How did you find me or did someone send you my way?" name="how-did-you-hear-about-me-referred-choose-other-and-tell-me-who" other="true"> <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="Travel Leaders" value="travel-leaders">Travel Leaders</option> </field> <field type="radio-group" label="Would you like to subscribe to my monthly newsletter? (You can opt-out at any time)" description="It's a fun read each month with travel news & trends what's going on in my world and my own travels & more!" inline="true" name="would-you-like-to-subscribe-to-my-monthly-newsletter-you-can-optout-at-any-time"> <option label="Sure!" value="sure">Sure!</option> <option label="No thanks." value="no-thanks">No thanks.</option> </field> </fields> </form-template> </body> </html>
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