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Robin Terpstra
Travels By Robin
<html> <body> <form-template> <fields> <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="Let's get started!"/> <field type="text" required="true" label="How were you referred to us?" name="how-were-you-referred-to-us" subtype="text" className="form-control"/> <field type="checkbox-group" label="What is your preferred method of communication?" name="what-is-your-preferred-method-of-communication"> <option label="Email" value="email">Email</option> <option label="Phone" value="phone">Phone</option> </field> <field type="checkbox-group" label="Would you like to schedule a phone or video consultation or would you like me to get started as soon as I receive the form?&nbsp;" name="would-you-like-to-schedule-a-phone-consultation-or-would-you-like-me-to-get-started-as-soon-as-i-receive-the-form"> <option label="Consultation" value="consultation">Consultation</option> <option label="Get started!" value="get-started">Get started!</option> </field> <field type="text" label="Phone number (if you would like a phone consultation)" name="phone-number-if-you-would-like-a-phone-consultation" subtype="text" className="form-control"/> <field type="radio-group" label="Have you worked with a travel advisor before?" name="have-you-worked-with-a-travel-advisor-before"> <option label="Yes" value="yes">Yes</option> <option label="I'm a first-timer" value="im-a-firsttimer">I'm a first-timer</option> </field> <field type="header" subtype="h2" label="What type of trip are you interested in?"/> <field type="checkbox-group" label="Standard Booking Services" description="Check all that apply." name="are-you-interested-in" other="true"> <option label="Hotel" value="hotel">Hotel</option> <option label="All Inclusive Resort (where available)" value="all-inclusive-resort-where-available">All Inclusive Resort (where available)</option> <option label="Ocean Cruise" value="ocean-cruise">Ocean Cruise</option> <option label="River Cruise" value="river-cruise">River Cruise</option> <option label="Air" value="air">Air</option> <option label="Rental Car" value="rental-car">Rental Car</option> <option label="Escorted Tour" value="escorted-tour">Escorted Tour</option> <option label="Rail Vacation" value="rail-vacation">Rail Vacation</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="Off the beaten path" value="off-the-beaten-path">Off the beaten path</option> <option label="Party" value="party">Party</option> <option label="Local culture" value="local-culture">Local culture</option> <option label="Family friendly" value="family-friendly">Family friendly</option> <option label="Food and wine" value="food-wine">Food and wine</option> <option label="Adventure" value="adventure">Adventure</option> </field> <field type="header" subtype="h2" label="Questions for your trip"/> <field type="checkbox-group" label="Where are you in the planning process?" name="where-are-you-in-the-planning-process" other="true"> <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" label="Is the purpose of this trip to celebrate an occasion?" name="is-the-purpose-of-this-trip-to-celebrate-an-occasion" subtype="text" className="form-control"/> <field type="text" label="Preferred destinations?" description="If you're not sure just give me a few destinations you're considering." placeholder="ex: Tahiti" name="preferred-destinations" subtype="text" className="form-control"/> <field type="textarea" label="What is it about this destination that interests you?" name="what-is-it-about-this-destination-that-interests-you" className="form-control"/> <field type="date" required="true" label="Earliest you can depart?" description="This just gives me a general idea of when you like to go; it can be changed later." name="earliest-you-can-depart" className="form-control"/> <field type="date" label="Latest you can return?" description="This just gives me a general idea of when you like to return; it can be changed later." name="latest-you-can-return" className="form-control"/> <field type="text" label="How many nights would you like the trip to be?" name="how-many-nights-would-you-like-the-trip-to-be" subtype="text" className="form-control"/> <field type="textarea" required="true" label="Number of travelers and their ages?" name="number-of-travelers-and-their-ages" className="form-control"/> <field type="textarea" label="Are there any medical or dietary needs/preferences ? Does anyone in your party have mobility issues I should be aware of?" name="do-you-have-any-medical-or-dietary-needspreferences-i-should-know-about" className="form-control"/> <field type="text" label="If you need air included, what is your departure city?" description="Where will you be flying from?" name="if-you-need-air-included-what-is-your-departure-city" subtype="text" className="form-control"/> <field type="text" label="Preferred airline(s) and class of service, if any?" name="preferred-airlines-if-any" subtype="text" className="form-control"/> <field type="radio-group" required="true" label="Do you want travel protection included in the package?" description="Emergencies are always a surprise!" name="do-you-want-travel-protection-included-in-the-package"> <option label="Yes" value="yes">Yes</option> <option label="No " value="no-">No </option> <option label="Not yet" value="not-yet">Not yet</option> </field> <field type="checkbox-group" label="Which of these are the top 3 priorities?" description="Check all that apply" name="which-of-these-are-the-top-3-priorities"> <option label="Best experience for the money" value="best-experience-for-the-money">Best experience for the money</option> <option label="Lowest price" value="lowest-price">Lowest price</option> <option label="Authentic, immersive experiences" value="authentic-immersive-experiences">Authentic, immersive experiences</option> <option label="Just the highlights/main attractions" value="just-the-highlightsmain-attractions">Just the highlights/main attractions</option> <option label="Best accommodations" value="best-accommodations">Best accommodations</option> <option label="Basic accommodations: clean, safe, well-located" value="basic-accommodations-clean-safe-welllocated">Basic accommodations: clean, safe, well-located</option> <option label="Small, cozy hotel (more boutique)" value="small-cozy-hotel-more-boutique">Small, cozy hotel (more boutique)</option> <option label="Large property with on-site dining & amenities" value="large-property-with-onsite-dining-amenities">Large property with on-site dining & amenities</option> <option label="Guided tours " value="guided-tours-">Guided tours </option> <option label="Just the tickets/ no guide" value="just-the-tickets-no-guide">Just the tickets/ no guide</option> <option label="Private tours" value="private-tours">Private tours</option> <option label="Easiest flight schedule" value="easiest-flight-schedule">Easiest flight schedule</option> </field> <field type="textarea" label="Are there any hotel (or cruise ship) features or amenities that you would prefer to (or must) have?" name="are-there-any-hotel-features-or-amenities-that-you-would-prefer-to-or-must-have" className="form-control"/> <field type="text" required="true" label="What is the price range you are comfortable with? Please specify if it is per person or total." name="what-is-the-price-range-you-are-comfortable-with-please-specify-if-it-is-per-person-or-total" subtype="text" className="form-control"/> <field type="textarea" label="Is there anything else I should know about your price range?" name="budget-details" className="form-control"/> <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="Gambling" value="gambling">Gambling</option> <option label="Scuba" value="scuba">Scuba</option> <option label="Adventure activities" value="adventure">Adventure activities</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="text" label="Anything you absolutely must do or see?" name="must-dos" subtype="text" className="form-control"/> <field type="header" subtype="h3" label="Package Pricing / Loyalty Programs"/> <field type="paragraph" subtype="p" label="I work with many wholesalers who offer package prices, which are great because you will usually pay significantly less than booking the accommodations, flights, and transportation separately. The payment schedules are often more flexible as well."/> <field type="paragraph" subtype="p" label="It is important to note that the rules can be different for these contracted rates so if you have status with an airline or hotel brand and/or are looking to accrue points, I need to know so that we can discuss your priorities."/> <field type="radio-group" label="Which is more important:" name="radio-group-1625677344056"> <option label="Best Price" value="best-price">Best Price</option> <option label="Loyalty program status/accruing points" value="loyalty-program-statusaccruing-points">Loyalty program status/accruing points</option> </field> <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"/> <field type="textarea" label="Is there anything else you would 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="h1" label="Totally optional questions, to help me get to know you so that I can offer the best options.&nbsp; Answer some, none, or all!"/> <field type="text" label="On scale of 1-10,&nbsp; 1 being total hermit crab and 10 being social butterfly, where do you fall?" name="on-scale-of-110-1-being-total-hermit-crab-and-10-being-social-butterfly-where-do-you-fall" subtype="text" className="form-control"/> <field type="radio-group" label="You're splurging on a night out on the town.&nbsp; Which do you choose:" name="youre-splurging-on-a-night-out-on-the-town-which-do-you-choose" other="true"> <option label="Traditional Steakhouse" value="traditional-steakhouse">Traditional Steakhouse</option> <option label="Funky Sushi Concept" value="funky-sushi-concept">Funky Sushi Concept</option> <option label="Chic New Restaurant in Town" value="chic-new-restaurant-in-town">Chic New Restaurant in Town</option> </field> <field type="text" label="What trip would you take if you won the lottery (or struck oil)?" name="what-trip-would-you-take-if-you-won-the-lottery-or-struck-oil" subtype="text" className="form-control"/> <field type="textarea" label="What other trips do you hope to take in the next 3-5 years?" name="what-other-trips-do-you-hope-to-take-in-the-next-35-years" className="form-control"/> <field type="text" label="What are your favorite beverages?" name="what-are-your-favorite-beverages" subtype="text" className="form-control"/> <field type="text" label="What is your favorite food and/or type of cuisine?" name="what-is-your-favorite-food-andor-type-of-cuisine" subtype="text" className="form-control"/> <field type="textarea" label="What was your favorite vacation?&nbsp; What made it your favorite?&nbsp;" name="what-was-your-favorite-vacation-what-made-it-your-favorite-" className="form-control"/> <field type="textarea" label="What was your least favorite destination/vacation?&nbsp; Feel free to elaborate..." name="what-was-your-least-favorite-destinationvacation-feel-free-to-elaborate" className="form-control"/> <field type="text" label="What movie makes you want to travel?&nbsp; Feel free to list as many as you can think of..." name="what-movie-makes-you-want-to-travel-feel-free-to-list-as-many-as-you-can-think-of" subtype="text" className="form-control"/> <field type="text" label="What are your hobbies?" name="what-are-your-hobbies" subtype="text" className="form-control"/> <field type="checkbox-group" required="true" label="By proceeding with travel arrangements, I acknowledge that certain destinations, tour companies, and cruise lines may require COVID-19 vaccination, and it is my responsibility to ascertain and comply with these requirements." name="by-proceeding-with-travel-arrangements-i-acknowledge-that-certain-destinations-tour-companies-and-cruise-lines-may-require-covid19-vaccination-and-it-is-my-responsibility-to-ascertain-and-comply-with-these-requirements"> <option label="I acknowledge" value="i-acknowledge">I acknowledge</option> </field> <field type="checkbox-group" label="I understand that it is vitally important that I read the information emailed to me by my advisor in order to be prepared for travel in the current climate. I also understand that I share the responsibility of remaining informed about the entry requirements for the destination(s) I am visiting. I will secure all necessary testing and complete all forms required for travel." name="i-understand-that-it-is-vitally-important-that-i-read-the-information-emailed-to-me-by-my-advisor-in-order-to-be-prepared-for-travel-in-the-current-climate-i-also-understand-that-i-share-the-responsibility-of-remaining-informed-about-the-entry-requirements-for-the-destinations-i-am-visiting-i-will-secure-all-necessary-testing-and-complete-all-forms-required-for-travel"> <option label="I understand" value="i-understand">I understand</option> </field> </fields> </form-template> </body> </html>
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