Share your information with Karen Aikman

Karen Aikman

Live Large Travel

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    <form-template>&#13;
	<fields>&#13;
		<field type="header" subtype="h1" label="CLIENT INFORMATION&amp;nbsp;"/>&#13;
		<field type="text" required="true" label="First name" name="first-name" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Middle name" name="middle-name" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Last name" name="last-name" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Preferred name" name="preferred-name" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Phone number" name="phone-number" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Email" name="email" subtype="text" className="form-control"/>&#13;
		<field type="header" subtype="h1" label="ABOUT YOUR TRIP&amp;nbsp;"/>&#13;
		<field type="text" label="Where would you like to go?&amp;nbsp;" name="where-would-you-like-to-go-" subtype="text" className="form-control"/>&#13;
		<field type="date" label="What dates are you considering? Exact dates not required—just a general timeframe" name="when-would-you-like-to-depart-" className="form-control"/>&#13;
		<field type="date" label="Preferred return date" name="when-would-you-like-to-return-" className="form-control"/>&#13;
		<field type="radio-group" label="Are your dates flexible?&amp;nbsp;" name="are-your-dates-flexible-">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
		</field>&#13;
		<field type="textarea" label="What is your departure city?&amp;nbsp;" name="what-is-your-departure-city-" className="form-control"/>&#13;
		<field type="textarea" label="Is this vacation to celebrate anything special?&amp;nbsp;" name="is-this-vacation-to-celebrate-anything-special-" className="form-control"/>&#13;
		<field type="textarea" required="true" label="Who will be traveling? Please include full names and dates of birth if available" name="who-will-be-traveling-please-list-all-full-names-including-middle-and-birthdays-" rows="0" className="form-control"/>&#13;
		<field type="textarea" label="What kind of experience are you hoping for?&amp;nbsp;" placeholder="i.e. Relaxing  cultural  adventurous  romantic  off-the-grid  food-focused, etc." name="what-kind-of-experience-are-you-hoping-for-" className="form-control"/>&#13;
		<field type="textarea" label="What are your absolute must-haves?&amp;nbsp;" placeholder="i.e. A dedicated spa  adults-only setting  spacious suite  private excursions  etc." name="what-are-your-absolute-musthaves-" className="form-control"/>&#13;
		<field type="textarea" required="true" label="What are your amenity must-haves?&amp;nbsp;" placeholder="i.e. bar  on-site restaurant  pool  etc." name="what-are-your-amenity-musthaves-" className="form-control"/>&#13;
		<field type="radio-group" required="true" label="What type of accommodations do you prefer?&amp;nbsp;" name="what-best-describes-your-desired-accommodation-style-">&#13;
			<option label="Luxury &amp; Exclusive" value="luxury-exclusive">Luxury &amp; Exclusive</option>&#13;
			<option label="Boutique &amp; Charming" value="boutique-charming">Boutique &amp; Charming</option>&#13;
			<option label="Modern &amp; Convenient" value="modern-convenient">Modern &amp; Convenient</option>&#13;
			<option label="Large resort" value="large-resort">Large resort</option>&#13;
			<option label="Something Else (please share)" value="something-else-please-share">Something Else (please share)</option>&#13;
		</field>&#13;
		<field type="checkbox-group" required="true" label="What travel components would you like us to assist you with? Check all that apply.&amp;nbsp;" name="what-travel-components-would-you-like-us-to-assist-you-with-check-all-that-apply-" other="true">&#13;
			<option label="Flights" value="flights">Flights</option>&#13;
			<option label="Accommodations" value="accommodations">Accommodations</option>&#13;
			<option label="Transfers &amp; Transportation" value="transfers-transportation">Transfers &amp; Transportation</option>&#13;
			<option label="Excursions &amp; Tours" value="excursions-tours">Excursions &amp; Tours</option>&#13;
			<option label="Yacht or Small Ship Cruises" value="yacht-or-small-ship-cruises">Yacht or Small Ship Cruises</option>&#13;
			<option label="Travel Insurance" value="travel-insurance">Travel Insurance</option>&#13;
		</field>&#13;
		<field type="radio-group" required="true" label="What is your budget for all travelers without flights - For OTHER please specify" name="what-is-your-budget-for-all-travelers-this-just-gives-me-a-general-starting-point-and-can-always-be-changed-later-" other="true">&#13;
			<option label="$10,000" value="10000">$10,000</option>&#13;
			<option label="$10,000-$30,000" value="1000030000">$10,000-$30,000</option>&#13;
			<option label="$35,000-$70,000" value="3500070000">$35,000-$70,000</option>&#13;
			<option label="$75,000-$100,000" value="75000100000">$75,000-$100,000</option>&#13;
			<option label="$100,000+" value="100000">$100,000+</option>&#13;
		</field>&#13;
		<field type="paragraph" subtype="p" label="Note: Premium Europe travel typically starts at $1,500 per person per day. For some destinations or higher-end 5-star or bespoke experiences, expect $2,500–$4,000+ per person per day. Families and groups of 3+ may incur additional costs due to space needs, transfers, and private touring."/>&#13;
		<field type="textarea" required="true" label="Are you using points or loyalty status for any part of this trip?" placeholder="Let me know what’s already booked  if anything (e.g.  hotel with Amex FHR  flights with miles  etc." name="will-you-be-booking-any-portion-of-your-trip-with-points-if-so-which-pieces-" className="form-control"/>&#13;
		<field type="radio-group" label="Where are you in the planning process?" name="at-what-phase-of-planning-are-you-in-">&#13;
			<option label="Just getting started" value="just-getting-started">Just getting started</option>&#13;
			<option label="We have dates but no details yet" value="we-have-dates-but-no-details-yet">We have dates but no details yet</option>&#13;
			<option label="Some components are booked (hotels or flights)" value="some-components-are-booked-hotels-or-flights">Some components are booked (hotels or flights)</option>&#13;
		</field>&#13;
		<field type="checkbox-group" label="What options best describe your travel priorities? Check all that apply.&amp;nbsp;" name="what-options-best-describe-your-travel-priorities-check-all-that-apply-">&#13;
			<option label="Local culture &amp; education" value="local-culture-education">Local culture &amp; education</option>&#13;
			<option label="Art &amp; architecture" value="art-architecture">Art &amp; architecture</option>&#13;
			<option label="Food &amp; wine" value="food-wine">Food &amp; wine</option>&#13;
			<option label="Adventure" value="adventure">Adventure</option>&#13;
			<option label="Dramatic views &amp; landscapes" value="dramatic-views-landscapes">Dramatic views &amp; landscapes</option>&#13;
			<option label="Spa &amp; wellness" value="spa-wellness">Spa &amp; wellness</option>&#13;
			<option label="Rest &amp; relaxation" value="rest-relaxation">Rest &amp; relaxation</option>&#13;
		</field>&#13;
		<field type="text" label="Is there anything else that you “must do” or see?&amp;nbsp;" name="is-there-anything-else-that-you-must-do-or-see-" subtype="text" className="form-control"/>&#13;
		<field type="textarea" label="What else would you like me to know about your ideal vacation?&amp;nbsp;" name="what-else-would-you-like-me-to-know-about-your-ideal-vacation-" className="form-control"/>&#13;
		<field type="textarea" label="Do any travelers have allergies that we should be aware of?&amp;nbsp;" placeholder="We will do our best to accommodate" name="do-any-travelers-have-allergies-that-we-should-be-aware-of-" className="form-control"/>&#13;
		<field type="text" required="true" label="Who can we thank for referring you to us?&amp;nbsp;" name="who-can-we-thank-for-referring-you-to-us-" subtype="text" className="form-control"/>&#13;
		<field type="select" required="true" label="Would you like to receive the occasional travel tidbit from me?" description="Think inspiring destination ideas  insider tips  and seasonal travel updates—only the good stuff." name="would-you-like-to-be-subscribed-to-our-company-newsletter-" className="form-control">&#13;
			<option label="Yes, please! That sounds great." value="yes-please-that-sounds-great">Yes, please! That sounds great.</option>&#13;
			<option label="No thanks, not right now." value="no-thanks-not-right-now">No thanks, not right now.</option>&#13;
		</field>&#13;
	</fields>&#13;
</form-template>
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