<html> <body> <form-template> <fields> <field type="header" subtype="h2" label="Basic Information"/> <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="textarea" required="true" label="Please list the full legal names of each person in your travel party as they appear on a passport, driver's license, or birth certificate AND their age at the time of travel.&nbsp; If you'd like more than one hotel room, please group everyone by how you'd like them to be broken up." description="Example: Room One- John Smith (42) Jane Smith (40) and Jack Smith (10) Room Two- Mike Miller (43) Mary Miller (40) and Mason Miller (11)" name="please-list-the-full-legal-names-of-each-person-in-your-travel-party-as-they-appear-on-a-passport-drivers-license-or-birth-certificate-and-their-age-at-the-time-of-travel-if-youd-like-more-than-one-hotel-room-please-group-everyone-by-how-youd-like-them-to-be-broken-up" className="form-control"/> <field type="date" required="true" label="When would you like to check in?" 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" required="true" label="When would you like to check out?" 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="checkbox-group" required="true" label="Are your dates flexible?" name="dates-flexible"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="radio-group" required="true" label="When was the last time you visited Walt Disney World?" name="when-was-the-last-time-you-visited-walt-disney-world"> <option label="In the last 3 years" value="in-the-last-3-years">In the last 3 years</option> <option label="3-5 years ago" value="35-years-ago">3-5 years ago</option> <option label="5-10 years ago" value="510-years-ago">5-10 years ago</option> <option label="10+ years ago" value="10-years-ago">10+ years ago</option> <option label="I have never been!" value="i-have-never-been">I have never been!</option> </field> <field type="header" subtype="h1" label="Travel Preferences"/> <field type="radio-group" required="true" label="What best describes your hotel preference?" description="For a week-long vacation for a family of 4 value resorts are most inline with a $3500 budget or less moderate resorts for $3 500 - $5 500 deluxe resorts for $5 500 to $9 000 and club level or suites for budgets of $9 000+. The recommended budgets are per room and can change depending on dates party size, and length of stay." name="hotel-preference"> <option label="Value Resort ($) " value="value-resort-">Value Resort ($) </option> <option label="Moderate Resort ($$)" value="moderate-resort-">Moderate Resort ($$)</option> <option label="Deluxe Resort ($$$)" value="deluxe-resort-">Deluxe Resort ($$$)</option> <option label="Deluxe Resort Club Level or Suite ($$$$)" value="deluxe-resort-club-level-or-suite-">Deluxe Resort Club Level or Suite ($$$$)</option> <option label="Deluxe Villa Resort ($$$$)" value="deluxe-villa-resort-">Deluxe Villa Resort ($$$$)</option> </field> <field type="textarea" required="true" label="What is important to you in your accommodations?&nbsp;" description="For example you might need space to spread out accommodations that include a wide variety of recreation options a great pool lots of dining options etc.! You may also include things like handicap accessibility room location and the view type outside of your window." name="what-is-important-to-you-in-your-accommodations-" className="form-control"/> <field type="text" label="If you have a specific resort in mind, please leave it here.&nbsp; Would you like us to include other options that fit your needs?" name="if-you-have-a-specific-resort-in-mind-please-leave-it-here-would-you-like-us-to-include-other-options-that-fit-your-needs" subtype="text" className="form-control"/> <field type="select" required="true" label="How many days would you like to spend in the parks?" name="how-many-days-would-you-like-to-spend-in-the-parks" className="form-control"> <option label="3" value="3">3</option> <option label="4 (recommended minimum)" value="4-recommended-minimum">4 (recommended minimum)</option> <option label="5 " value="5-">5 </option> <option label="6" value="6">6</option> <option label="7" value="7">7</option> <option label="8" value="8">8</option> <option label="9" value="9">9</option> <option label="10" value="10">10</option> </field> <field type="select" required="true" label="Are you interested in any of the following ticket add-ons?" description="The Water Park and Sports option gives you admission to Disney's two water parks ESPN Wide World of Sports and the NBA Experience in Disney Springs for as many days as you have tickets for. So if you have 4 day tickets with the Water Park and Sports option you'll be able to go to the theme parks for four days and then get into the other attractions four times as well! Park Hopper allows you to visit multiple theme parks per day. This is for the entire length of your ticket- you can't buy it for just one or two days! Park Hopper Plus combines the benefits of both Park Hopper and the Water Park and Sports option." name="are-you-interested-in-any-of-the-following-ticket-addons" className="form-control"> <option label="Park Hopper" value="park-hopper">Park Hopper</option> <option label="Water Park and Sports " value="water-park-and-sports-">Water Park and Sports </option> <option label="Park Hopper Plus" value="park-hopper-plus">Park Hopper Plus</option> <option label="None" value="none">None</option> </field> <field type="radio-group" required="true" label="Would you like to add Memory Maker, which gives you unlimited digital downloads of all pictures taken of your family throughout the parks- including ride photos and videos, to your package for $169?" name="would-you-like-to-add-memory-maker-which-gives-you-unlimited-digital-downloads-of-all-pictures-taken-of-your-family-throughout-the-parks-including-ride-photos-and-videos-to-your-package-for-169"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="checkbox-group" required="true" label="Would you like to add one of the Disney Dining Plans? (Only applicable to vacation packages with check ins starting 1/9/2024)" name="would-you-like-to-add-one-of-the-disney-dining-plans-only-applicable-to-vacation-packages-with-check-ins-starting-192024"> <option label="Quick Service Dining Plan" value="quick-service-dining-plan">Quick Service Dining Plan</option> <option label="Disney Dining Plan" value="disney-dining-plan">Disney Dining Plan</option> <option label="No" value="no">No</option> </field> <field type="radio-group" required="true" label="Would you like Travel Insurance included in your vacation?" description="The cost of travel insurance is $82.50 per adult $6.00 per child. Information on the policy can be provided upon request." name="would-you-like-travel-insurance-included-in-your-vacation"> <option label="Yes, please include it in my quotes." value="yes-please-include-it-in-my-quotes">Yes, please include it in my quotes.</option> <option label="No, I do not wish to purchase travel insurance and assume all risk of that decision." value="no-i-do-not-wish-to-purchase-travel-insurance-and-assume-all-risk-of-that-decision">No, I do not wish to purchase travel insurance and assume all risk of that decision.</option> <option label="I will be purchasing travel insurance through an outside vendor." value="i-will-be-purchasing-travel-insurance-through-an-outside-vendor">I will be purchasing travel insurance through an outside vendor.</option> </field> <field type="radio-group" required="true" label="Have you ever worked with a travel agent before?&nbsp;" name="have-you-ever-worked-with-a-travel-agent-before-"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="textarea" label="What can I do to help make your vacation planning a great experience?&nbsp;" name="what-can-i-do-to-help-make-your-vacation-planning-a-great-experience-" className="form-control"/> <field type="radio-group" required="true" label="What is your budget for all travelers?" description="This just gives me a general starting point and can always be changed later." name="budget"> <option label="$1,500 to $2,500" value="1500-2500">$1,500 to $2,500</option> <option label="$2,500 to $5,000" value="2500-to-5000">$2,500 to $5,000</option> <option label="$5,000 to $7,500" value="5000-to-7500">$5,000 to $7,500</option> <option label="$7,500 to $10,000" value="7500-to-10000">$7,500 to $10,000</option> <option label="$10,000 to $15,000" value="10000-to-15000">$10,000 to $15,000</option> <option label="$15,000+" value="15000">$15,000+</option> </field> <field type="radio-group" required="true" label="Is this price range flexible if it means taking the kind of trip you're hoping to take?" name="is-this-price-range-flexible-if-it-means-taking-the-kind-of-trip-youre-hoping-to-take"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="radio-group" required="true" label="Which of the following describes your booking timeline?" name="which-of-the-following-describes-your-booking-timeline"> <option label="We are ready to place a $200 deposit per room on our vacation." value="we-are-ready-to-place-a-200-deposit-per-room-on-our-vacation">We are ready to place a $200 deposit per room on our vacation.</option> <option label="We will be ready to make the deposit in the next two weeks." value="we-will-be-ready-to-make-the-deposit-in-the-next-two-weeks">We will be ready to make the deposit in the next two weeks.</option> <option label="We won't be ready to book for a month or more." value="we-wont-be-ready-to-book-for-a-month-or-more">We won't be ready to book for a month or more.</option> <option label="We would like an idea on pricing, but plan to book the trip on our own or with another agent." value="we-would-like-an-idea-on-pricing-but-plan-to-book-the-trip-on-our-own-or-with-another-agent">We would like an idea on pricing, but plan to book the trip on our own or with another agent.</option> </field> <field type="checkbox-group" label="Are you celebrating anything on this trip?" name="are-you-celebrating-anything-on-this-trip" other="true"> <option label="Birthday" value="birthday">Birthday</option> <option label="Anniversay" value="anniversay">Anniversay</option> <option label="Honeymoon" value="honeymoon">Honeymoon</option> <option label="First visit" value="first-visit">First visit</option> <option label="Wedding" value="wedding">Wedding</option> <option label="Graduation" value="graduation">Graduation</option> <option label="Reunion" value="reunion">Reunion</option> <option label="Personal triumph" value="personal-triumph">Personal triumph</option> </field> <field type="textarea" label="What else would you like me to know?" description="What else would you like me to know about your budget and/or travel preferences?" name="notes" className="form-control"/> <field type="checkbox-group" required="true" label="Where did you hear about my services?&nbsp;" name="checkbox-group-1653745374427" other="true"> <option label="TikTok" value="tiktok">TikTok</option> <option label="Instagram" value="instagram">Instagram</option> <option label="Facebook" value="facebook">Facebook</option> <option label="Personal Referral" value="personal-referral">Personal Referral</option> </field> <field type="checkbox-group" label="Do you belong to any of the following groups?&nbsp;" name="do-you-belong-to-any-of-the-following-groups-"> <option label="Repeat Client" value="repeat-client">Repeat Client</option> <option label="United States Armed Forces (Active Duty and Retired Veteran Only)" value="united-states-armed-forces-active-duty-and-retired-veteran-only">United States Armed Forces (Active Duty and Retired Veteran Only)</option> <option label="Disney Visa Rewards Cardholder" value="disney-visa-rewards-cardholder">Disney Visa Rewards Cardholder</option> <option label="Disney+ Subscriber" value="disney-subscriber">Disney+ Subscriber</option> <option label="Florida Resident" value="florida-resident">Florida Resident</option> <option label="California Resident" value="california-resident">California Resident</option> <option label="Hawaiian Resident" value="hawaiian-resident">Hawaiian Resident</option> <option label="Canadian Resident" value="canadian-resident">Canadian Resident</option> <option label="UK Resident" value="uk-resident">UK Resident</option> </field> </fields> </form-template> </body> </html>
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