Share your information with Rachel Leonarczyk

Rachel Leonarczyk

Escape To The Magic Travel

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    <form-template>&#13;
	<fields>&#13;
		<field type="header" subtype="h2" label="Practically Perfect Travel CO &amp;nbsp;Vacation Questionnaire"/>&#13;
		<field type="text" required="true" label="First name" name="first-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" required="true" label="Email" name="email" 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="checkbox-group" required="true" label="Where are you interested in traveling to?" name="where-are-you-interested-in-traveling-to" other="true">&#13;
			<option label="Walt Disney World (Florida)" value="walt-disney-world-florida">Walt Disney World (Florida)</option>&#13;
			<option label="Disneyland (California)" value="disneyland-california">Disneyland (California)</option>&#13;
			<option label="Universal Studios Orlando" value="universal-studios-orlando">Universal Studios Orlando</option>&#13;
			<option label="Universal Studios Hollywood" value="universal-studios-hollywood">Universal Studios Hollywood</option>&#13;
			<option label="Disney Cruise" value="disney-cruise">Disney Cruise</option>&#13;
			<option label="Aulani, Disney's Hawai'i Resort and Spa" value="aulani-disneys-hawaii-resort-and-spa">Aulani, Disney's Hawai'i Resort and Spa</option>&#13;
			<option label="Other cruise provider" value="other-cruise-provider">Other cruise provider</option>&#13;
			<option label="All Inclusive Vacation" value="all-inclusive-vacation">All Inclusive Vacation</option>&#13;
		</field>&#13;
		<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"/>&#13;
		<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"/>&#13;
		<field type="text" required="true" label="What are the first and last names of all adults in your travel party?" description="This just gives me a general idea of how many adults will be traveling with you. It&#39;s okay if you aren&#39;t sure  it can be changed later." name="what-is-the-first-and-last-names-of-all-adults-in-your-travel-party" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="What are the first and last names and the ages at the time of travel of all children in your travel party?" description="This just gives me a general idea of how many children will be traveling with you. It&#39;s okay if you aren&#39;t sure  it can be changed later." name="what-is-the-first-and-last-names-and-the-ages-of-all-children-in-your-travel-party" subtype="text" className="form-control"/>&#13;
		<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">&#13;
			<option label="Under $2500" value="under-2500">Under $2500</option>&#13;
			<option label="$2,500 to $4,500" value="2500-to-4500">$2,500 to $4,500</option>&#13;
			<option label="$4,500 to $6,500" value="4500-to-6500">$4,500 to $6,500</option>&#13;
			<option label="$6,500 to $8,500" value="6500-to-8500">$6,500 to $8,500</option>&#13;
			<option label="$8,500 to $10,000" value="8500-10000">$8,500 to $10,000</option>&#13;
			<option label="$10,000+" value="10000">$10,000+</option>&#13;
		</field>&#13;
		<field type="checkbox-group" required="true" label="Do you qualify for any of these possible discounts?" name="do-you-qualify-for-any-of-these-possible-discounts">&#13;
			<option label="Military (active, retired, or 100% disabled)" value="military-active-retired-or-100-disabled">Military (active, retired, or 100% disabled)</option>&#13;
			<option label="Disney Chase Visa Cardholder" value="disney-chase-visa-cardholder">Disney Chase Visa Cardholder</option>&#13;
			<option label="DVC Member" value="dvc-member">DVC Member</option>&#13;
			<option label="Florida Resident" value="florida-resident">Florida Resident</option>&#13;
			<option label="California Resident" value="california-resident">California Resident</option>&#13;
			<option label="Annual Passholder" value="annual-passholder">Annual Passholder</option>&#13;
			<option label="Disney+ Subscriber" value="disney-subscriber">Disney+ Subscriber</option>&#13;
			<option label="None" value="none">None</option>&#13;
		</field>&#13;
		<field type="textarea" required="true" label="What else would you like me to know? (Celebrations, special needs accommodations, etc.)" description="What else would you like me to know about your travelers  budget and/or travel preferences?" name="notes" className="form-control"/>&#13;
		<field type="checkbox-group" label="How did you hear about us? (If you were referred by someone please select the &quot;other&quot; option and tell us their name. We want to be sure we thank them.)" name="how-did-you-hear-about-us-if-you-were-referred-by-someone-please-select-the-other-option-and-tell-us-their-name-we-want-to-be-sure-we-thank-them" other="true">&#13;
			<option label="Google Search" value="google-search">Google Search</option>&#13;
			<option label="Facebook" value="facebook">Facebook</option>&#13;
			<option label="Instagram" value="instagram">Instagram</option>&#13;
		</field>&#13;
		<field type="select" required="true" label="What best describes the style of vacation you’re hoping for?" description="It’s ok if you’re not sure, this just helps me narrow down the best trip for you and your budget." name="select-1769558902671" className="form-control">&#13;
			<option label="Budget Friendly - Saving money is my top priority. We’re ok with basic accommodations and simple experiences" value="budget-friendly-saving-money-is-my-top-priority-were-ok-with-basic-accommodations-and-simple-experiences" selected="selected">Budget Friendly - Saving money is my top priority. We’re ok with basic accommodations and simple experiences</option>&#13;
			<option label="Comfort &amp; Quality - A well balanced vacation with comfortable accommodations and thoughtfully " value="comfort-quality-a-well-balanced-vacation-with-comfortable-accommodations-and-thoughtfully-">Comfort &amp; Quality - A well balanced vacation with comfortable accommodations and thoughtfully </option>&#13;
			<option label="Upgraded Experience - we’d love a more elevated trip" value="upgraded-experience-wed-love-a-more-elevated-trip">Upgraded Experience - we’d love a more elevated trip</option>&#13;
			<option label="Luxury with all the extras - This is a big trip or special occasion! We’re looking for a high end, luxury experience and accommodations" value="luxury-with-all-the-extras-this-is-a-big-trip-or-special-occasion-were-looking-for-a-high-end-luxury-experience-and-accommodations">Luxury with all the extras - This is a big trip or special occasion! We’re looking for a high end, luxury experience and accommodations</option>&#13;
		</field>&#13;
	</fields>&#13;
</form-template>
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