<html> <body> <form-template> <fields> <field type="header" subtype="h2" label="Contact Info"/> <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" placeholder="johnsmith@gmail.com" name="email" subtype="text" className="form-control"/> <field type="text" required="true" label="Phone number" placeholder="888-111-2222" name="phone-number" subtype="text" className="form-control"/> <field type="checkbox-group" label="Pronouns" name="pronouns" other="true"> <option label="She/Her/Hers" value="sheherhers">She/Her/Hers</option> <option label="He/Him/His" value="hehimhis">He/Him/His</option> <option label="They/Them/Theirs" value="theythemtheirs">They/Them/Theirs</option> </field> <field type="text" required="true" label="Address Line 1" name="address-line-1" subtype="text" className="form-control"/> <field type="text" label="Address Line 2" name="address-line-2" subtype="text" className="form-control"/> <field type="text" required="true" label="City" name="address-city" subtype="text" className="form-control"/> <field type="text" required="true" label="State" name="address-state" subtype="text" className="form-control"/> <field type="text" required="true" label="Zip" name="address-zip" subtype="text" className="form-control"/> <field type="text" required="true" label="Country" name="address-country" subtype="text" className="form-control"/> <field type="radio-group" required="true" label="Which best describes how you like to receive information?" description="Initial consultations will always be over the phone or on a video call. We'll send everything by email to ensure all decisions are confirmed in writing. We're happy to call and to discuss details together along the way as well if this is your preference." name="which-best-describes-how-you-like-to-receive-information"> <option label="An email with bullet points and action items. Let me know exactly what you need at each step." value="an-email-with-bullet-points-and-action-items-let-me-know-exactly-what-you-need-at-each-step">An email with bullet points and action items. Let me know exactly what you need at each step.</option> <option label="A phone call is always welcome. The more we know each other the better trip we can create." value="a-phone-call-is-always-welcome-the-more-we-know-each-other-the-better-trip-we-can-create">A phone call is always welcome. The more we know each other the better trip we can create.</option> </field> <field type="text" label="Instagram" placeholder="Example: @undiscoveredsunsets" name="instagram" subtype="text" className="form-control"/> <field type="header" subtype="h1" label="Travel Style &amp; Preferences"/> <field type="text" required="true" label="What destination(s) do you have in mind? (It's okay to say "I don't know yet!" or "We're open to suggestions!")" placeholder="For example: Thailand & Vietnam" name="where-would-you-like-to-travel" subtype="text" className="form-control"/> <field type="text" required="true" label="What are your preferred travel dates? Are your travel dates flexible?" description="Please give me a range and let me know if there are any restrictions" placeholder="For example: "September 2019" or "September 3 - 15 2019" or "We can travel anytime after September 1; we must return before September 20"" name="what-are-your-preferred-travel-dates-are-your-travel-dates-flexible" subtype="text" className="form-control"/> <field type="text" required="true" label="How many total nights would you like to travel?&nbsp;" description="This helps me calculate a realistic budget range" placeholder="For example: 10 nights" name="how-many-total-nights-would-you-like-to-travel-" subtype="text" className="form-control"/> <field type="textarea" required="true" label="What is the inspiration for this trip? What experiences do you hope to have? What are your top priorities?&nbsp;" placeholder="We are celebrating our 1 year anniversary. This will be our first trip to Asia. We're looking forward to seeing elephants cooking classes and enjoying some relaxation on the beach." name="what-is-the-inspiration-for-this-trip-what-experiences-do-you-hope-to-have-what-are-your-top-priorities-" className="form-control"/> <field type="textarea" required="true" label="Names and relationships of each traveler (for children, please include ages)" placeholder="Phil (husband) Haley (daughter - 17) Alex (daughter - 15) Luke (son - 13)" name="names-and-relationships-of-each-traveler-for-children-please-include-ages" className="form-control"/> <field type="radio-group" required="true" label="How much do you plan to invest on this travel experience? *This total investment does not include airfare." description="We will discuss this further during our Discovery Call based on your ideal itinerary; this amount will enable me to get started on research." name="how-much-would-you-like-to-invest-on-this-travel-experience-this-total-investment-does-not-include-airfare"> <option label="$8,000 - $10,000" value="8000-10000">$8,000 - $10,000</option> <option label="$10,000 - $15,000" value="10000-15000">$10,000 - $15,000</option> <option label="$15,000 - $20,000" value="15000-20000">$15,000 - $20,000</option> <option label="$20,000 - $30,000" value="20000-30000">$20,000 - $30,000</option> <option label="$30,000 - $50,000" value="30000-50000">$30,000 - $50,000</option> <option label="$50,000+" value="50000">$50,000+</option> </field> <field type="textarea" label="&nbsp;Please let me know any considerations I should be aware of in regards to your budget. " name="-please-let-me-know-any-considerations-i-should-be-aware-of-in-regards-to-your-budget-" className="form-control"/> <field type="checkbox-group" required="true" label="What class of service would you like us to quote for airfare?" description="Please check all the options you would like to consider." name="flight-arrangements"> <option label="I've already booked my flights" value="ive-already-booked-my-flights">I've already booked my flights</option> <option label="Economy Class" value="economy-class">Economy Class</option> <option label="Premium Economy Class" value="premium-economy-class">Premium Economy Class</option> <option label="Business Class" value="business-class">Business Class</option> <option label="First Class" value="first-class">First Class</option> </field> <field type="text" required="true" label="From what airport will you be departing?" name="from-what-airport-will-you-be-departing" subtype="text" className="form-control"/> <field type="radio-group" required="true" 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="No, this will be the first time" value="no-this-will-be-the-first-time">No, this will be the first time</option> </field> <field type="radio-group" required="true" label="How often do you travel for pleasure?" name="how-often-do-you-travel-for-pleasure"> <option label="Once every 1-3 years to celebrate big occasions" value="once-every-13-years-to-celebrate-big-occasions">Once every 1-3 years to celebrate big occasions</option> <option label="One international trip per year plus some domestic getaways" value="one-international-trip-per-year-plus-some-domestic-getaways">One international trip per year plus some domestic getaways</option> <option label="2-3 international trips per year plus some domestic getaways" value="23-international-trips-per-year-plus-some-domestic-getaways">2-3 international trips per year plus some domestic getaways</option> <option label="Big trips, small trips, we travel as often as possible" value="big-trips-small-trips-we-travel-as-often-as-possible">Big trips, small trips, we travel as often as possible</option> </field> <field type="text" required="true" label="Describe a favorite hotel and why you love it." name="what-hotel-have-you-loved-stay-at-recently-" subtype="text" className="form-control"/> <field type="text" required="true" label="Describe a favorite memory from a past trip." name="what-is-one-of-your-favorite-travel-memories" subtype="text" className="form-control"/> <field type="text" required="true" label="Describe one of your least favorite travel experiences. What happened?&nbsp;" name="what-has-been-your-least-favorite-travel-experience-" subtype="text" className="form-control"/> <field type="textarea" label="In addition to this trip, what trips and/or destinations are at the top of your priority list for the next 3-5 years?&nbsp;" placeholder="For example: My 50th birthday is next year and I'd like to visit Bora Bora; Our 25th wedding anniversary is in two years and we are looking forward to taking a trip to celebrate; Seeing the northern lights in Norway is at the top of our list!" name="in-addition-to-this-trip-what-trips-andor-destinations-are-at-the-top-of-your-priority-list-for-the-next-35-years-" className="form-control"/> <field type="textarea" label="Is there anything else I should know?" placeholder="This is a great place to let us know about medical issues allergies travel anxieties or any other details that haven't been included above." name="is-there-anything-else-i-should-know" className="form-control"/> <field type="text" required="true" label="How did you hear about Undiscovered Sunsets?" name="how-did-you-hear-about-undiscovered-sunsets" subtype="text" className="form-control"/> <field type="checkbox-group" required="true" label="Would you like to receive Undiscovered Sunset's Travel Newsletter?" inline="true" name="would-you-like-to-be-added-to-my-monthly-newsletter"> <option label="Yes, please" value="yes-please">Yes, please</option> <option label="No, thank you" value="no-thank-you">No, thank you</option> </field> <field type="checkbox-group" required="true" label="I understand that Undiscovered Sunsets charges a planning fee for most services and have reviewed the Services Page of this website." name="i-understand-that-undiscovered-sunsets-charges-a-planning-fee-for-most-services-and-have-reviewed-the-services-page-of-this-website"> <option label="Yes" value="yes">Yes</option> </field> </fields> </form-template> </body> </html>
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