<html> <body> <form-template> <fields> <field type="header" subtype="h2" label="Questions for your vacation so I can provide you with personalized service."/> <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="header" subtype="h2" label="Address"/> <field type="text" label="Line 1" name="address-line-1" subtype="text" className="form-control"/> <field type="text" label="Line 2" name="address-line-2" subtype="text" className="form-control"/> <field type="text" label="City" name="address-city" subtype="text" className="form-control"/> <field type="text" label="State" name="address-state" subtype="text" className="form-control"/> <field type="text" label="Zip" name="address-zip" subtype="text" className="form-control"/> <field type="text" label="Country" name="address-country" subtype="text" className="form-control"/> <field type="text" label="Phone number" name="phone-number" subtype="text" className="form-control"/> <field required="true" type="text" label="Email" name="email" subtype="text" className="form-control"/> <field type="radio-group" required="true" label="Where are you in the planning process?" name="where-are-you-in-the-planning-process"> <option label="Not sure yet, but want to get started" value="not-sure-yet-but-want-to-get-started">Not sure yet, but want to get started</option> <option label="I have a few ideas, but want your help" value="i-have-a-few-ideas-but-want-your-help">I have a few ideas, but want your help</option> <option label="I know where I am going, but not sure how to get there" value="i-know-where-i-am-going-but-not-sure-how-to-get-there">I know where I am going, but not sure how to get there</option> </field> <field type="text" label="Is this vacation for a special occasion?" name="is-this-vacation-for-a-special-occasion" subtype="text" className="form-control"/> <field type="text" label="Where would you like to go?" description="If you're not sure just give me a few destinations you're considering." placeholder="ex: Tahiti" name="destination" subtype="text" className="form-control"/> <field type="date" label="When would you like to depart?" 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" label="When would you like to return?" 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" label="Are your dates flexible?" name="dates-flexible"> <option label="Yes" value="yes">Yes</option> </field> <field type="text" label="What is your departure city?" description="Where will you be flying from?" name="departure-city" subtype="text" className="form-control"/> <field type="text" label="How many travelers?" name="number-of-travelers" subtype="text" className="form-control"/> <field type="radio-group" label="What is this experience worth to you, excluding airfare for each&nbsp; individual traveler per week?" description="This just gives me a general starting point and can always be changed later." name="budget"> <option label="$4,000 to $8,000" value="4000-to-8000">$4,000 to $8,000</option> <option label="$9,,000 to $14,000" value="9000-to-14000">$9,,000 to $14,000</option> <option label="$15,000 to $25,000" value="15000-to-25000">$15,000 to $25,000</option> <option label="$26,000 +" value="26000-">$26,000 +</option> </field> <field type="radio-group" label="What best describes your hotel preference?" inline="true" name="hotel-preference" other="true"> <option label="Premium" value="premium">Premium</option> <option label="Luxury" value="luxury">Luxury</option> <option label="Boutique" value="boutique">Boutique</option> <option label="U.S. Based Hotel Chains" value="us-based-hotel-chains">U.S. Based Hotel Chains</option> <option label="Private Apartment" value="private-apartment">Private Apartment</option> <option label="Private Villa" value="private-villa">Private Villa</option> <option label="All-Inclusive" value="allinclusive">All-Inclusive</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="Food and wine" value="food-wine">Food and wine</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="Local culture" value="local-culture">Local culture</option> <option label="Family friendly" value="family-friendly">Family friendly</option> <option label="Party" value="party">Party</option> </field> <field type="checkbox-group" required="true" label="What experiences are you interested in?" description="Check all that apply" name="activity-preferences" other="true"> <option label="Culinary adventures" value="culinary-adventures">Culinary adventures</option> <option label="Cruise" value="cruise">Cruise</option> <option label="Historic Sites" value="historic-sites">Historic Sites</option> <option label="Private guided tours" value="private-guided-tours">Private guided tours</option> <option label="Golf" value="golf">Golf</option> <option label="Arts and theater" value="art-theater">Arts and theater</option> <option label="Hot Air Ballooning" value="hot-air-ballooning">Hot Air Ballooning</option> <option label="Beach and water" value="beach-and-water">Beach and water</option> <option label="Scuba" value="scuba">Scuba</option> <option label="Adventure activities" value="adventure">Adventure activities</option> <option label="Spa & Fitness" value="spa-fitness">Spa & Fitness</option> </field> <field type="text" label="Anything you absolutely must do or see?" name="must-dos" subtype="text" className="form-control"/> <field type="text" required="true" label="Describe a favorite memory from a past vacation." name="describe-a-favorite-memory-from-a-past-vacation" subtype="text" className="form-control"/> <field type="textarea" label="How do you want to feel on this vacation and when you get home?" name="how-do-you-want-to-feel-on-this-vacation-and-when-you-get-home" rows="0" className="form-control"/> <field type="text" required="true" label="What does your ideal Saturday look like?" name="what-does-your-ideal-saturday-look-like" subtype="text" className="form-control"/> <field type="text" required="true" label="What is your favorite special occasion restaurant and why?" name="what-is-your-favorite-special-occasion-restaurant-and-why" subtype="text" className="form-control"/> <field type="text" required="true" label="What are things you don't like to do?" name="what-are-things-you-dont-like-to-do" subtype="text" className="form-control"/> <field type="radio-group" label="Which of the following is most important to you?" name="which-of-the-following-is-most-important-to-you"> <option label="Experience" value="experience">Experience</option> <option label="Location" value="location">Location</option> <option label="Budget" value="budget">Budget</option> </field> <field type="radio-group" required="true" label="When you are traveling, which do you prefer?" name="when-you-are-traveling-which-do-you-prefer"> <option label="The flexibility to chose what you do each day." value="the-flexibility-to-chose-what-you-do-each-day">The flexibility to chose what you do each day.</option> <option label="Concrete plans for each day." value="concrete-plans-for-each-day">Concrete plans for each day.</option> <option label="A combination of concrete plans and flexibility" value="a-combination-of-concrete-plans-and-flexibility">A combination of concrete plans and flexibility</option> </field> <field type="textarea" label="What are your interests and hobbies?" description="Cycling flower arranging culinary history working out" name="what-are-your-interests-and-hobbies" className="form-control"/> <field type="textarea" label="What else would you 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="textarea" label="What are absolute deal breakers for your vacation?" description="No large bus tours tours no early/late start in the morning stay at least 3 nights in one location modern bathroom" name="what-are-absolute-deal-breakers-for-your-vacation" className="form-control"/> <field type="textarea" label="Where else would you like to travel in future years?" name="where-else-would-you-like-to-travel-in-future-years" className="form-control"/> <field type="textarea" label="What do you struggle with most when planning your vacation?" name="what-do-you-struggle-with-most-when-planning-your-vacation" className="form-control"/> <field type="textarea" label="How did you hear about me?" name="how-did-you-hear-about-me" className="form-control"/> </fields> </form-template> </body> </html>
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