<html> <body> <form-template> <fields> <field type="header" subtype="h2" label="Questions for Your Trip"/> <field type="paragraph" subtype="p" label="Thank you for your interest in traveling with KapuAfrica Travel! Please tell us a little about yourself and the experience you’re envisioning. Your answers will help us recommend the right destinations, accommodations, and activities for your trip."/> <field type="header" subtype="h1" label="Contact 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="checkbox-group" required="true" label="What is the best way to contact you?" description="Check all that apply." name="checkbox-group-1785435492237"> <option label="Email" value="email">Email</option> <option label="Phone call" value="phone-call">Phone call</option> <option label="Text message" value="text-message">Text message</option> </field> <field type="header" subtype="h1" label="Your Travel Plans"/> <field type="checkbox-group" required="true" label="When would you like to travel?" description="Check all that apply." name="when-are-you-looking-at-traveling-"> <option label="Summer 2027" value="summer-2027">Summer 2027</option> <option label="Fall 2027" value="fall-2027">Fall 2027</option> <option label="Summer 2028" value="summer-2028">Summer 2028</option> <option label="Fall 2028" value="fall-2028">Fall 2028</option> <option label="2029" value="2029">2029</option> <option label="Other" value="other">Other</option> </field> <field type="textarea" label="Do you have approximate travel dates or a preferred month?" name="textarea-1785435708431" className="form-control"/> <field type="radio-group" label="How flexible are your travel dates?" name="radio-group-1785435828877"> <option label="My dates are exact" value="my-dates-are-exact">My dates are exact</option> <option label="Flexible by a few days" value="flexible-by-a-few-days">Flexible by a few days</option> <option label="Flexible by one or two weeks" value="flexible-by-one-or-two-weeks">Flexible by one or two weeks</option> <option label="Completely flexible" value="completely-flexible">Completely flexible</option> <option label="I’m not sure yet" value="im-not-sure-yet">I’m not sure yet</option> </field> <field type="checkbox-group" required="true" label="Which destinations are you interested in? Select all that apply." description="Check all that apply." name="checkbox-group-1785435767376"> <option label="South Africa" value="south-africa">South Africa</option> <option label="Zimbabwe" value="zimbabwe">Zimbabwe</option> <option label="Tanzania" value="tanzania">Tanzania</option> <option label="Botswana" value="botswana">Botswana</option> <option label="Rwanda" value="rwanda">Rwanda</option> <option label="Open to recommendations" value="open-to-recommendations">Open to recommendations</option> <option label="Other" value="other">Other</option> </field> <field type="checkbox-group" required="true" label="What is the ideal length of your trip?" description="Check all that apply." name="checkbox-group-1780413394374"> <option label="7–10 days" value="710-days">7–10 days</option> <option label="10–15 days" value="1015-days">10–15 days</option> <option label="15–18 days" value="1518-days">15–18 days</option> <option label="18–21 days" value="1821-days">18–21 days</option> <option label="More than 21 days" value="more-than-21-days">More than 21 days</option> <option label="I’m not sure yet" value="im-not-sure-yet">I’m not sure yet</option> </field> <field type="text" required="true" label="What city or airport will you be departing from?" description="Where will you be flying from?" name="departure-city" subtype="text" className="form-control"/> <field type="header" subtype="h1" label="Your Travel Group"/> <field type="text" required="true" label="How many adults will be traveling?" name="text-1765408311437" subtype="text" className="form-control"/> <field type="text" label="How many children will be traveling?" name="text-1785436054374" subtype="text" className="form-control"/> <field type="text" label="If children will be traveling, what will their ages be at the time of the trip?" name="text-1785436030889" subtype="text" className="form-control"/> <field type="checkbox-group" label="Are you celebrating a special occasion?" name="what-more-authentic-experience-are-you-hoping-for"> <option label="Honeymoon" value="honeymoon">Honeymoon</option> <option label="Anniversary" value="anniversary">Anniversary</option> <option label="Birthday" value="birthday">Birthday</option> <option label="Family celebration" value="family-celebration">Family celebration</option> <option label="No special occasion" value="no-special-occasion">No special occasion</option> <option label="Other" value="other">Other</option> </field> <field type="header" subtype="h1" label="Your Ideal Experience"/> <field type="checkbox-group" required="true" label="Which experiences interest you? Select all that apply." name="checkbox-group-1785436229041"> <option label="Wildlife and safari experiences" value="wildlife-and-safari-experiences">Wildlife and safari experiences</option> <option label="Interacting with local communities" value="interacting-with-local-communities">Interacting with local communities</option> <option label="Food and wine" value="food-and-wine">Food and wine</option> <option label="History and cultural learning" value="history-and-cultural-learning">History and cultural learning</option> <option label="Beaches and relaxation" value="beaches-and-relaxation">Beaches and relaxation</option> <option label="Adventure activities" value="adventure-activities">Adventure activities</option> <option label="Conservation or community-based experiences" value="conservation-or-communitybased-experiences">Conservation or community-based experiences</option> <option label="Photography" value="photography">Photography</option> <option label="Other" value="other">Other</option> </field> <field type="checkbox-group" required="true" label="What kind of atmosphere would you like for your trip? Select all that apply." name="checkbox-group-1785436332483"> <option label="Romantic and exclusive" value="romantic-and-exclusive">Romantic and exclusive</option> <option label="Off the beaten path" value="off-the-beaten-path">Off the beaten path</option> <option label="Immersive local culture" value="immersive-local-culture">Immersive local culture</option> <option label="Family-friendly" value="familyfriendly">Family-friendly</option> <option label="Food and wine focused" value="food-and-wine-focused">Food and wine focused</option> <option label="Adventure focused" value="adventure-focused">Adventure focused</option> <option label="Relaxed and slower paced" value="relaxed-and-slower-paced">Relaxed and slower paced</option> <option label="A mixture of different experiences" value="a-mixture-of-different-experiences">A mixture of different experiences</option> <option label="Other" value="other">Other</option> </field> <field type="radio-group" required="true" label="What is your preferred accommodation style?" name="hotel-preference" other="true"> <option label="Budget - Comfortable and good value" value="budget-comfortable-and-good-value">Budget - Comfortable and good value</option> <option label="Comfort - Boutique or upscale" value="Better">Comfort - Boutique or upscale</option> <option label="Luxury" value="Best">Luxury</option> <option label="A mixture depending on the destination" value="a-mixture-depending-on-the-destination">A mixture depending on the destination</option> <option label="Open to recommendations" value="open-to-recommendations">Open to recommendations</option> </field> <field type="header" subtype="h1" label="Your Trip Budget"/> <field type="radio-group" required="true" label="What is your estimated budget per person?" description="This just gives me a general starting point and can always be changed later." name="budget" other="true"> <option label="$8,000 to $10,000" value="8000-to-10000">$8,000 to $10,000</option> <option label="$10,000 to $12,000" value="10000-to-12000">$10,000 to $12,000</option> <option label="$12,000 to $15,000" value="12000-to-15000">$12,000 to $15,000</option> <option label="More than $15,000" value="more-than-15000">More than $15,000</option> <option label="Im not sure yet" value="im-not-sure-yet">Im not sure yet</option> </field> <field type="radio-group" required="true" label="Does your estimated budget include international airfare?" name="radio-group-1785436600773"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> <option label="Im not sure yet" value="im-not-sure-yet">Im not sure yet</option> </field> <field type="header" subtype="h1" label="Additional Information"/> <field type="text" label="Are there any mobility, accessibility, dietary, or medical considerations we should account for while planning your trip?" name="text-1785436688292" subtype="text" className="form-control"/> <field type="text" label="Are there any must-see places, special experiences, or other details you would like us to know?" name="text-1785436722064" subtype="text" className="form-control"/> <field type="radio-group" label="How did you hear about KapuAfrica Travel?" name="radio-group-1785436744402"> <option label="Referral from a friend or past traveler" value="referral-from-a-friend-or-past-traveler">Referral from a friend or past traveler</option> <option label="Google" value="google">Google</option> <option label="Social media" value="social-media">Social media</option> <option label="Returning KapuAfrica traveler" value="returning-kapuafrica-traveler">Returning KapuAfrica traveler</option> <option label="Other" value="other">Other</option> </field> <field type="textarea" label="Is there anything else you would like us to know?" name="notes" className="form-control"/> <field type="paragraph" subtype="p" label="Thank you! We look forward to learning more about you and helping you create an unforgettable African journey."/> </fields> </form-template> </body> </html>
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