<html> <body> <form-template> <fields><field type="text" subtype="text" required="true" label="First name" className="form-control" name="first-name"></field><field type="text" subtype="text" required="true" label="Last name" className="form-control" name="last-name"></field> <field type="header" subtype="h2" label="Questions for your trip"/> <field required="true" type="text" label="Email" name="email" subtype="text" className="form-control"/> <field type="text" label="Phone number" name="phone-number" subtype="text" className="form-control"/> <field type="text" required="true" 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" required="true" 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" required="true" 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" 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="text" label="Flexibility date range&nbsp;" name="flexibility-date-range-" subtype="text" className="form-control"/> <field type="text" required="true" label="How many travelers?" name="number-of-travelers" subtype="text" className="form-control"/> <field type="text" required="true" label="Full names and birthdates of everyone in your room" name="names-and-birthdates-of-other-travelers-in-your-room" subtype="text" className="form-control"/> <field type="checkbox-group" label="Select the type of trip desired (may select more than one)" name="select-the-type-of-trip-desired-may-select-more-than-one" other="true"> <option label="All-inclusive resort (most U.S. resorts are not all-inclusive)" value="allinclusive-resort-most-us-resorts-are-not-allinclusive">All-inclusive resort (most U.S. resorts are not all-inclusive)</option> <option label="Adults-only resort " value="adultsonly-resort-">Adults-only resort </option> <option label="Cruise" value="cruise">Cruise</option> <option label="Customized multi-stop trip " value="customized-multistop-trip-">Customized multi-stop trip </option> <option label="Escorted group bus/train tour" value="escorted-group-bustrain-tour">Escorted group bus/train tour</option> <option label="Non all-inclusive hotel/resort" value="non-allinclusive-hotelresort">Non all-inclusive hotel/resort</option> </field> <field type="radio-group" label="For hotels/resorts, which best describes your preference?" name="hotel-preference" other="true"> <option label="Economy" value="value">Economy</option> <option label="Moderate" value="moderate">Moderate</option> <option label="Luxury" value="luxury">Luxury</option> <option label="Boutique" value="boutique">Boutique</option> </field> <field type="checkbox-group" label="For hotels/resorts, please indicate the approximate room category desired (check all that apply)" name="for-hotels-please-indicate-the-approximate-room-category-desired-check-all-that-apply" other="true"> <option label="Least expensive " value="least-expensive-">Least expensive </option> <option label="Oceanview" value="oceanview">Oceanview</option> <option label="Oceanfront " value="oceanfront-">Oceanfront </option> <option label="Suite " value="suite-">Suite </option> </field> <field type="radio-group" required="true" label="What is your budget PER PERSON?" description="This just gives me a general starting point and can always be changed later." name="budget" other="true"> <option label="$1000 to $1500" value="$1000 to $1500">$1000 to $1500</option> <option label="$1,500 to $2,500" value="1500-2500">$1,500 to $2,500</option> <option label="$2,500 to $3,500" value="2500-to-3500">$2,500 to $3,500</option> <option label="$3,500 to $5,000" value="3500-to-5000">$3,500 to $5,000</option> <option label="$5,000 to $7,500" value="5000-to-7500">$5,000 to $7,500</option> <option label="More than $7500" value="more-than-7500">More than $7500</option> </field> <field type="checkbox-group" required="true" label="Include flights? If yes, your budget indicated above includes flights.&nbsp;" name="include-flights-"> <option label="Yes, include flights in my quote" value="yes-include-flights-in-my-quote">Yes, include flights in my quote</option> <option label="No, do not include flights in my quote" value="no-do-not-include-flights-in-my-quote">No, do not include flights in my quote</option> </field> <field type="checkbox-group" label="Flight preference&nbsp;" name="flight-preference-"> <option label="I prefer nonstop flights, even when more expensive" value="i-prefer-nonstop-flights-even-when-more-expensive">I prefer nonstop flights, even when more expensive</option> <option label="I prefer the lowest price over nonstop flights " value="i-prefer-the-lowest-price-over-nonstop-flights-">I prefer the lowest price over nonstop flights </option> </field> <field type="text" label="What is your desired departure city (or port)?" description="Where will you be flying from?" name="departure-city" subtype="text" className="form-control"/> <field type="text" label="Is your departure city (or port) flexible? If so, please specify.&nbsp;" name="is-your-departure-city-or-port-flexible-if-so-please-specify-" subtype="text" className="form-control"/> <field type="checkbox-group" label="For cruises only: Which cruise line(s) are you interested in?&nbsp;" name="for-cruises-only-which-cruise-lines-are-you-interested-in-"> <option label="Royal Caribbean" value="royal-caribbean">Royal Caribbean</option> <option label="Disney" value="disney">Disney</option> <option label="Carnival" value="carnival">Carnival</option> <option label="Norwegian" value="norwegian">Norwegian</option> <option label="Celebrity" value="celebrity">Celebrity</option> <option label="Princess" value="princess">Princess</option> <option label="Virgin " value="virgin-">Virgin </option> <option label="MSC" value="msc">MSC</option> <option label="Luxury lines (Regent, Silversea, Oceania, Windstar)" value="luxury-lines-regent-silversea-oceania-windstar">Luxury lines (Regent, Silversea, Oceania, Windstar)</option> <option label="Expedition cruise" value="expedition-cruise">Expedition cruise</option> <option label="Other (please specify in comments below)" value="other-please-specify-in-comments-below">Other (please specify in comments below)</option> </field> <field type="checkbox-group" label="For cruises, choose cabin preference (check all categories you want quoted)" name="for-cruises-choose-cabin-preference-check-all-categories-you-want-quoted"> <option label="Inside" value="inside">Inside</option> <option label="Oceanview" value="oceanview">Oceanview</option> <option label="Balcony" value="balcony">Balcony</option> <option label="Suite " value="suite-">Suite </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="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="Party" value="party">Party</option> <option label="Local culture" value="local-culture">Local culture</option> <option label="Family friendly" value="family-friendly">Family friendly</option> <option label="Food and wine" value="food-wine">Food and wine</option> </field> <field type="checkbox-group" label="What activities are you interested in?" description="Check all that apply" name="activity-preferences" other="true"> <option label="Beach and water" value="beach-water">Beach and water</option> <option label="Gambling" value="gambling">Gambling</option> <option label="Scuba" value="scuba">Scuba</option> <option label="Adventure activities" value="adventure">Adventure activities</option> <option label="Golf" value="golf">Golf</option> <option label="Nightlife" value="nightlife">Nightlife</option> <option label="Arts and theater" value="art-theater">Arts and theater</option> </field> <field type="text" label="Anything you absolutely must do or see?" name="must-dos" subtype="text" className="form-control"/> <field type="textarea" label="What else would you like for me to know? Please use this space for any important details not included above.&nbsp;" description="What else would you like me to know about your travelers budget and/or travel preferences?" name="notes" className="form-control"/> <field type="text" label="If someone referred you, please share their name with us so we can thank them!&nbsp;" name="if-someone-referred-you-please-share-their-name-with-us-so-we-can-thank-them-" subtype="text" className="form-control"/> </fields> </form-template> </body> </html>
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