Share your information with Jane Stafford

Jane Stafford

Plane Jane Travel, LLC

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    <form-template>&#13;
	<fields>&#13;
		<field type="header" subtype="h2" label="Discovery"/>&#13;
		<field type="paragraph" subtype="p" label="Once we receive this questionnaire, we will reach back out to discuss your travel plans. &amp;nbsp;Please note; we do not work with Airbnb/VRBO or independent rentals. &amp;nbsp;Thank you. &amp;nbsp;PJT"/>&#13;
		<field type="header" subtype="h2" label="Client Information"/>&#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" label="Phone number" name="phone-number" subtype="text" className="form-control"/>&#13;
		<field type="header" subtype="h2" label="About Your Trip"/>&#13;
		<field type="checkbox-group" label="Where are you in the planning process?" name="where-are-you-in-the-planning-process" other="true">&#13;
			<option label="I don't have any plans, but I  want inspiration for future travels" value="i-dont-have-any-plans-but-i-want-inspiration-for-future-travels">I don't have any plans, but I  want inspiration for future travels</option>&#13;
			<option label="I'm just getting started" value="im-just-getting-started">I'm just getting started</option>&#13;
			<option label=" I have some ideas, but need help with research &amp; planning " value="-i-have-some-ideas-but-need-help-with-research-planning-"> I have some ideas, but need help with research &amp; planning </option>&#13;
			<option label="I know what I want, but need help finalizing the details" value="i-know-what-i-want-but-need-help-finalizing-the-details">I know what I want, but need help finalizing the details</option>&#13;
		</field>&#13;
		<field type="text" label="Where do you want to go?" placeholder="ex: Greece" name="destination" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Who are you traveling with?" description="Solo? As a couple? As a family? With friends? etc." placeholder="ex: my husband and two kids" name="who-do-you-normally-travel-with" subtype="text" className="form-control"/>&#13;
		<field type="checkbox-group" label="When do you plan on traveling?" description="A rough idea" name="dates-flexible" other="true">&#13;
			<option label="3-6 months" value="36-months">3-6 months</option>&#13;
			<option label="7-12 months" value="712-months">7-12 months</option>&#13;
			<option label="next year" value="next-year">next year</option>&#13;
			<option label="2+ years" value="2-years">2+ years</option>&#13;
			<option label="Specific dates (enter dates in &quot;Other&quot; below" value="specific-dates-enter-dates-in-other-below">Specific dates (enter dates in "Other" below</option>&#13;
		</field>&#13;
		<field type="radio-group" label="Hotel preference" name="hotel-preference">&#13;
			<option label="Moderate" value="moderate">Moderate</option>&#13;
			<option label="Luxury" value="luxury">Luxury</option>&#13;
			<option label="Boutique" value="boutique">Boutique</option>&#13;
			<option label="All-Inclusive" value="allinclusive">All-Inclusive</option>&#13;
			<option label="Private Villa" value="private-villa">Private Villa</option>&#13;
			<option label="Private Apartment (no VRBO/AirBnb)" value="private-apartment-No-vrboairbnb">Private Apartment (no VRBO/AirBnb)</option>&#13;
		</field>&#13;
		<field type="checkbox-group" label="Typical trip duration" name="typical-trip-duration">&#13;
			<option label="Weekend getaway" value="weekend-getaway">Weekend getaway</option>&#13;
			<option label="Long weekend (3-5 nights)" value="long-weekend-35-nights">Long weekend (3-5 nights)</option>&#13;
			<option label="1-2 weeks" value="12-weeks">1-2 weeks</option>&#13;
			<option label="2+ weeks" value="2-weeks">2+ weeks</option>&#13;
			<option label="1+ month" value="1-month">1+ month</option>&#13;
		</field>&#13;
		<field type="radio-group" label="What are you planning to invest in this trip [not including air]?" name="what-range-feels-the-most-comfortable-for-your-per-person-budget-not-including-airfare-">&#13;
			<option label=" Whatever it takes to create the trip I want" value="-whatever-it-takes-to-create-the-trip-i-want"> Whatever it takes to create the trip I want</option>&#13;
			<option label="$50,000+" value="50000">$50,000+</option>&#13;
			<option label="$30,000+" value="30000">$30,000+</option>&#13;
			<option label="$20,000+" value="20000">$20,000+</option>&#13;
			<option label="$10,000+" value="10000">$10,000+</option>&#13;
			<option label="$7,000 and below" value="7000-and-below">$7,000 and below</option>&#13;
		</field>&#13;
		<field type="checkbox-group" label="What kind of experience are you looking for?" description="Check all that apply." name="vibe-preference" other="true">&#13;
			<option label="Adventure" value="adventure">Adventure</option>&#13;
			<option label="Family Friendly" value="family-friendly">Family Friendly</option>&#13;
			<option label="Food and Wine" value="food-and-wine">Food and Wine</option>&#13;
			<option label="Local Culture" value="local-culture">Local Culture</option>&#13;
			<option label="Off the Beaten Path" value="off-the-beaten-path">Off the Beaten Path</option>&#13;
			<option label="Rest and Relaxation" value="rest-and-relaxation">Rest and Relaxation</option>&#13;
			<option label="Romantic" value="romantic">Romantic</option>&#13;
		</field>&#13;
		<field type="checkbox-group" label="How did you hear about us?" name="how-did-you-hear-about-us" other="true">&#13;
			<option label="A friend (add name in other)" value="a-friend-add-name-in-other">A friend (add name in other)</option>&#13;
			<option label="Virtuoso" value="virtuoso">Virtuoso</option>&#13;
			<option label="Social media" value="social-media">Social media</option>&#13;
			<option label="Web search" value="web-search">Web search</option>&#13;
		</field>&#13;
		<field type="textarea" label="What else would you like PJT to know?" description="What else would you like PJT to know about your travelers budget and/or travel preferences?" name="notes" className="form-control"/>&#13;
	</fields>&#13;
</form-template>
  </body>
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