<html> <body> <form-template> <fields> <field type="header" subtype="h1" label="Madison Dream Vacations&nbsp;"/> <field type="header" subtype="h1" label="Dubai 2025"/> <field type="text" required="true" label="Email" description="ex. example@email.com" name="email" subtype="text" className="form-control"/> <field type="paragraph" subtype="p" label="Thank you for choosing Madison Dream Vacations for your next vacation. Please allow up to 7 days from completion of this form to receive your quote via the email you provided.&nbsp;"/> <field type="paragraph" subtype="p" label="I love helping people plan for their vacations and I put a tremendous amount of time and effort into planning the right vacation for you and those traveling with you. However, to do this effectively, I need YOUR help! This questionnaire is designed to help you be as specific as possible in gathering the information about the type of travel you are interested in, when you want to travel, where you want to travel, and what you want to do. The more specific you are about your travel wants, the better I can plan for your vacation. So, let’s get started!"/> <field type="header" subtype="h2" label="Questions for your trip"/> <field type="header" subtype="h2" label="Full name"/> <field type="text" required="true" label="First name" name="first-name" subtype="text" className="form-control"/> <field type="text" required="true" label="Middle name" name="middle-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" label="Suffix" name="suffix" subtype="text" className="form-control"/> <field type="text" label="Preferred name" name="preferred-name" subtype="text" className="form-control"/> <field type="text" required="true" label="Phone number" name="phone-number" subtype="text" className="form-control"/> <field type="radio-group" required="true" label="What is your preferred method of communication?" name="what-is-your-preferred-method-of-communication"> <option label="Phone Call" value="phone-call">Phone Call</option> <option label="Email" value="email">Email</option> </field> <field type="date" required="true" label="Date of Birth" name="date-of-birth" className="form-control"/> <field type="radio-group" label="Gender" name="gender"> <option label="Male" value="male">Male</option> <option label="Female" value="female">Female</option> </field> <field type="text" required="true" label="What sites have you already searched for your vacation?" name="what-sites-have-you-already-searched-for-your-vacation" subtype="text" className="form-control"/> <field type="radio-group" required="true" label="Have you ever worked with a travel agent/advisor before?" name="have-you-ever-worked-with-a-travel-agent-before"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="radio-group" required="true" label="Are you currently working with another Travel Advisor?" name="are-you-currently-working-with-another-travel-advisor"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="radio-group" required="true" label="Are you just price shopping?" name="are-you-just-price-shopping"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="radio-group" required="true" label="Are you prepared to make a deposit within 2 days if you approve of the trip proposal I send you? For packages with airfare included, the minimum deposit starts at $250 per person. However some airlines will require full payment of the flights. Any trip that is within 45 days will need to be paid in full at the time of booking.&nbsp;" inline="true" name="are-you-prepared-to-make-a-deposit-within-2-days-if-you-approve-of-the-trip-proposal-i-send-you-for-packages-with-airfare-included-the-minimum-deposit-starts-at-250-per-person-however-some-airlines-will-require-full-payment-of-the-flights-any-trip-that-is-within-45-days-will-need-to-be-paid-in-full-at-the-time-of-booking-"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="header" subtype="h1" label="Tell Me About Your Vacation ..."/> <field type="checkbox-group" required="true" label="The purpose of this vacation is ..." name="the-purpose-of-this-vacation-is-"> <option label="Romance/Baecation" value="romancebaecation">Romance/Baecation</option> <option label="Just for Fun" value="just-for-fun">Just for Fun</option> <option label="Making Memories with Family" value="making-memories-with-family">Making Memories with Family</option> <option label="Girl's Trip (Staycation, Bachelorette Party)" value="girls-trip-staycation-bachelorette-party">Girl's Trip (Staycation, Bachelorette Party)</option> <option label="Guy's Trip (Bachelor Party)" value="guys-trip-bachelor-party">Guy's Trip (Bachelor Party)</option> <option label="Rest & Relaxation (Spa, Wellness, Mediation)" value="rest-relaxation-spa-wellness-mediation">Rest & Relaxation (Spa, Wellness, Mediation)</option> <option label="Celebrating a Special Occasion" value="celebrating-a-special-occasion">Celebrating a Special Occasion</option> <option label="Other" value="other">Other</option> </field> <field type="checkbox-group" label="Vibe preferences" name="vibe-preferences"> <option label="Party" value="party">Party</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="Food & Wine" value="food-wine">Food & Wine</option> <option label="Multi-generational" value="multigenerational">Multi-generational</option> <option label="Adventure" value="adventure">Adventure</option> </field> <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> <option label="No" value="no">No</option> </field> <field type="header" subtype="h2" label="Travel Preferences"/> <field type="checkbox-group" required="true" label="What would you like your trip to include? Please check all that apply." name="what-would-you-like-your-trip-to-include-please-check-all-that-apply" other="true"> <option label="Flight" value="Flight">Flight</option> <option label="Hotel (not all-inclusive)" value="hotel-not-allinclusive">Hotel (not all-inclusive)</option> <option label="All-Inclusive Resort" value="allinclusive-resort">All-Inclusive Resort</option> <option label="Cruise" value="cruise">Cruise</option> <option label="Excursions" value="excursions">Excursions</option> <option label="Transportation to and from airport/resort" value="transportation-to-and-from-airportresort">Transportation to and from airport/resort</option> <option label="Theme Park Package" value="theme-park-package">Theme Park Package</option> <option label="Sporting Event" value="sporting-event">Sporting Event</option> <option label="Concert/Play/Broadway Show" value="concertplaybroadway-show">Concert/Play/Broadway Show</option> <option label="Rental Car" value="rental-car">Rental Car</option> </field> <field type="text" label="What is your departure city or airport for all travelers?" description="Where will you be flying from?" name="departure-city" subtype="text" className="form-control"/> <field type="text" label="Airline Preference (Frequent Flyer Programs)" name="airline-preference-frequent-flyer-programs" subtype="text" className="form-control"/> <field type="radio-group" label="Airline Classification" name="airline-classification"> <option label="First Class" value="first-class">First Class</option> <option label="Business Class" value="business-class">Business Class</option> <option label="Economy" value="economy">Economy</option> <option label="Basic Economy" value="basic-economy">Basic Economy</option> </field> <field type="radio-group" label="Seat preference" name="seat-preference"> <option label="Window" value="window">Window</option> <option label="Aisle" value="aisle">Aisle</option> <option label="Middle" value="middle">Middle</option> </field> <field type="checkbox-group" label="Seating - Additional Paid Options" name="seat-preference-additional-options"> <option label="Extra Leg Room" value="extra-leg-room">Extra Leg Room</option> <option label="Emergency Exit Row" value="emergency-exit-row">Emergency Exit Row</option> </field> <field type="radio-group" label="Do you need wheelchair assistance to the gate?" name="do-you-need-wheelchair-assistance-to-the-gate"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="radio-group" label="Bedding Preference" name="bed-preference"> <option label="King Bed" value="king-bed">King Bed</option> <option label="2 Double/Queen Beds" value="2-doublequeen-beds">2 Double/Queen Beds</option> <option label="2 Twins" value="2-twins">2 Twins</option> <option label="Other" value="other">Other</option> </field> <field type="text" label="How many travelers?" name="number-of-travelers" subtype="text" className="form-control"/> <field type="text" required="true" label="How many people per room?" name="how-many-people-per-room" subtype="text" className="form-control"/> <field type="text" required="true" label="How many rooms do you need?" name="how-many-rooms-do-you-need" subtype="text" className="form-control"/> <field type="textarea" label="Please List Total Number of Adults Not Including You [Full Name(s), Birthdate(s), and Email Address(es)]" name="please-list-total-number-of-adults-not-including-you-names-and-birthdate" className="form-control"/> <field type="text" required="true" label="How many travelers are children?" name="how-many-travelers-are-children" subtype="text" className="form-control"/> <field type="textarea" label="Please List Total Number of Children (Names and Birthdate)" name="please-list-total-number-of-children-names-and-birthdate" className="form-control"/> <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"> <option label="$500 to $1,500" value="500-to-1500">$500 to $1,500</option> <option label="$1,500 to $2,500" value="1500-2500">$1,500 to $2,500</option> <option label="$2,500 to $4,500" value="2500-4500">$2,500 to $4,500</option> <option label="$4,500 to $6,500" value="4500-6500">$4,500 to $6,500</option> <option label="$6,500 to $8,500" value="6500-8500">$6,500 to $8,500</option> <option label="$8,500 to $10,000" value="8500-10000">$8,500 to $10,000</option> <option label="$10,000+" value="10000">$10,000+</option> </field> <field type="checkbox-group" label="Are any of the travelers ..." name="are-any-of-the-travelers-"> <option label="Military" value="military">Military</option> <option label="Senior Citizen" value="senior-citizen">Senior Citizen</option> <option label="Disabled (need an accommodation)" value="disabled-need-an-accommodation">Disabled (need an accommodation)</option> </field> <field type="text" label="If an accommodation is needed, please specify here." name="if-an-accommodation-is-needed-please-specify-here" subtype="text" className="form-control"/> <field type="radio-group" label="Will there be any pets traveling with you?" name="will-there-be-any-pets-traveling-with-you"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="radio-group" required="true" label="Will all guests have passports at the time of departure?" name="will-all-guests-have-passports-at-the-time-of-departure"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="header" subtype="h2" label="Travel Preferences"/> <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="clientLoyaltyPrograms" label="Loyalty Programs" name="loyalty-program" loyalty-program-note="*** This field allows your client to enter multiple loyalty program numbers (you only need one of these per form template) ***" className="form-control"/> <field type="header" subtype="h2" label="Travel Insurance"/> <field type="radio-group" required="true" label="Would you like to include travel insurance? &nbsp; Travel protection is optional but HIGHLY RECOMMENDED. If you opt not to purchase travel insurance you will be required to complete an insurance waiver form." name="would-you-like-to-include-travel-insurance"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="radio-group" required="true" label="Ready to Book" name="ready-to-book"> <option label="ASAP" value="asap">ASAP</option> <option label="Within the next week" value="within-the-next-week">Within the next week</option> <option label="Within the next 2 weeks" value="within-the-next-2-weeks">Within the next 2 weeks</option> <option label="Within the next 4 to 8 weeks" value="within-the-next-4-to-8-weeks">Within the next 4 to 8 weeks</option> <option label="Just seeking information" value="just-seeking-information">Just seeking information</option> </field> <field type="radio-group" required="true" label="What kind of payment arrangements would you like?" name="what-kind-of-payment-arrangements-would-you-like"> <option label="Book Now. Pay Now" value="book-now-pay-now">Book Now. Pay Now</option> <option label="Deposit Now, Pay Installments" value="deposit-now-pay-installments">Deposit Now, Pay Installments</option> </field> <field type="radio-group" required="true" label="Would you like to join our mailing list? (You will be among the first to know about upcoming trips. You will be able to get travel news and special offers. You may unsubscribe at anytime by emailing me at Zara@MadisonDreamVacations.com." name="would-you-like-to-join-our-mailing-list-you-will-be-among-the-first-to-know-about-upcoming-trips-you-will-be-able-to-get-travel-news-and-special-offers-you-may-unsubscribe-at-anytime-by-emailing-me-at-zaramadisondreamvacationscom"> <option label="Yes, please add me!" value="yes-please-add-me">Yes, please add me!</option> <option label="No, not at this time." value="no-not-at-this-time">No, not at this time.</option> </field> <field type="radio-group" required="true" label="How did you hear about Madison Dream Vacations?" name="how-did-you-hear-about-madison-dream-vacations" other="true"> <option label="Facebook" value="facebook">Facebook</option> <option label="Instagram" value="instagram">Instagram</option> <option label="Website" value="website">Website</option> <option label="Referral (Please indicate whom we should Thank in the "other" field below." value="referral-please-indicate-whom-we-should-thank-in-the-other-field-below">Referral (Please indicate whom we should Thank in the "other" field below.</option> </field> <field type="radio-group" required="true" label="Would you be interested in learning how you can save and make money on your own travel?" name="would-you-be-interested-in-learning-how-you-can-save-and-make-money-on-your-own-travel"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="header" subtype="h2" label="Signature"/> <field type="checkbox-group" required="true" label="&nbsp;I understand prices are subject to change until a deposit is made and confirmed at time of booking. If you are unable to make at least “your deposit” now, cancel this quote request and request a quote when you are able to make your deposit. This way you are able to lock in your price!" name="-i-understand-prices-are-subject-to-change-until-a-deposit-is-made-and-confirmed-at-time-of-booking-if-you-are-unable-to-make-at-least-your-deposit-now-cancel-this-quote-request-and-request-a-quote-when-you-are-able-to-make-your-deposit-this-way-you-are-able-to-lock-in-your-price"> <option label="I Understand" value="i-understand">I Understand</option> </field> </fields> </form-template> </body> </html>
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