<html> <body> <form-template> <fields> <field type="header" subtype="h2" 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="header" subtype="h2" label="General Information About Your Trip"/> <field type="text" label="Where would you like to go?&nbsp; What destinations interest you?" placeholder="ex: Tahiti" name="destination" subtype="text" className="form-control"/> <field type="text" label="What are your travel dates?&nbsp; How long would you like to be away?" name="number-of-travelers" subtype="text" className="form-control"/> <field type="text" label="How many travelers?&nbsp; Please specify # adults and children, and include ages of any children." name="text-1726772770080" subtype="text" 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="text" label="What is your departure city?" description="Where will you be flying from?" name="departure-city" subtype="text" className="form-control"/> <field type="checkbox-group" label="Will you require assistance booking flights?" name="checkbox-group-1726772307857"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> <option label="Maybe" value="maybe">Maybe</option> </field> <field type="header" subtype="h2" label="Tell Me About Your Budget"/> <field type="text" label="What is your overall budget for the trip not including flights (hotels, touring, transportation)?" name="text-1726771562785" subtype="text" className="form-control"/> <field type="text" label="What is the approximate nightly price range for accommodations (hotel rate)?" name="text-1726773506532" subtype="text" className="form-control"/> <field type="text" label="Are there any other budgetary considerations we should consider for this trip?" name="text-1726773505828" subtype="text" className="form-control"/> <field type="header" subtype="h2" label="Your Travel Style and Preferences"/> <field type="checkbox-group" label="What type of accommodations do you prefer?" name="what-type-of-accommodations-do-you-prefer"> <option label="Luxury Hotels" value="luxury-hotels">Luxury Hotels</option> <option label="Boutique Hotels" value="boutique-hotels">Boutique Hotels</option> <option label="Bed and Breakfasts" value="bed-and-breakfasts">Bed and Breakfasts</option> <option label="Design Focused Hotels" value="design-focused-hotels">Design Focused Hotels</option> <option label="Hotel Chain (Marriott, Hyatt etc.)" value="hotel-chain-marriott-hyatt-etc">Hotel Chain (Marriott, Hyatt etc.)</option> <option label="Private Apartment or Villa" value="private-apartment-or-villa">Private Apartment or Villa</option> <option label="Other" value="other">Other</option> </field> <field type="text" label="What are your favorite hotels and why?" name="text-1726773283616" subtype="text" className="form-control"/> <field type="checkbox-group" label="What activities are you interested in?" description="Check all that apply" name="activity-preferences" other="true"> <option label="History and Culture" value="history-and-culture">History and Culture</option> <option label="Art" value="art">Art</option> <option label="Architecture" value="architecture">Architecture</option> <option label="Music" value="music">Music</option> <option label="Food and Wine" value="food-and-wine">Food and Wine</option> <option label="Cooking" value="cooking">Cooking</option> <option label="Outdoor Adventure" value="outdoor-adventure">Outdoor Adventure</option> <option label="Hiking" value="hiking">Hiking</option> <option label="Cycling" value="cycling">Cycling</option> <option label="Interaction with Locals" value="interaction-with-locals">Interaction with Locals</option> </field> <field type="text" label="Are you a frequent traveler?&nbsp; Where have you traveled in the past?" name="text-1726773439333" subtype="text" className="form-control"/> <field type="text" label="What inspires you about the destination(s) to which you would like to travel?" name="text-1726773231467" subtype="text" className="form-control"/> <field type="text" label="Is there anything you absolutely must do or see?" name="must-dos" subtype="text" className="form-control"/> <field type="text" label="Will you be celebrating a special occasion? Please advise any details we should note." name="text-1726773320003" subtype="text" className="form-control"/> <field type="select" label="How did you hear about us?" name="how-did-you-hear-about-us" className="form-control"> <option label="Referral" value="referral" selected="selected">Referral</option> <option label="Facebook" value="facebook">Facebook</option> <option label="LinkedIn" value="linkedin">LinkedIn</option> <option label="Other" value="other">Other</option> </field> <field type="text" label="If you were referred to us, please let us know by whom." name="text-1726773683178" subtype="text" 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"/> </fields> </form-template> </body> </html>
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