<html> <body> <form-template> <fields> <field type="header" subtype="h2" label="&nbsp;Travel&nbsp; Planning Questionnaire&nbsp;"/> <field type="header" subtype="h3" label="Please complete&nbsp; questionnaire below so can start learning about your travel preference. We will discuss during our consultation.&nbsp;"/> <field type="text" required="true" label="Prefix" name="prefix" subtype="text" className="form-control"/> <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="Phone number" name="phone-number" subtype="text" className="form-control"/> <field type="text" required="true" label="Email" name="email" subtype="text" className="form-control"/> <field type="text" label="How Did You Hear About Us?&nbsp;" name="how-did-you-hear-about-us-" subtype="text" className="form-control"/> <field type="radio-group" required="true" label="Number of Travelers&nbsp;" name="number-of-travelers-"> <option label="1-2 people" value="12-people">1-2 people</option> <option label="3 - 5 people " value="3-5-people-">3 - 5 people </option> <option label="6-9 people" value="69-people">6-9 people</option> <option label="10+" value="10">10+</option> </field> <field type="date" required="true" label="Preferred departure date." 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="text" required="true" label="Is your travel date flexible (if so list alternative dates)?" name="is-your-travel-date-flexible-if-so-list-alternative-dates" subtype="text" className="form-control"/> <field type="text" required="true" label="Number of nights for your trip." name="number-of-nights-for-your-trip" subtype="text" className="form-control"/> <field type="radio-group" required="true" label="Desired Destination&nbsp;" description="select your desired destination or continent" name="desired-destination-" other="true"> <option label="South Africa " value="south-africa-">South Africa </option> <option label="Africa (Senegal, Kenya..)" value="africa-senegal-kenya">Africa (Senegal, Kenya..)</option> <option label="Asia " value="asia-">Asia </option> <option label="South America (Brazil, Colombia, Chile.)" value="south-america-brazil-colombia-chile">South America (Brazil, Colombia, Chile.)</option> <option label="Europe (London, Paris..)" value="europe-london-paris">Europe (London, Paris..)</option> <option label="Australia " value="australia-">Australia </option> <option label="Antarctica " value="antarctica-">Antarctica </option> <option label=" Maldives, Fiji, Bora Bora " value="-maldives-fiji-bora-bora-"> Maldives, Fiji, Bora Bora </option> <option label=" United Arab Emirates( Dubai , Abu Dhabi)" value="-united-arab-emirates-dubai-abu-dhabi"> United Arab Emirates( Dubai , Abu Dhabi)</option> </field> <field type="text" label="If there is a Specific Trip Package&nbsp; List Below" name="if-there-is-a-specific-trip-package-list-below" subtype="text" className="form-control"/> <field type="checkbox-group" required="true" label="&nbsp;Select your and (travel companions' ) general interest/hobbies. Availability depends on the destination" description="Check all that apply" name="activity-preferences" other="true"> <option label="Beach" value="beach">Beach</option> <option label="Sailing/Boating " value="sailingboating-">Sailing/Boating </option> <option label="Scuba/Snorkeling " value="scubasnorkeling-">Scuba/Snorkeling </option> <option label="Adventure activities-zip line, hiking..." value="adventure-activitieszip-line-hiking">Adventure activities-zip line, hiking...</option> <option label="Nightlife" value="nightlife">Nightlife</option> <option label="Theater & Music " value="theater-music-">Theater & Music </option> <option label="Historical sites " value="historical-sites-">Historical sites </option> <option label="Wine Tour" value="wine-tour">Wine Tour</option> <option label="Culture/ Locals " value="culture-locals-">Culture/ Locals </option> <option label="Horseback riding" value="horseback-riding">Horseback riding</option> </field> <field type="radio-group" required="true" label="How do you want to travel&nbsp;" name="how-do-you-want-to-travel-" other="true"> <option label="Solo/ Independent Travel (no tour guide)" value="solo-independent-travel-no-tour-guide">Solo/ Independent Travel (no tour guide)</option> <option label="Join a Group / Group with a Guide (meet new people and join a group)" value="join-a-group-group-with-a-guide-meet-new-people-and-join-a-group">Join a Group / Group with a Guide (meet new people and join a group)</option> <option label="Private Tour Guide ( your tour guide)" value="private-tour-guide-your-tour-guide">Private Tour Guide ( your tour guide)</option> </field> <field type="radio-group" required="true" label="Do You Want Flights Added?&nbsp;" name="do-you-want-flights-added-"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="text" required="true" label="What is your departure city?(if apply or n/a)" description="Where will you be flying from?" name="departure-city" subtype="text" className="form-control"/> <field type="text" required="true" label="Preferred Airport&nbsp; and Airline to depart from? (if apply or n/a)" description="if your city has multiply airports" name="what-airport-will-you-be-departing-from-" subtype="text" className="form-control"/> <field type="text" required="true" label="&nbsp;Do you prefer to fly Coach, Business Class or Private Jet? (if apply or n/a)" name="-do-you-plan-on-flying-coach-business-class-or-private-jet-" subtype="text" className="form-control"/> <field type="radio-group" required="true" label="What best describes your hotel&nbsp; or resort preference?" name="hotel-preference" other="true"> <option label="Moderate" value="moderate">Moderate</option> <option label="Luxury" value="luxury">Luxury</option> <option label="Boutique" value="boutique">Boutique</option> <option label="Villa " value="villa-">Villa </option> </field> <field type="text" required="true" label="What is your favorite vacation ever and why?&nbsp;" description="This assist us in getting to know your travel profile." name="what-is-your-favorite-vacation-ever-and-why-" subtype="text" className="form-control"/> <field type="checkbox-group" required="true" label="&nbsp;What kind of experience&nbsp; are you looking for on this trip?&nbsp;" description="Check all that apply." name="vibe-preference" other="true"> <option label="Rest and relaxation" value="rest-and-relaxation">Rest and relaxation</option> <option label="Off the beaten path- tour, sightseeing " value="off-the-beaten-path-tour-sightseeing-">Off the beaten path- tour, sightseeing </option> <option label="Historical Culture " value="historical-culture-">Historical Culture </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="radio-group" required="true" label="What is your&nbsp; travelers budget per person?&nbsp; Based on location budgets various&nbsp;" description="This just gives me a general starting point and can always be changed later." name="budget"> <option label="$2,200 - $3,000" value="2200-3000">$2,200 - $3,000</option> <option label="$4,100 to $6,000" value="4100-to-6000">$4,100 to $6,000</option> <option label="$6,100 to $8,000" value="6100-to-8000">$6,100 to $8,000</option> <option label="$8,100 to $9,999" value="8100-to-9999">$8,100 to $9,999</option> <option label=" $10,000+" value="-10000"> $10,000+</option> </field> <field type="radio-group" required="true" label="Do every one have a valid passport?&nbsp; A passport that doesn't expire 7 month from your desired travel date." name="do-you-have-a-valid-passport-"> <option label="Yes " value="yes-">Yes </option> <option label="No " value="no-">No </option> <option label="Working on it" value="working-on-it">Working on it</option> </field> <field type="text" label="Anything you absolutely must do or see on this trip?" name="must-dos" 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"/> <field type="date" label="Date Field" name="date-1671288726101" className="form-control"/> </fields> </form-template> </body> </html>
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