<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="radio-group" required="true" label="Number of Travelers&nbsp;" name="number-of-travelers-"> <option label="Solo" value="solo" selected="selected">Solo</option> <option label="1-3 people " value="13-people-">1-3 people </option> <option label="4- 5 people " value="4-5-people-">4- 5 people </option> <option label="Multigeneration- parents, grandparents..." value="multigeneration-parents-grandparents">Multigeneration- parents, grandparents...</option> <option label="Other " value="other-">Other </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="Number of nights for your trip." name="number-of-nights-for-your-trip" subtype="text" 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="radio-group" required="true" label="What best describes your hotel&nbsp; or resort preference?" name="hotel-preference" other="true"> <option label="All Inclusive Resort " value="all-inclusive-resort-">All Inclusive Resort </option> <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="checkbox-group" required="true" label="&nbsp;Select your and (travel companions' ) general interest/hobbies" description="Check all that apply" name="activity-preferences" other="true"> <option label="Beach/Water Sports " value="beachwater-sports-">Beach/Water Sports </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="Golf" value="golf">Golf</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="Spa" value="spa">Spa</option> <option label="Horseback riding " value="horseback-riding-">Horseback riding </option> </field> <field type="text" required="true" label="Please tell us if you have a destination in mind" description="If you're not sure just give me a few destinations you're considering." name="destination" subtype="text" className="form-control"/> <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 to depart from?(if apply or n/a)" name="what-airport-will-you-be-departing-from-" subtype="text" className="form-control"/> <field type="text" required="true" label="&nbsp;Do you plan on flying 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="text" required="true" label="What is your favorite vacation ever and why?&nbsp;" description="This help us learn 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&nbsp; on this trip?&nbsp;" 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, tour, experiences" value="off-the-beaten-path-tour-experiences">Off the beaten path, tour, experiences</option> <option label=" Fun with a Night life " value="-fun-with-a-night-life-"> Fun with a Night life </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="Does everyone have a valid passport?&nbsp;" name="does-everyone-have-a-valid-passport-"> <option label="Yes" value="yes">Yes</option> <option label="No " value="no-">No </option> <option label="Does not apply " value="does-not-apply-">Does not apply </option> </field> <field type="radio-group" required="true" label="What is your&nbsp; travelers budget per person?" description="This just gives me a general starting point and can always be changed later." name="budget"> <option label="$1,800 to $2,500" value="1800-to-2500" selected="selected">$1,800 to $2,500</option> <option label="$3,00 to $4,500" value="300-to-4500">$3,00 to $4,500</option> <option label="$5,000 to $6,500" value="5000-to-6500">$5,000 to $6,500</option> <option label="$7,000 to 9,500" value="7000-to-9500">$7,000 to 9,500</option> <option label="$10,000 to $12,000" value="10000-to-12000">$10,000 to $12,000</option> <option label="$13,000 +" value="13000-">$13,000 +</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"/> </fields> </form-template> </body> </html>
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