Elite Lifestyle Travel

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		<field type="header" subtype="h2" label="&amp;nbsp;Travel&amp;nbsp; Planning Questionnaire&amp;nbsp;"/>&#13;
		<field type="header" subtype="h3" label="Please complete the questionnaire below so can start learning about your group. We will discuss this during our consultation.&amp;nbsp; &amp;nbsp;"/>&#13;
		<field type="text" label="Prefix" name="prefix" subtype="text" className="form-control"/>&#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="Phone number" name="phone-number" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Email" name="email" subtype="text" className="form-control"/>&#13;
		<field type="radio-group" required="true" label="Number of Travelers in your Group ( a group is 10 or more)&amp;nbsp;" name="number-of-travelers-in-your-group-a-group-is-10-or-more-" other="true">&#13;
			<option label="2-9" value="29">2-9</option>&#13;
			<option label="10-20" value="1020">10-20</option>&#13;
			<option label="21-30" value="2130">21-30</option>&#13;
			<option label="31-49" value="3149">31-49</option>&#13;
			<option label="50- 99" value="50-99">50- 99</option>&#13;
			<option label="100+ " value="100-">100+ </option>&#13;
		</field>&#13;
		<field type="text" label="Your Travel Destination?" name="your-travel-destination" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Number of Nights For Your Trip." name="number-of-nights-for-your-trip" subtype="text" className="form-control"/>&#13;
		<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"/>&#13;
		<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"/>&#13;
		<field type="header" subtype="h3" label="Are You Celebrating A Special Occasion?&amp;nbsp;"/>&#13;
		<field type="radio-group" label="Occasion" name="are-you-celebrating-" other="true">&#13;
			<option label="Birthday  " value="birthday-">Birthday  </option>&#13;
			<option label="Girls Trip/ Dude Trip" value="girls-trip-dude-trip">Girls Trip/ Dude Trip</option>&#13;
			<option label="Honeymoon" value="honeymoon">Honeymoon</option>&#13;
			<option label="Anniversary" value="anniversary">Anniversary</option>&#13;
			<option label="Bachelor/Bachelorette" value="bachelorbachelorette">Bachelor/Bachelorette</option>&#13;
			<option label="Relax &amp; Recharge" value="relax-recharge">Relax &amp; Recharge</option>&#13;
			<option label="Just Me/Solo " value="just-mesolo-">Just Me/Solo </option>&#13;
		</field>&#13;
		<field type="checkbox-group" required="true" label="&amp;nbsp;Select Your and (travel companions' ) General Interest/Hobbies" description="Check all that apply" name="activity-preferences" other="true">&#13;
			<option label="Beach/Water Sports " value="beachwater-sports-">Beach/Water Sports </option>&#13;
			<option label="Sailing/Boating / Horseback riding " value="sailingboating-horseback-riding-">Sailing/Boating / Horseback riding </option>&#13;
			<option label="Scuba/Snorkeling " value="scubasnorkeling-">Scuba/Snorkeling </option>&#13;
			<option label="Adventure activities-zip line, hiking..." value="adventure-activitieszip-line-hiking">Adventure activities-zip line, hiking...</option>&#13;
			<option label="Golf" value="golf">Golf</option>&#13;
			<option label="Nightlife" value="nightlife">Nightlife</option>&#13;
			<option label="Theater &amp; Music " value="theater-music-">Theater &amp; Music </option>&#13;
			<option label="Historical sites " value="historical-sites-">Historical sites </option>&#13;
			<option label="Wine Tour" value="wine-tour">Wine Tour</option>&#13;
			<option label="Spa" value="spa">Spa</option>&#13;
			<option label="Food Tours/ Culture Experiences " value="food-tours-culture-experiences-">Food Tours/ Culture Experiences </option>&#13;
		</field>&#13;
		<field type="header" subtype="h3" label="Desired Destination"/>&#13;
		<field type="radio-group" required="true" label="Destination" name="desired-destination-" other="true">&#13;
			<option label="International ( Africa, Europe, Asia, Middle East..)" value="international-africa-europe-asia-middle-east">International ( Africa, Europe, Asia, Middle East..)</option>&#13;
			<option label="Caribbean (Bahamas, Barbados, Jamaica,Turks &amp; Caicos..)" value="caribbean-bahamas-barbados-jamaicaturks-caicos">Caribbean (Bahamas, Barbados, Jamaica,Turks &amp; Caicos..)</option>&#13;
			<option label="Mexico  (Cancun, Los Cabos, Tulum, Playa del Carmen. Zihuatanejo. Cozumel. Ixtapa...)" value="mexico-cancun-los-cabos-tulum-playa-del-carmen-zihuatanejo-cozumel-ixtapa">Mexico  (Cancun, Los Cabos, Tulum, Playa del Carmen. Zihuatanejo. Cozumel. Ixtapa...)</option>&#13;
			<option label="Cruise  (River, Mainstream...)" value="cruise-river-mainstream">Cruise  (River, Mainstream...)</option>&#13;
		</field>&#13;
		<field type="text" label="Specific Desired Destination&amp;nbsp;" name="specific-desired-destination-" subtype="text" className="form-control"/>&#13;
		<field type="radio-group" required="true" label="Will All Travelers&amp;nbsp; Be Departing From the&amp;nbsp; Same City?&amp;nbsp;" name="will-you-be-departing-from-the-same-city-">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No " value="no-">No </option>&#13;
			<option label="Do not apply " value="do-not-apply-">Do not apply </option>&#13;
		</field>&#13;
		<field type="radio-group" required="true" label="What Best Describes Your Hotel&amp;nbsp; or Resort Preference?&amp;nbsp;" name="hotel-preference" other="true">&#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="Villa " value="villa-">Villa </option>&#13;
			<option label="All Inclusive Resort " value="all-inclusive-resort-">All Inclusive Resort </option>&#13;
		</field>&#13;
		<field type="radio-group" label="Select Your Group Sleeping Arrangement (depends on destination)" name="select-your-group-sleeping-arrangement-depends-on-destination" other="true">&#13;
			<option label="Standard Room" value="standard-room">Standard Room</option>&#13;
			<option label="Garden" value="garden">Garden</option>&#13;
			<option label="Oceanview" value="oceanview">Oceanview</option>&#13;
			<option label="Swim Out" value="swim-out">Swim Out</option>&#13;
			<option label="Family Suite/Suite" value="family-suitesuite">Family Suite/Suite</option>&#13;
			<option label="Villa/Private House " value="villaprivate-house-">Villa/Private House </option>&#13;
			<option label="Cruise (interior, ocean, balcony)" value="cruise-interior-ocean-balcony">Cruise (interior, ocean, balcony)</option>&#13;
		</field>&#13;
		<field type="radio-group" label="How Many People Per Room?" name="how-many-people-per-room" other="true">&#13;
			<option label="Single ( 1 person)" value="single-1-person">Single ( 1 person)</option>&#13;
			<option label="Double Occupancy ( 2 people)" value="double-occupancy-2-people">Double Occupancy ( 2 people)</option>&#13;
		</field>&#13;
		<field type="radio-group" required="true" label="Has this Group or Members of This Group Traveled Together Before?&amp;nbsp;" name="has-this-group-or-members-of-this-group-traveled-together-before-">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No " value="no-">No </option>&#13;
			<option label="Other " value="other-">Other </option>&#13;
		</field>&#13;
		<field type="text" label="Do You Want Flights Included? If so Departure Airport." name="must-dos" subtype="text" className="form-control"/>&#13;
		<field type="checkbox-group" required="true" label="&amp;nbsp;What Kind of Experience&amp;nbsp; Are You Looking For&amp;nbsp; on This Trip? Select all that apply." description="Check all that apply." name="vibe-preference" other="true">&#13;
			<option label="Romantic" value="romantic">Romantic</option>&#13;
			<option label="Rest and relaxation" value="rest-and-relaxation">Rest and relaxation</option>&#13;
			<option label="Off the beaten path- tours, experience " value="off-the-beaten-path-tours-experience-">Off the beaten path- tours, experience </option>&#13;
			<option label="Night life " value="night-life-">Night life </option>&#13;
			<option label="Local culture" value="local-culture">Local culture</option>&#13;
			<option label="Family friendly" value="family-friendly">Family friendly</option>&#13;
			<option label="Food and wine" value="food-wine">Food and wine</option>&#13;
		</field>&#13;
		<field type="radio-group" required="true" label="Does Everyone Have a Valid Passport?" name="does-everyone-have-a-valid-passport-">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No " value="no-">No </option>&#13;
			<option label="Unknown " value="unknown-">Unknown </option>&#13;
		</field>&#13;
		<field type="header" subtype="h3" label="What Is The Travelers Budget Per Person? If Flight is to Be Included Included That in Your Budget.&amp;nbsp;"/>&#13;
		<field type="radio-group" required="true" label="Budget" description="This just gives me a general starting point and can always be changed later." name="budget" other="true">&#13;
			<option label="$2,500-$3,500" value="25003500">$2,500-$3,500</option>&#13;
			<option label="$4,000 -$5,500" value="4000-5500">$4,000 -$5,500</option>&#13;
			<option label="$6,000- $7,500" value="6000-7500">$6,000- $7,500</option>&#13;
			<option label="$8,000 - $9,500" value="8000-9500">$8,000 - $9,500</option>&#13;
			<option label="$10,000- up " value="10000-up-">$10,000- up </option>&#13;
		</field>&#13;
		<field type="textarea" label="What Else Would Like Us To Know to Make Your Trip Memorable." description="What else would you like me to know about your travelers  budget and/or travel preferences?" name="notes" className="form-control"/>&#13;
		<field type="paragraph" subtype="blockquote" label="Group resort booking contracts require 10 rooms. Group Leader is required to sign a group agreement. Additional terms and conditions will apply once the itinerary/contract is selected. Group leaders are required to sign a Group Agreement.&amp;nbsp; This agreement is an acknowledgment of group travel terms.&amp;nbsp;"/>&#13;
		<field type="text" label="&amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp; &amp;nbsp;Elite Lifestyle Travel | 678-939-2648 | info@elitelifestyletravel.com" name="-elite-lifestyle-travel-6789392648-infoelitelifestyletravelcom" subtype="text" className="form-control"/>&#13;
	</fields>&#13;
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