Share your information with Brenda Palmer

Brenda Palmer

Paradise and Palm Travel Co,

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		<field type="textarea" label="Let&#39;s Begin" placeholder="Thank you for considering Paradise and Palm Travel Co. Travel has the power to restore, reconnect, celebrate, and transform. I&#39;d love to learn more about the journey you&#39;re dreaming of and how I can support you in creating an experience that feels deeply meaningful." name="textarea-1784169559705" className="form-control"/>&#13;
		<field type="header" subtype="h2" label="Client Inquiry Form"/>&#13;
		<field type="date" label="Date Field" name="date-1784165986484" className="form-control"/>&#13;
		<field required="true"  type="text" label="Email" name="email" subtype="text" className="form-control"/>&#13;
		<field type="header" subtype="h2" label="Full name"/>&#13;
		<field type="text" required="true" label="First name" name="first-name" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Middle name" name="middle-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="header" subtype="h2" label="Address"/>&#13;
		<field type="text" label="Line 1" name="address-line-1" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Line 2" name="address-line-2" subtype="text" className="form-control"/>&#13;
		<field type="text" label="City" name="address-city" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Province" name="address-state" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Postal Code" name="address-zip" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Country" name="address-country" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Phone number" name="phone-number" subtype="text" className="form-control"/>&#13;
		<field type="radio-group" required="true" label="Preferred Contact Method" name="radio-group-1784166812091" other="true">&#13;
			<option label="Text" value="text" selected="selected">Text</option>&#13;
			<option label="Email" value="email">Email</option>&#13;
			<option label="Phone" value="phone">Phone</option>&#13;
		</field>&#13;
		<field type="textarea" label="What days and times are generally best for me to reach you?*&amp;nbsp;" name="textarea-1784167474583" className="form-control"/>&#13;
		<field type="header" subtype="h2" label="About your trip"/>&#13;
		<field type="radio-group" label="What type of journey are you planning?&amp;nbsp;" name="radio-group-1784167777834">&#13;
			<option label="Destination Wedding" value="destination-wedding">Destination Wedding</option>&#13;
			<option label="Honeymoon" value="honeymoon">Honeymoon</option>&#13;
			<option label="Couples getaway" value="couples-getaway">Couples getaway</option>&#13;
			<option label="Anniversary trip" value="anniversary-trip">Anniversary trip</option>&#13;
			<option label="Family Holiday" value="family-holiday">Family Holiday</option>&#13;
			<option label="Multi Gen Family Getaway" value="multi-gen-family-getaway">Multi Gen Family Getaway</option>&#13;
			<option label="Solo Trip" value="solo-trip">Solo Trip</option>&#13;
			<option label="Girls Trip" value="girls-trip">Girls Trip</option>&#13;
			<option label="Other" value="other">Other</option>&#13;
		</field>&#13;
		<field type="text" label="Where would you like to go?" description="If you&#39;re not sure  just give me a few destinations you&#39;re considering." placeholder="ex: Tahiti" name="destination" subtype="text" className="form-control"/>&#13;
		<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"/>&#13;
		<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"/>&#13;
		<field type="checkbox-group" label="Are your dates flexible?" name="dates-flexible">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
		</field>&#13;
		<field type="text" label="What is your departure city?" description="Where will you be flying from?" name="departure-city" subtype="text" className="form-control"/>&#13;
		<field type="text" label="How many travelers?" name="number-of-travelers" subtype="text" className="form-control"/>&#13;
		<field type="radio-group" label="What is your budget for all travelers?" description="This just gives me a general starting point and can always be changed later." name="budget">&#13;
			<option label="$1,500 to $2,500" value="1500-2500">$1,500 to $2,500</option>&#13;
			<option label="$2,500 to $4,500" value="2500-4500">$2,500 to $4,500</option>&#13;
			<option label="$4,500 to $6,500" value="4500-6500">$4,500 to $6,500</option>&#13;
			<option label="$6,500 to $8,500" value="6500-8500">$6,500 to $8,500</option>&#13;
			<option label="$8,500 to $10,000" value="8500-10000">$8,500 to $10,000</option>&#13;
			<option label="$10,000+" value="10000">$10,000+</option>&#13;
		</field>&#13;
		<field type="radio-group" label="What best describes your hotel preference?" name="hotel-preference" other="true">&#13;
			<option label="Economy" value="value">Economy</option>&#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;
		</field>&#13;
		<field type="header" subtype="h2" label="Your Travel Vision"/>&#13;
		<field type="textarea" label="When you picture yourself returning home from this journey, what would make you say, &quot;That was exactly what I needed&quot;?*" name="textarea-1784168190629" className="form-control"/>&#13;
		<field type="checkbox-group" label="What kind of experiences are most important to you?&amp;nbsp;" 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="Autism Friendly" value="autism-friendly">Autism Friendly</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;
			<option label="Adventure" value="adventure">Adventure</option>&#13;
			<option label="Party and Celebration" value="party-and-celebration">Party and Celebration</option>&#13;
			<option label="Local culture and experiences" value="local-culture-and-experiences">Local culture and experiences</option>&#13;
			<option label="Luxury Accommodations" value="luxury-accommodations">Luxury Accommodations</option>&#13;
			<option label="Beaches" value="beaches">Beaches</option>&#13;
			<option label="History" value="history">History</option>&#13;
			<option label="Shopping" value="shopping">Shopping</option>&#13;
			<option label="Other" value="other">Other</option>&#13;
		</field>&#13;
		<field type="checkbox-group" label="What activities are you interested in?" description="Check all that apply" name="activity-preferences" other="true">&#13;
			<option label="Beach and water" value="beach-water">Beach and water</option>&#13;
			<option label="Gambling" value="gambling">Gambling</option>&#13;
			<option label="Scuba" value="scuba">Scuba</option>&#13;
			<option label="Adventure activities" value="adventure">Adventure activities</option>&#13;
			<option label="Golf" value="golf">Golf</option>&#13;
			<option label="Nightlife" value="nightlife">Nightlife</option>&#13;
			<option label="Arts and theater" value="art-theater">Arts and theater</option>&#13;
		</field>&#13;
		<field type="text" label="Anything you absolutely must do or see?" name="must-dos" subtype="text" className="form-control"/>&#13;
		<field type="textarea" label="What are some of your favorite travel memories?&amp;nbsp;" 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="textarea" label="Is there anything you hope to avoid on this trip?*&amp;nbsp;" name="textarea-1784168657778" className="form-control"/>&#13;
		<field type="header" subtype="h2" label="Travel Style&amp;nbsp;"/>&#13;
		<field type="select" label="Which best describes your preferred travel pace?*&amp;nbsp;" name="select-1784168742987" multiple="multiple" className="form-control">&#13;
			<option label="Slow and Relaxed" value="slow-and-relaxed">Slow and Relaxed</option>&#13;
			<option label="A balance of Activity and Rest" value="a-balance-of-activity-and-rest">A balance of Activity and Rest</option>&#13;
			<option label="Active and Adventure Focused" value="active-and-adventure-focused" selected="selected">Active and Adventure Focused</option>&#13;
		</field>&#13;
		<field type="radio-group" label="Which accommodations do you typically enjoy?&amp;nbsp;" name="radio-group-1784168894215">&#13;
			<option label="Boutique Hotels" value="boutique-hotels">Boutique Hotels</option>&#13;
			<option label="Luxury Resorts" value="luxury-resorts">Luxury Resorts</option>&#13;
			<option label="Villas" value="villas">Villas</option>&#13;
			<option label="Cruises" value="cruises">Cruises</option>&#13;
			<option label="All Inclusive Resorts" value="all-inclusive-resorts">All Inclusive Resorts</option>&#13;
			<option label="Open to suggestions" value="open-to-suggestions">Open to suggestions</option>&#13;
		</field>&#13;
		<field type="header" subtype="h2" label="Investment"/>&#13;
		<field type="radio-group" label="What investment range are you considering for this trip?*&amp;nbsp;" name="radio-group-1784169082376">&#13;
			<option label="$1500-$2500" value="15002500">$1500-$2500</option>&#13;
			<option label="$2500-$4500" value="25004500">$2500-$4500</option>&#13;
			<option label="$4500-$6500" value="45006500">$4500-$6500</option>&#13;
			<option label="$6500-$8500" value="65008500">$6500-$8500</option>&#13;
			<option label="$8500-$10000" value="850010000">$8500-$10000</option>&#13;
			<option label="$10000+" value="10000">$10000+</option>&#13;
		</field>&#13;
		<field type="radio-group" label="Have you worked with a travel advisor before?&amp;nbsp;" name="radio-group-1784169226734">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
		</field>&#13;
		<field type="radio-group" label="Are you comfortable investing in professional travel planning services?&amp;nbsp;" name="radio-group-1784169272361">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="I'd like more information" value="id-like-more-information">I'd like more information</option>&#13;
		</field>&#13;
		<field type="header" subtype="h2" label="Final Thoughts"/>&#13;
		<field type="radio-group" label="How did you hear about Paradise and Palm?&amp;nbsp;" name="radio-group-1784169337827">&#13;
			<option label="Friend or Family Referral" value="friend-or-family-referral">Friend or Family Referral</option>&#13;
			<option label="Facebook" value="facebook">Facebook</option>&#13;
			<option label="Instagram" value="instagram">Instagram</option>&#13;
			<option label="Website" value="website">Website</option>&#13;
			<option label="Previous Client" value="previous-client">Previous Client</option>&#13;
			<option label="Other" value="other">Other</option>&#13;
		</field>&#13;
		<field type="textarea" label="Is there anything else you&#39;d like me to know as I begin learning about your travel dreams?&amp;nbsp;" name="textarea-1784169438404" className="form-control"/>&#13;
	</fields>&#13;
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