<html> <body> <form-template> <fields> <field type="header" subtype="h2" label="Full name"/> <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="header" subtype="h2" label="Address"/> <field type="text" label="Line 1" name="address-line-1" subtype="text" className="form-control"/> <field type="text" label="Line 2" name="address-line-2" subtype="text" className="form-control"/> <field type="text" label="City" name="address-city" subtype="text" className="form-control"/> <field type="text" label="State" name="address-state" subtype="text" className="form-control"/> <field type="text" label="Zip" name="address-zip" subtype="text" className="form-control"/> <field required="true" type="text" label="Email" name="email" subtype="text" className="form-control"/> <field type="header" subtype="h3" label="Trip Planning Questions"/> <field type="text" label="Where would you like to go?" description="If you're not sure just give me a few destinations you're considering." placeholder="ex: Tahiti Caribbean Island Disney World Europe River Cruise etc" name="destination" subtype="text" className="form-control"/> <field type="text" label="Phone number" name="phone-number" subtype="text" className="form-control"/> <field type="date" required="true" label="Possible Cruise Start 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="date" required="true" label="Possible Cruise End Date" 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"/> <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="How long are you wanting to sail?" name="how-long-are-you-wanting-to-sail" subtype="text" className="form-control"/> <field type="text" label="Have you already started looking at cruise options? If so, if you've found a specific cruise you are interested in, please list here." name="have-you-already-started-looking-at-cruise-options-if-so-if-youve-found-a-specific-cruise-you-are-interested-in-please-list-here" subtype="text" className="form-control"/> <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="select" label="Have you hired a&nbsp; Travel Advisor before?" name="have-you-worked-with-a-travel-advisor-before" className="form-control"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="text" label="What stage of planning are you in?" name="what-stage-of-planning-are-you-in" subtype="text" className="form-control"/> <field type="text" label="How many people (including yourself) are in your cruising party?" name="how-many-people-including-yourself-are-in-your-cruising-party" subtype="text" className="form-control"/> <field type="textarea" required="true" label="Please list names of all travelers as they appear on passport and their Dates of Birth&nbsp;" name="please-list-names-and-ages-if-under-18-of-all-travelers" className="form-control"/> <field type="header" subtype="h3" label="Specific Cruise Questions"/> <field type="checkbox-group" label="Are you a first time cruiser?" name="are-you-a-first-time-cruiser"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="clientLoyaltyPrograms" label="Loyalty Programs" name="loyalty-program" loyalty-program-note="*** This field allows your client to enter multiple loyalty program numbers (you only need one of these per form template) ***" className="form-control"/> <field type="text" label="For this cruise, where would you like to cruise to? (i.e. Mediterranean, River Cruise, Alaska, Caribbean)" name="for-this-cruise-where-would-you-like-to-cruise-to-ie-mediterranean-river-cruise-alaska-caribbean" subtype="text" className="form-control"/> <field type="checkbox-group" label="What type of stateroom do you prefer?" name="what-type-of-stateroom-do-you-prefer"> <option label="Interior (no window)" value="interior-no-window">Interior (no window)</option> <option label="Window" value="window">Window</option> <option label="Balcony/Verandah" value="balconyverandah">Balcony/Verandah</option> <option label="Suite" value="suite">Suite</option> </field> <field type="text" label="Do you have a port in mind that you want to sail from or to?" name="do-you-have-a-port-in-mind-that-you-want-to-sail-from-or-to" subtype="text" className="form-control"/> <field type="textarea" label="Are there any specific destinations or countries you want to visit on your cruise?" name="are-there-any-specific-destinations-or-countries-you-want-to-visit-on-your-cruise" className="form-control"/> <field type="checkbox-group" label="Would you be interested in airfare quoted with your cruise? I usually let people book airfare on their own but sometimes cruise lines will have good air packages." name="would-you-be-interested-in-airfare-quoted-with-your-cruise-i-usually-let-people-book-airfare-on-their-own-but-sometimes-cruise-lines-will-have-good-air-packages"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="radio-group" required="true" 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"> <option label="$3,000 to 5,000" value="3000-to-5000">$3,000 to 5,000</option> <option label="$5,000 to $7,500" value="5000-to-7500">$5,000 to $7,500</option> <option label="$7,500 to $10,000" value="7500-to-10000">$7,500 to $10,000</option> <option label="$10,000 to $15,000" value="10000-to-15000">$10,000 to $15,000</option> <option label="$15,000+" value="15000">$15,000+</option> </field> <field type="checkbox-group" label="Does this budget include airfare?" name="does-this-budget-include-airfare"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="radio-group" label="If this is an international trip, can you confirm that each traveler has a passport that is valid for at least 6 months after your return date?" name="if-this-is-an-international-trip-can-you-confirm-that-each-traveler-has-a-passport-that-is-valid-for-at-least-6-months-after-your-return-date"> <option label="Yes, I can confirm" value="yes-i-can-confirm">Yes, I can confirm</option> <option label="No, travelers will need to update their passports prior to travel" value="no-travelers-will-need-to-update-their-passports-prior-to-travel">No, travelers will need to update their passports prior to travel</option> </field> <field type="checkbox-group" label="Is everyone in your party vaccinated? Some destinations/companies are requiring proof of COVID-19 vaccination." name="is-everyone-in-your-party-vaccinated-some-destinationscompanies-are-requiring-proof-of-covid19-vaccination"> <option label="Yes" value="yes">Yes</option> <option label="No, we have no interest in travel to places that require the COVID-19 vaccine" value="no-we-have-no-interest-in-travel-to-places-that-require-the-covid19-vaccine">No, we have no interest in travel to places that require the COVID-19 vaccine</option> </field> <field type="textarea" label="Do you have a specific cruise line in mind? For example, Viking, Princess, Disney, Amawaterways, Norwegian, etc" name="do-you-have-a-specific-cruise-line-in-mind-for-example-viking-princess-disney-amawaterways-norwegian-etc" className="form-control"/> <field type="text" label="Anything you absolutely must do or see?" name="must-dos" subtype="text" className="form-control"/> <field type="textarea" label="Tell me a favorite memory from a previous vacation" name="tell-me-a-favorite-memory-from-a-previous-vacation" 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="text" label="If you are a new client, how did you hear about me?" name="how-did-you-hear-about-me-" subtype="text" className="form-control"/> </fields> </form-template> </body> </html>
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