<html> <body> <form-template> <fields> <field type="header" subtype="h1" label="FAMILY MEMBER PPOFILE FORM"/> <field type="header" subtype="h1" label="SECTION 1: CONTACT DETAILS"/> <field type="header" subtype="h2" label="Full name"/> <field type="paragraph" subtype="p" label="Primary Traveler (Information must match your passport):"/> <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" label="Middle name" name="middle-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" label="Suffix" name="suffix" subtype="text" className="form-control"/> <field type="text" label="Preferred name" name="preferred-name" subtype="text" className="form-control"/> <field required="true" type="text" label="Email" name="email" subtype="text" className="form-control"/> <field type="date" required="true" label="Date of Birth" name="date-1763520213563" className="form-control"/> <field type="text" required="true" label="Phone number" name="phone-number" subtype="text" className="form-control"/> <field type="checkbox-group" label="Preferred Method of Contact:" name="preferred-method-of-contact"> <option label="E-mail" value="email">E-mail</option> <option label="Phone" value="phone">Phone</option> <option label="Text" value="text">Text</option> </field> <field type="header" subtype="h2" label="Passport Info"/> <field type="text" required="true" label="Full name as it appears on passport" name="passport-name" subtype="text" className="form-control"/> <field type="text" label="Passport number" name="passport-number" subtype="text" className="form-control"/> <field type="text" required="true" label="Country of issue" name="passport-country-of-issue" subtype="text" className="form-control"/> <field type="date" required="true" label="Date of issue" name="passport-date-of-issue" className="form-control"/> <field type="date" required="true" label="Date of expiration" name="passport-date-of-expiration" className="form-control"/> <field type="radio-group" required="true" label="Gender" name="gender"> <option label="F" value="female">F</option> <option label="M" value="male">M</option> <option label="X" value="other">X</option> </field> <field type="text" required="true" label="Place of birth" name="place-of-birth" subtype="text" className="form-control"/> <field type="text" required="true" label="Citizenship" name="citizenship" subtype="text" className="form-control"/> <field type="checkbox-group" required="true" label="Do you have a valid Green Card?" name="if-not-a-us-citizen-do-you-have-a-valid-green-card"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> <option label="N/A" value="na">N/A</option> </field> <field type="date" label="Green Card Expiration Date" name="date-1763524747850" className="form-control"/> <field type="header" subtype="h1" label="Trusted Traveler Programs"/> <field type="text" label="Global Entry Number" name="text-1763525172645" subtype="text" className="form-control"/> <field type="text" label="TSA PreCheck Number" name="tsa-precheck-number" subtype="text" className="form-control"/> <field type="header" subtype="h1" label="Emergency Contact"/> <field type="text" label="Name" name="name" subtype="text" className="form-control"/> <field type="text" label="Relationship" name="text-1763528768997" subtype="text" className="form-control"/> <field type="text" label="Phone &amp; Email" name="phone-email" subtype="text" className="form-control"/> <field type="paragraph" subtype="p" label="Important Notice: On June 1, 2019, IATA Resolution 830d requires all travel advisors to enter passenger contact information when booking air tickets to notify passengers of operational disruptions. Your information will be stored securely on a PCI-compliant website and will only be used to book your travel arrangements. It will never be sold or shared for any other purpose."/> <field type="header" subtype="h1" label="SECTION 2: TRIP OVERVIEW"/> <field type="text" required="true" label="Desired destination(s)" name="desired-destinations" subtype="text" className="form-control"/> <field type="checkbox-group" required="true" label="Have you been there before?" name="checkbox-group-1763529143382"> <option label="No" value="no">No</option> <option label="Yes – within the past 5 years" value="yes-within-the-past-5-years">Yes – within the past 5 years</option> <option label="Yes – longer than 5 years ago" value="yes-longer-than-5-years-ago">Yes – longer than 5 years ago</option> </field> <field type="textarea" label="What inspired this trip?&nbsp;" name="what-inspired-this-trip-special-occasion-bucket-list-cultural-interest-photography-nature-etc-" className="form-control"/> <field type="header" subtype="h1" label="SECTION 4: TRAVEL PREFERENCES"/> <field type="header" subtype="h1" label="Airport &amp; Airlines"/> <field type="text" label="Preferred Airline" name="preferred-airline" subtype="text" className="form-control"/> <field type="text" label="Airline Loyaly #" name="airline-loyaly-" subtype="text" className="form-control"/> <field type="checkbox-group" label="Preferred seat" name="checkbox-group-1763531074031"> <option label="Window" value="window">Window</option> <option label="Aisle" value="aisle">Aisle</option> <option label="Least expensive" value="least-expensive">Least expensive</option> <option label="Bulk head" value="bulk-head">Bulk head</option> </field> <field type="checkbox-group" label="Do you expect to check luggage?" name="do-you-expect-to-check-luggage"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> <option label="Not sure yet" value="not-sure-yet">Not sure yet</option> </field> <field type="header" subtype="h1" label="Lodging Preferences (check all that apply)"/> <field type="text" label="Preferred Hotel Chain (if any)" name="text-1763566233945" subtype="text" className="form-control"/> <field type="textarea" label="Hotel Loyalty Numbers" name="hotel-loyalty-numbers" className="form-control"/> <field type="checkbox-group" label="Must-have amenities&nbsp; (please note that all of these will not always be available)" name="checkbox-group-1763570189905"> <option label="Fridge" value="fridge">Fridge</option> <option label="Coffee Maker" value="coffee-maker">Coffee Maker</option> <option label="Kitchenette / Kitchen" value="kitchenette-kitchen">Kitchenette / Kitchen</option> <option label="In-room Safe" value="inroom-safe">In-room Safe</option> <option label="Air Conditioning" value="air-conditioning">Air Conditioning</option> <option label="Bathrobe & Slippers" value="bathrobe-slippers">Bathrobe & Slippers</option> <option label="Fireplace" value="fireplace">Fireplace</option> <option label="Dining Table" value="dining-table">Dining Table</option> <option label="Sofa Bed" value="sofa-bed">Sofa Bed</option> <option label="Bathtub" value="bathtub">Bathtub</option> <option label="Shower" value="shower">Shower</option> <option label="Accessible Room" value="accessible-room">Accessible Room</option> <option label="Extra Pillows / Hypoallergenic Pillows" value="extra-pillows-hypoallergenic-pillows">Extra Pillows / Hypoallergenic Pillows</option> <option label="On-site Restaurant " value="onsite-restaurant-">On-site Restaurant </option> <option label="On-site Bar / Lounge" value="onsite-bar-lounge">On-site Bar / Lounge</option> <option label="Pool" value="pool">Pool</option> <option label="Hot Tub / Jacuzzi" value="hot-tub-jacuzzi">Hot Tub / Jacuzzi</option> <option label="Sauna / Steam Room" value="sauna-steam-room">Sauna / Steam Room</option> <option label="Fitness Center / Gym" value="fitness-center-gym">Fitness Center / Gym</option> <option label="On-site Yoga / Wellness Center / Spa" value="onsite-yoga-wellness-center-spa">On-site Yoga / Wellness Center / Spa</option> <option label="Free Parking" value="free-parking">Free Parking</option> <option label="Valet Parking" value="valet-parking">Valet Parking</option> <option label="EV Charging" value="ev-charging">EV Charging</option> <option label="Airport Shuttle" value="airport-shuttle">Airport Shuttle</option> <option label="Laundry Service" value="laundry-service">Laundry Service</option> <option label="Concierge Service" value="concierge-service">Concierge Service</option> <option label="Business Center / Meeting Room" value="business-center-meeting-room">Business Center / Meeting Room</option> <option label="Smoking Rooms" value="smoking-rooms">Smoking Rooms</option> <option label="Allergy-Friendly Rooms (no feathers etc)" value="allergyfriendly-rooms-no-feathers-etc">Allergy-Friendly Rooms (no feathers etc)</option> <option label="Early Check-In" value="early-checkin">Early Check-In</option> <option label="Late Check-Out" value="late-checkout">Late Check-Out</option> </field> <field type="header" subtype="h1" label="Transportation Preferences (check all that apply)"/> <field type="header" subtype="h1" label="Car Rental Comfort"/> <field type="checkbox-group" label="Check all you are comfortable with" name="checkbox-group-1763566983326"> <option label="Manual Transmission (Stick Shift)" value="manual-transmission-stick-shift">Manual Transmission (Stick Shift)</option> <option label="Electric Car" value="electric-car">Electric Car</option> <option label="Driving on the left side" value="driving-on-the-left-side">Driving on the left side</option> <option label="City driving in big, congested cities" value="city-driving-in-big-congested-cities">City driving in big, congested cities</option> <option label="Winter / Icy Condition" value="winter-icy-condition">Winter / Icy Condition</option> <option label="Winding, Narrow Roads" value="winding-narrow-roads">Winding, Narrow Roads</option> <option label="Parallel Parking" value="parallel-parking">Parallel Parking</option> </field> <field type="header" subtype="h1" label="SECTION 5: ACTIVITIES &amp; INTERESTS"/> <field type="paragraph" subtype="p" label="Please note that not all activities are available year-round or in every destination.&nbsp; &nbsp;Availability also vary based on season, weather conditions, and local regulations.&nbsp;"/> <field type="paragraph" subtype="p" label="Certain activities may also require guests to meet specific eligibility criteria, such as minimum or maximum age, weight limits, mobility requirements, or physical fitness levels. Some high-risk or adventure activities may require travel insurance, signed waivers, or in rare cases a doctor’s clearance."/> <field type="paragraph" subtype="p" label="By sharing your interests below, I will make every effort to match you with activities that are appropriate, safe, and available during your travel dates."/> <field type="checkbox-group" label="Please check all that interests you" name="checkbox-group-1763577031691"> <option label="Scenic hiking / nature walks" value="scenic-hiking-nature-walks">Scenic hiking / nature walks</option> <option label="Trekking / summit hikes" value="trekking-summit-hikes">Trekking / summit hikes</option> <option label="Wildlife viewing / safaris / birdwatching" value="wildlife-viewing-safaris-birdwatching">Wildlife viewing / safaris / birdwatching</option> <option label="Botanical gardens / nature reserves / national parks" value="botanical-gardens-nature-reserves-national-parks">Botanical gardens / nature reserves / national parks</option> <option label="Beach / lakefront exploration" value="beach-lakefront-exploration">Beach / lakefront exploration</option> <option label="Photography lessons in nature" value="photography-lessons-in-nature">Photography lessons in nature</option> <option label="Geothermal or natural hot springs visits" value="geothermal-or-natural-hot-springs-visits">Geothermal or natural hot springs visits</option> <option label="Ziplining / ropes courses" value="ziplining-ropes-courses">Ziplining / ropes courses</option> <option label="Paragliding / hang gliding / skydiving / bungee jumping" value="paragliding-hang-gliding-skydiving-bungee-jumping">Paragliding / hang gliding / skydiving / bungee jumping</option> <option label="White-water rafting / canyoning / river adventures" value="whitewater-rafting-canyoning-river-adventures">White-water rafting / canyoning / river adventures</option> <option label="ATV / quad biking / off-road vehicle tours" value="atv-quad-biking-offroad-vehicle-tours">ATV / quad biking / off-road vehicle tours</option> <option label="Helicopter tours / scenic flights" value="helicopter-tours-scenic-flights">Helicopter tours / scenic flights</option> <option label="Glacier hiking / ice climbing / volcano hikes" value="glacier-hiking-ice-climbing-volcano-hikes">Glacier hiking / ice climbing / volcano hikes</option> <option label="Surfing / kite surfing / windsurfing" value="surfing-kite-surfing-windsurfing">Surfing / kite surfing / windsurfing</option> <option label="Skiing alpine & cross-country / snowboarding / snowshoeing" value="skiing-alpine-crosscountry-snowboarding-snowshoeing">Skiing alpine & cross-country / snowboarding / snowshoeing</option> <option label="Dog sledding / reindeer sledding" value="dog-sledding-reindeer-sledding">Dog sledding / reindeer sledding</option> <option label="Snowmobiling" value="snowmobiling">Snowmobiling</option> <option label="Tobogganing / sledding" value="tobogganing-sledding">Tobogganing / sledding</option> <option label="Ice skating" value="ice-skating">Ice skating</option> <option label="Ice fishing / sport fishing" value="ice-fishing-sport-fishing">Ice fishing / sport fishing</option> <option label="Kayaking / canoeing / stand-up paddleboarding / rowing" value="kayaking-canoeing-standup-paddleboarding-rowing">Kayaking / canoeing / stand-up paddleboarding / rowing</option> <option label="Snorkeling / scuba diving" value="snorkeling-scuba-diving">Snorkeling / scuba diving</option> <option label="Sailing / yachting / boat tours" value="sailing-yachting-boat-tours">Sailing / yachting / boat tours</option> <option label="Ferry boat / yacht" value="ferry-boat-yacht">Ferry boat / yacht</option> <option label="Interacting with locals / village visits" value="interacting-with-locals-village-visits">Interacting with locals / village visits</option> <option label="Cooking classes / culinary experiences" value="cooking-classes-culinary-experiences">Cooking classes / culinary experiences</option> <option label="Local dining experiences / food tours / wine, beer, or spirits tastings" value="local-dining-experiences-food-tours-wine-beer-or-spirits-tastings">Local dining experiences / food tours / wine, beer, or spirits tastings</option> <option label="Arts & crafts lessons / workshops pottery, weaving, painting, etc.)" value="arts-crafts-lessons-workshops-pottery-weaving-painting-etc">Arts & crafts lessons / workshops pottery, weaving, painting, etc.)</option> <option label="Historic sites & monuments" value="historic-sites-monuments">Historic sites & monuments</option> <option label="Museums & galleries" value="museums-galleries">Museums & galleries</option> <option label="Music / theater / dance performances & festivals" value="music-theater-dance-performances-festivals">Music / theater / dance performances & festivals</option> <option label="Festivals / markets (e.g., Christmas markets, cultural fairs)" value="festivals-markets-eg-christmas-markets-cultural-fairs">Festivals / markets (e.g., Christmas markets, cultural fairs)</option> <option label="Guided tours of historical or natural sites" value="guided-tours-of-historical-or-natural-sites">Guided tours of historical or natural sites</option> <option label="Wildlife or conservation tours" value="wildlife-or-conservation-tours">Wildlife or conservation tours</option> <option label="Volunteer opportunities / community projects" value="volunteer-opportunities-community-projects">Volunteer opportunities / community projects</option> <option label="Environmental or eco-tours" value="environmental-or-ecotours">Environmental or eco-tours</option> <option label="Spas / wellness retreats / hot springs" value="spas-wellness-retreats-hot-springs">Spas / wellness retreats / hot springs</option> <option label="Yoga / meditation classes" value="yoga-meditation-classes">Yoga / meditation classes</option> <option label="Walking tours / scenic strolls" value="walking-tours-scenic-strolls">Walking tours / scenic strolls</option> <option label="Beach relaxation" value="beach-relaxation">Beach relaxation</option> <option label="Bicycle / Vespa / Motorcycle" value="bicycle-vespa-motorcycle">Bicycle / Vespa / Motorcycle</option> <option label="High-intensity fitness activities (mountain biking, trail running, long hikes)" value="highintensity-fitness-activities-mountain-biking-trail-running-long-hikes">High-intensity fitness activities (mountain biking, trail running, long hikes)</option> <option label="Private guided tours" value="private-guided-tours">Private guided tours</option> <option label="Group tours" value="group-tours">Group tours</option> <option label="Private chef / culinary experiences" value="private-chef-culinary-experiences">Private chef / culinary experiences</option> <option label="Photo shoot" value="photo-shoot">Photo shoot</option> <option label="Gambeling" value="gambeling">Gambeling</option> <option label="Shopping / personal shopper / fashion shows" value="shopping-personal-shopper-fashion-shows">Shopping / personal shopper / fashion shows</option> <option label="Family heritage" value="family-heritage">Family heritage</option> <option label="Theme trip / Harry Potter / WWII/ Christmas markets/ ghost tours" value="theme-trip-harry-potter-wwii-christmas-markets-ghost-tours">Theme trip / Harry Potter / WWII/ Christmas markets/ ghost tours</option> <option label="Religious" value="religious">Religious</option> <option label="Tulip / Flower shows" value="tulip-flower-shows">Tulip / Flower shows</option> <option label="Carnival " value="carnival-">Carnival </option> <option label="Language immersion" value="language-immersion">Language immersion</option> </field> <field type="textarea" label="Activities You&nbsp; Must Include" name="activities-you-must-include" className="form-control"/> <field type="textarea" label="Type of activities to avoid" name="type-of-activities-to-avoid" className="form-control"/> <field type="checkbox-group" label="Is Eco-Friendly / Sustainable Travel important" name="checkbox-group-1763582249858"> <option label="Yes" value="yes">Yes</option> <option label="Nice, but not a dealbreaker" value="nice-but-not-a-dealbreaker">Nice, but not a dealbreaker</option> <option label="No" value="no">No</option> </field> <field type="checkbox-group" label="Are you comfortable trying new things?" name="checkbox-group-1763582405675"> <option label="Always" value="always">Always</option> <option label="Sometimes" value="sometimes">Sometimes</option> <option label="Usually not" value="usually-not">Usually not</option> <option label="No" value="no">No</option> </field> <field type="checkbox-group" label="Preferred dress code while on vacation" name="checkbox-group-1763582683017"> <option label="Casual" value="casual">Casual</option> <option label="Country club casual" value="country-club-casual">Country club casual</option> <option label="Formal" value="formal">Formal</option> <option label="Depends on the trip" value="depends-on-the-trip">Depends on the trip</option> </field> <field type="checkbox-group" label="Are you a country or city person?" name="checkbox-group-1763583702275"> <option label="Country" value="country">Country</option> <option label="City" value="city">City</option> <option label="Both" value="both">Both</option> <option label="" value=""/> </field> <field type="text" label="What is your favorite hobby?" name="what-is-your-favorite-hobby" subtype="text" className="form-control"/> <field type="header" subtype="h1" label="SECTION 6: DINING &amp; DIETARY PREFERENCES"/> <field type="radio-group" label="Is food an important part of your travel experience?" name="radio-group-1763583873696"> <option label="Very Important" value="very-important">Very Important</option> <option label="Moderately Important" value="moderately-important">Moderately Important</option> <option label="Not a Big Focus" value="not-a-big-focus">Not a Big Focus</option> </field> <field type="checkbox-group" label="Preferred Dining Style" name="checkbox-group-1763583989217"> <option label="Casual Local Spots" value="casual-local-spots">Casual Local Spots</option> <option label="Fine Dining" value="fine-dining">Fine Dining</option> <option label="Michelin Star / High-End" value="michelin-star-highend">Michelin Star / High-End</option> <option label="A combination of all three" value="a-combination-of-all-three">A combination of all three</option> </field> <field type="checkbox-group" label="Dietary restrictions" name="checkbox-group-1763584165828"> <option label="Vegetarian" value="vegetarian">Vegetarian</option> <option label="Vegan" value="vegan">Vegan</option> <option label="Pescatorian" value="pescatorian">Pescatorian</option> <option label="No fish" value="no-fish">No fish</option> <option label="No dairy" value="no-dairy">No dairy</option> <option label="No gluten" value="no-gluten">No gluten</option> <option label="No nuts" value="no-nuts">No nuts</option> <option label="Kosher" value="kosher">Kosher</option> </field> <field type="textarea" label="Do you have any food allergies that we should know about?" name="do-you-have-any-food-allergies-that-we-should-know-about" className="form-control"/> <field type="text" label="What is your favorite food?" name="text-1763584409256" subtype="text" className="form-control"/> <field type="text" label="What is your favorite dessert?" name="text-1763584459204" subtype="text" className="form-control"/> <field type="text" label="What is your favorite drink?" name="what-is-your-favorite-drink" subtype="text" className="form-control"/> <field type="radio-group" label="Do you drink beer?" name="radio-group-1763584538148"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> <option label="Sometimes" value="sometimes">Sometimes</option> </field> <field type="radio-group" label="Do you drink wine?" name="radio-group-1763584578535"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> <option label="Sometimes" value="sometimes">Sometimes</option> </field> <field type="radio-group" label="Do you drinkhard liquor?" name="radio-group-1763584580036"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> <option label="Sometimes" value="sometimes">Sometimes</option> </field> <field type="radio-group" label="Do you smoke?" name="radio-group-1763584670532"> <option label="Yes" value="yes">Yes</option> <option label="Once in a while, not on a regular basis" value="once-in-a-while-not-on-a-regular-basis">Once in a while, not on a regular basis</option> <option label="No" value="no">No</option> </field> <field type="header" subtype="h1" label="SECTION 7: PERSONAL PREFERENCES &amp; TRAVEL STYLE"/> <field type="checkbox-group" label="Please select your favorite season" name="checkbox-group-1763584879792"> <option label="Spring" value="spring">Spring</option> <option label="Summer" value="summer">Summer</option> <option label="Spring" value="spring">Spring</option> <option label="Winter" value="winter">Winter</option> </field> <field type="text" label="How much free time do you want when on vacation?" name="text-1763585439608" subtype="text" className="form-control"/> <field type="checkbox-group" label="What is your activity level?" name="checkbox-group-1763585493651"> <option label="Level 1: Easy - Travelers in good health with minor to good mobility, comfortable participating in 3 hrs of activity per day." value="level-1-easy-travelers-in-good-health-with-minor-to-good-mobility-comfortable-participating-in-3-hrs-of-activity-per-day">Level 1: Easy - Travelers in good health with minor to good mobility, comfortable participating in 3 hrs of activity per day.</option> <option label="Level 2: Moderate - Physically fit and comfortable with full days of touring & walking" value="level-2-moderate-physically-fit-and-comfortable-with-full-days-of-touring-walking">Level 2: Moderate - Physically fit and comfortable with full days of touring & walking</option> <option label="Level 3: Moderate / Active -physically fit, lead active lives, are comfortable with full days of activities, and some physical exertion" value="level-3-moderate-active-physically-fit-lead-active-lives-are-comfortable-with-full-days-of-activities-and-some-physical-exertion">Level 3: Moderate / Active -physically fit, lead active lives, are comfortable with full days of activities, and some physical exertion</option> <option label="Level 4: Active -high fitness level, vigorous pace, comfortable w/ 8 hrs of physical activity per day." value="level-4-active-high-fitness-level-vigorous-pace-comfortable-w-8-hrs-of-physical-activity-per-day">Level 4: Active -high fitness level, vigorous pace, comfortable w/ 8 hrs of physical activity per day.</option> <option label="Level 5: Very Active -very high fitness level, vigorous pace, comfortable w/ 15 hrs of physical activity per day,. A doctor’s certificate required." value="level-5-very-active-very-high-fitness-level-vigorous-pace-comfortable-w-15-hrs-of-physical-activity-per-day-a-doctors-certificate-required">Level 5: Very Active -very high fitness level, vigorous pace, comfortable w/ 15 hrs of physical activity per day,. A doctor’s certificate required.</option> </field> <field type="checkbox-group" label="Check off the top 3 most important things for your vacation?*" name="please-check-off-the-top-3-most-important-things-when-going-on-a-vacation"> <option label="Accommodations - comfort & amenities of your hotel/cabin" value="accommodations-comfort-amenities-of-your-hotelcabin">Accommodations - comfort & amenities of your hotel/cabin</option> <option label="Activities - how much and what there is to do" value="activities-how-much-and-what-there-is-to-do">Activities - how much and what there is to do</option> <option label="Food - quality & options" value="food-quality-options">Food - quality & options</option> <option label="Price" value="price">Price</option> <option label="Scenery" value="scenery">Scenery</option> <option label="Weather" value="weather">Weather</option> <option label="Entertainment" value="entertainment">Entertainment</option> <option label="Local culture" value="local-culture">Local culture</option> <option label="Historic sites" value="historic-sites">Historic sites</option> <option label="Lack of crowds" value="lack-of-crowds">Lack of crowds</option> <option label="Modern conveniences" value="modern-conveniences">Modern conveniences</option> <option label="Public transportation (no need for rental car etc.)" value="public-transportation-no-need-for-rental-car-etc">Public transportation (no need for rental car etc.)</option> <option label="Easy / short flight to my home" value="easy-short-flight-to-my-home">Easy / short flight to my home</option> <option label="Safety" value="safety">Safety</option> <option label="I have friends or family here" value="i-have-friends-or-family-here">I have friends or family here</option> <option label="I have a sentimental reason to visit" value="i-have-a-sentimental-reason-to-visit">I have a sentimental reason to visit</option> <option label="I would like to do volunteer work" value="i-would-like-to-do-volunteer-work">I would like to do volunteer work</option> <option label="Religious reasons" value="religious-reasons">Religious reasons</option> <option label="Heritage" value="heritage">Heritage</option> <option label="Special event/s" value="special-events">Special event/s</option> <option label="Shopping" value="shopping">Shopping</option> </field> <field type="radio-group" label="Is being close to a place of worship important to you when on vacation" name="radio-group-1763586635369"> <option label="Yes" value="yes">Yes</option> <option label="If it is there, I will go, but not a requirement" value="if-it-is-there-i-will-go-but-not-a-requirement">If it is there, I will go, but not a requirement</option> <option label="No" value="no">No</option> </field> <field type="checkbox-group" label="Social Media Platforms" name="checkbox-group-1763587032558"> <option label="FB" value="fb">FB</option> <option label="X" value="x">X</option> <option label="Pinterest" value="pinterest">Pinterest</option> <option label="LinkedIn" value="linkedin">LinkedIn</option> <option label="Snapchat" value="snapchat">Snapchat</option> <option label="Instagram" value="instagram">Instagram</option> <option label="N/A" value="na">N/A</option> <option label="" value=""/> </field> <field type="text" label="What is your favorite genre of music" name="what-is-your-favorite-genre-of-music" subtype="text" className="form-control"/> <field type="text" label="What is your favorite genre of movies" name="text-1763586806423" subtype="text" className="form-control"/> <field type="text" label="What is your favorite furniture style" name="text-1763586971147" subtype="text" className="form-control"/> <field type="checkbox-group" label="Do you consider yourself tech savvy" name="do-you-consider-yourself-tech-savvy"> <option label="Yes, I feel comfortable using techology" value="yes-i-feel-comfortable-using-techology">Yes, I feel comfortable using techology</option> <option label="I use technology, but not an expert" value="i-use-technology-but-not-an-expert">I use technology, but not an expert</option> <option label="I am a little tech-phobic" value="i-am-a-little-techphobic">I am a little tech-phobic</option> <option label="I rarely use technology" value="i-rarely-use-technology">I rarely use technology</option> </field> <field type="paragraph" subtype="p" label="Do you have any special needs such as food allergies, food restrictions due to religious reasons, pregnancy or medical disabilities etc that we should know about?&nbsp; &nbsp;This is very important, as our main priority is to make sure you are safe."/> <field type="textarea" label="In one sentence - what is your idea of luxury?" name="in-one-sentence-what-is-your-idea-of-luxury" className="form-control"/> <field type="checkbox-group" required="true" label="Do you have any special needs?" name="do-you-have-any-special-needs"> <option label="No" value="no">No</option> <option label="Yes" value="yes">Yes</option> </field> <field type="textarea" label="Please list any special fears you have (spiders, heights etc.)" name="textarea-1763588103996" className="form-control"/> <field type="textarea" label="Is there anything else would you like me to know" name="textarea-1763588162125" className="form-control"/> <field type="text" label="Is there anything you absolutely must do or see?" name="is-there-anything-you-absolutely-must-do-or-see" subtype="text" className="form-control"/> <field type="text" label="Please include email" name="text-1763588893804" subtype="text" className="form-control"/> <field type="paragraph" subtype="p" label="Please let me know what prompted you to choose to work with me. This helps me know how I can be of as much value to you as possible."/> <field type="textarea" label="Feel free to give several reasons." name="textarea-1763588981884" className="form-control"/> <field type="checkbox-group" label="Will you be celebrating a special occasion" name="will-you-be-celebrating-a-special-occasion"> <option label="Birthday" value="birthday">Birthday</option> <option label="Engagement" value="engagement">Engagement</option> <option label="Destination Bachelor / Bachelorette Part" value="destination-bachelor-bachelorette-part">Destination Bachelor / Bachelorette Part</option> <option label="Destination Wedding" value="destination-wedding">Destination Wedding</option> <option label="Honeymoon" value="honeymoon">Honeymoon</option> <option label="Babymoon" value="babymoon">Babymoon</option> <option label="Family Reunion" value="family-reunion">Family Reunion</option> <option label="Retirement" value="retirement">Retirement</option> <option label="Company Incentive" value="company-incentive">Company Incentive</option> <option label="Friend's Reunion" value="friends-reunion">Friend's Reunion</option> <option label="Graduation" value="graduation">Graduation</option> <option label="Anniversary" value="anniversary">Anniversary</option> <option label="Other" value="other">Other</option> <option label="N/A" value="na">N/A</option> </field> <field type="text" label="Other celebration" name="text-1763589966968" subtype="text" className="form-control"/> <field type="header" subtype="h1" label="SECTION 8: DECISION-MAKING &amp; NEXT STEPS&nbsp;"/> <field type="textarea" label="Do you have any concerns or questions about planning this trip?&nbsp; Please explain" name="do-you-have-any-concerns-or-questions-about-planning-this-trip-please-explain" className="form-control"/> <field type="header" subtype="h1" label="Thank you very much for taking the time to fill out this form. I look forward to the opportunity to work with you."/> </fields> </form-template> </body> </html>
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