<html> <body> <form-template> <fields> <field type="header" subtype="h2" label="When you just don't know where to go next"/> <field type="paragraph" subtype="p" label="&nbsp;To help us find the perfect destination for your next trip, we just need a bit of information from you. Please take your time and provide as much detail as possible when answering these questions."/> <field type="header" subtype="h2" label="Information about You"/> <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" label="Preferred name (nickname)" name="preferred-name" subtype="text" className="form-control"/> <field type="text" required="true" label="City" name="address-city" subtype="text" className="form-control"/> <field type="text" required="true" label="State" name="address-state" subtype="text" className="form-control"/> <field type="text" required="true" label="Primary 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="date" required="true" label="Date of Birth" name="date-of-birth" className="form-control"/> <field type="radio-group" required="true" label="Do you have a valid passport?" name="do-you-have-a-passport-that-has-not-expired"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <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="header" subtype="h2" label="Trip Logistics"/> <field type="text" label="When would you like to travel?&nbsp; Please be a specific as possible and let me know if these dates are flexible." name="when-would-you-like-to-travel-please-let-me-know-if-these-dates-are-flexible" subtype="text" className="form-control"/> <field type="text" label="How many nights would you like to be away?&nbsp; Is this flexible?" name="how-many-days-would-you-like-to-be-away-is-this-flexible" subtype="text" className="form-control"/> <field type="text" label="How many people will be traveling?&nbsp; &nbsp;Please specify how many adults and how many children, and their age." name="number-of-travelers" subtype="text" className="form-control"/> <field type="paragraph" subtype="p" label="What is your approximate budget per person for this trip?&nbsp; &nbsp; &nbsp;"/> <field type="text" label="undefined" name="are-you-interested-in-a-quote-for-travel-insurance" subtype="text" className="form-control"/> <field type="radio-group" required="true" label="Does this budget include air?" name="do-you-have-an-idea-of-how-much-you-would-like-to-spend-per-person-on-your-trip-no-trip-can-be-planned-unless-we-have-a-price-range-to-work-with"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="text" label="Which is your preferred airport?" name="which-is-your-preferred-airport" subtype="text" className="form-control"/> <field type="radio-group" required="true" label="Are you comfortable with long flights or prefer closer destinations?" name="are-you-comfortable-with-long-flights-or-prefer-closer-destinations"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="header" subtype="h2" label="Interests &amp; Activities"/> <field type="checkbox-group" required="true" label="What type of activities do you enjoy on vacation (e.g., adventure, relaxation, sightseeing, cultural experiences)?" description="Check all that apply" name="activity-preferences" other="true"> <option label="Beach and water" value="beach-water">Beach and water</option> <option label="Food & Wine (Beer, or Whiskey)" value="food-wine-beer-or-whiskey">Food & Wine (Beer, or Whiskey)</option> <option label="Historic Sites" value="historic-sites">Historic Sites</option> <option label="Adventure Activities - ziplining, bungee jumping, rock climbing" value="adventure-activities-ziplining-bungee-jumping-rock-climbing">Adventure Activities - ziplining, bungee jumping, rock climbing</option> <option label="Safari / bird watching / whale safari etc." value="safari-bird-watching-whale-safari-etc">Safari / bird watching / whale safari etc.</option> <option label="Nightlife" value="nightlife">Nightlife</option> <option label="Arts and theater" value="art-theater">Arts and theater</option> <option label="Photography" value="photography">Photography</option> <option label="Wellness - spa, yoga, meditation" value="wellness-spa-yoga-meditation">Wellness - spa, yoga, meditation</option> <option label="Local Culture - story telling" value="local-culture-story-telling">Local Culture - story telling</option> <option label="Outdoor activities - skiing, hiking, cycling, diving etc." value="outdoor-activities-skiing-hiking-cycling-diving-etc">Outdoor activities - skiing, hiking, cycling, diving etc.</option> <option label="Shopping" value="shopping">Shopping</option> <option label="Sight-seeing - museums & iconic landmarks" value="sightseeing-museums-iconic-landmarks">Sight-seeing - museums & iconic landmarks</option> <option label="Rest & relaxation" value="rest-relaxation">Rest & relaxation</option> <option label="High intensity" value="high-intensity">High intensity</option> <option label="Cooking" value="cooking">Cooking</option> <option label="Meet with locals" value="meet-with-locals">Meet with locals</option> <option label="Music - concerts etc." value="music-concerts-etc">Music - concerts etc.</option> <option label="Volunteering or eco-tourism activities" value="volunteering-or-ecotourism-activities">Volunteering or eco-tourism activities</option> <option label="Educational" value="educational">Educational</option> <option label="Religious" value="religious">Religious</option> <option label="Cycling tours" value="cycling-tours">Cycling tours</option> <option label="Amusement parks & themed attractions" value="amusement-parks-themed-attractions">Amusement parks & themed attractions</option> <option label="Fishing or fly-fishing expeditions" value="fishing-or-flyfishing-expeditions">Fishing or fly-fishing expeditions</option> <option label="Golfing" value="golfing">Golfing</option> <option label="River cruises or fjord tours" value="river-cruises-or-fjord-tours">River cruises or fjord tours</option> <option label="Boating or sailing excursions." value="boating-or-sailing-excursions">Boating or sailing excursions.</option> <option label="Hot air balloon rides" value="hot-air-balloon-rides">Hot air balloon rides</option> <option label="Exploring caves or geological formations" value="exploring-caves-or-geological-formations">Exploring caves or geological formations</option> </field> <field type="checkbox-group" required="true" label="Which travel components do you believe you may need help with for this trip?" name="for-your-next-trip-please-specify-what-your-needs-are"> <option label="A complete Trip Package" value="a-complete-trip-package">A complete Trip Package</option> <option label="International Air" value="international-air">International Air</option> <option label="Domestic Air" value="domestic-air">Domestic Air</option> <option label="Escorted Trip w/Tour Guide" value="escorted-trip-wtour-guide">Escorted Trip w/Tour Guide</option> <option label="Transfers" value="transfers">Transfers</option> <option label="Rental Car" value="rental-car">Rental Car</option> <option label="Train" value="train">Train</option> <option label="Cruise / River Cruise" value="cruise-river-cruise">Cruise / River Cruise</option> <option label="Ferry" value="ferry">Ferry</option> <option label="Lodging - Hotel, Villa, Unique Lodging" value="lodging-hotel-villa-unique-lodging">Lodging - Hotel, Villa, Unique Lodging</option> <option label="All Inclusive Resort" value="all-inclusive-resort">All Inclusive Resort</option> <option label="Guide" value="guide">Guide</option> <option label="Event Tickets" value="event-tickets">Event Tickets</option> <option label="Excursions" value="excursions">Excursions</option> <option label="Restaurant Reservations" value="restaurant-reservations">Restaurant Reservations</option> <option label="Planned Special Event" value="planned-special-event">Planned Special Event</option> <option label="Driver Guide" value="driver-guide">Driver Guide</option> <option label="Luggage Service" value="luggage-service">Luggage Service</option> <option label="Special Needs Equipment (wheelchair, oxygen tank etc.)" value="special-needs-equipment-wheelchair-oxygen-tank-etc">Special Needs Equipment (wheelchair, oxygen tank etc.)</option> <option label="Photographer for Special Photos" value="photographer-for-special-photos">Photographer for Special Photos</option> <option label="Only a Plan, No Booking at This Time." value="only-a-plan-no-booking-at-this-time">Only a Plan, No Booking at This Time.</option> <option label="Other - pleae specify below" value="other-pleae-specify-below">Other - pleae specify below</option> </field> <field type="text" label="Other" name="text-1645300875943" subtype="text" className="form-control"/> <field type="header" subtype="h2" label="Travel Style"/> <field type="checkbox-group" label="What is your travlel style?" name="what-is-your-travlel-style"> <option label="Value - Affordable options w/ basic amenities " value="value-affordable-options-w-basic-amenities-">Value - Affordable options w/ basic amenities </option> <option label="Moderate - A balance of affordability and comfort" value="moderate-a-balance-of-affordability-and-comfort">Moderate - A balance of affordability and comfort</option> <option label="Luxury - High-end offerings with exceptional service, refined amenities, and exclusive experiences." value="luxury-highend-offerings-with-exceptional-service-refined-amenities-and-exclusive-experiences">Luxury - High-end offerings with exceptional service, refined amenities, and exclusive experiences.</option> <option label="Ultra-Lux - The pinnacle of luxury, offering bespoke services, ultra-exclusive properties, and unparalleled opulence." value="ultralux-the-pinnacle-of-luxury-offering-bespoke-services-ultraexclusive-properties-and-unparalleled-opulence">Ultra-Lux - The pinnacle of luxury, offering bespoke services, ultra-exclusive properties, and unparalleled opulence.</option> </field> <field type="checkbox-group" required="true" label="What best describes your Lodging preference?&nbsp; (please keep in mind that not all of these will be available at every destination)" name="what-best-describes-your-lodging-preference-please-keep-in-mind-that-not-all-of-these-will-be-available-at-every-destination"> <option label="Boutique" value="boutique">Boutique</option> <option label="Historic Hotels / Castles " value="historic-hotels-castles-">Historic Hotels / Castles </option> <option label="B&B" value="bb">B&B</option> <option label="Villa / Apartment" value="villa-apartment">Villa / Apartment</option> <option label="Unconventional Lodging (ice hotel, tree house, underwater sea room etc.)" value="unconventional-lodging-ice-hotel-tree-house-underwater-sea-room-etc">Unconventional Lodging (ice hotel, tree house, underwater sea room etc.)</option> <option label="Cabin / Chalet / Beach House" value="cabin-chalet-beach-house">Cabin / Chalet / Beach House</option> <option label="Castle / Chateaux / Pousada" value="castle-chateaux-pousada">Castle / Chateaux / Pousada</option> <option label="Spa / Wellness Retreat" value="spa-wellness-retreat">Spa / Wellness Retreat</option> <option label="Luxury Safari Tent" value="luxury-safari-tent">Luxury Safari Tent</option> <option label="River Boat / Barge" value="river-boat-barge">River Boat / Barge</option> <option label="Yacht" value="yacht">Yacht</option> <option label="Cruise" value="cruise">Cruise</option> <option label="Other" value="other">Other</option> </field> <field type="radio-group" label="What resort / hotel star rating do you prefer?&nbsp; (please understand that it is possible to have a luxury hotel that does not rate 5 star, because&nbsp; the star system is often attributed to the amenities offered)" name="what-resort-hotel-star-rting-do-you-prefer"> <option label="5 Star" value="5-star">5 Star</option> <option label="4 Star" value="4-star">4 Star</option> <option label="3 Star" value="3-star">3 Star</option> </field> <field type="text" required="true" label="How many rooms will you need for this trip?" name="how-many-rooms-will-you-need" subtype="text" className="form-control"/> <field type="checkbox-group" required="true" label="What type of local Transportation do you prefer?" name="what-type-of-local-transportation-do-you-prefer"> <option label="Air" value="air">Air</option> <option label="Train" value="train">Train</option> <option label="Charter Bus" value="charter-bus">Charter Bus</option> <option label="Rental Car" value="rental-car">Rental Car</option> <option label="Van / Mini Bus w/Driver" value="van-mini-bus-wdriver">Van / Mini Bus w/Driver</option> <option label="Chauffeur" value="chauffeur">Chauffeur</option> <option label="Motor Cycle" value="motor-cycle">Motor Cycle</option> <option label="Yacht / Sail Boat" value="yacht-sail-boat">Yacht / Sail Boat</option> <option label="River Boat / Barge" value="river-boat-barge">River Boat / Barge</option> <option label="Ocean Cruise" value="ocean-cruise">Ocean Cruise</option> <option label="No transportation needed in destination" value="no-transportation-needed-in-destination">No transportation needed in destination</option> <option label="Other" value="other">Other</option> </field> <field type="checkbox-group" required="true" label="If renting a car, please check&nbsp; if you are comfortable with the following.&nbsp; (If you are not comfortable, please leave blank - your vacation is NOT a great time to learn)" name="if-renting-a-car-please-check-if-you-are-comfortable-with-the-following-if-you-are-not-comfortable-please-leave-blank-your-vacation-is-not-a-great-time-to-learn"> <option label="Car with a manual transmission (stick-shift)" value="car-with-a-manual-transmission-stickshift">Car with a manual transmission (stick-shift)</option> <option label="Driving on the left side (may not be applicable where you are going)" value="driving-on-the-left-side-may-not-be-applicable-where-you-are-going">Driving on the left side (may not be applicable where you are going)</option> <option label="City driving in congested cities such as Rome & Paris." value="city-driving-in-congested-cities-such-as-rome-paris">City driving in congested cities such as Rome & Paris.</option> <option label="Winter conditions with icy roads" value="winter-conditions-with-icy-roads">Winter conditions with icy roads</option> <option label="Winding, narrow roads" value="winding-narrow-roads">Winding, narrow roads</option> <option label="Paralell Parking" value="paralell-parking">Paralell Parking</option> <option label="N/A" value="na">N/A</option> </field> <field type="checkbox-group" required="true" label="If renting a car, what size will you need?" name="if-renting-a-car-what-size-will-you-need"> <option label="Compact/Economy" value="compacteconomy">Compact/Economy</option> <option label="Standard" value="standard">Standard</option> <option label="Full Size" value="full-size">Full Size</option> <option label="SUV/Van/Pickup" value="suvvanpickup">SUV/Van/Pickup</option> <option label="Luxury" value="luxury">Luxury</option> <option label="Other" value="other">Other</option> <option label="N/A" value="na">N/A</option> </field> <field type="checkbox-group" required="true" label="If cruising, what type of cabin would you prefer?" name="if-cruising-what-type-of-cabin-would-you-prefer"> <option label="Suite" value="suite">Suite</option> <option label="Balcony" value="balcony">Balcony</option> <option label="Ocean View" value="ocean-view">Ocean View</option> <option label="Interior" value="interior">Interior</option> <option label="N/A" value="na">N/A</option> </field> <field type="radio-group" required="true" label="Are you comfortable trying new things?" name="are-you-comfortable-trying-new-things"> <option label="Alaways" value="alaways">Alaways</option> <option label="Sometimes" value="sometimes">Sometimes</option> <option label="Not usually" value="not-usually">Not usually</option> <option label="Never" value="never">Never</option> </field> <field type="text" required="true" label="When you go out do you prefer casual, country club chic, formal or other?" name="when-you-go-out-do-you-prefer-casual-country-club-chic-formal-or-other" subtype="text" className="form-control"/> <field type="text" label="Are you a country person or a city person?" name="are-you-a-country-person-or-a-city-person" subtype="text" className="form-control"/> <field type="text" label="What are your favorite hobbies?" name="what-are-your-favorite-hobbies" subtype="text" className="form-control"/> <field type="checkbox-group" label="Food Preferences - If you can not find food you like or can eat you will most likely not enjoy your vacation very much.&nbsp; Please check off your likes.&nbsp; If you have any food allergies, or can not eat certain food for whatever reason, please specify below." name="food-preferences-if-you-can-not-find-food-you-like-or-can-eat-you-will-most-likely-not-enjoy-your-vacation-very-much-please-check-off-your-likes-if-you-have-any-food-allergies-or-can-not-eat-certain-food-for-whatever-reason-please-specify-below"> <option label="Traditional American Food" value="traditional-american-food">Traditional American Food</option> <option label="Local / Exotic Food" value="local-exotic-food">Local / Exotic Food</option> <option label="Vegetarian" value="vegetarian">Vegetarian</option> <option label="Vegan" value="vegan">Vegan</option> <option label="Kosher" value="kosher">Kosher</option> <option label="Non-Dairy" value="nondairy">Non-Dairy</option> <option label="Gluten Free" value="gluten-free">Gluten Free</option> <option label="Organic" value="organic">Organic</option> <option label="No Nuts" value="no-nuts">No Nuts</option> <option label="Chinese" value="chinese">Chinese</option> <option label="Japanese" value="japanese">Japanese</option> <option label="Indian" value="indian">Indian</option> <option label="Thai" value="thai">Thai</option> <option label="Mexican" value="mexican">Mexican</option> <option label="Mediterranian" value="mediterranian">Mediterranian</option> <option label="Greek" value="greek">Greek</option> <option label="French" value="french">French</option> <option label="Italian" value="italian">Italian</option> <option label="German" value="german">German</option> <option label="Middle Eastern" value="middle-eastern">Middle Eastern</option> <option label="Other" value="other">Other</option> </field> <field type="radio-group" label="Do you drink wine?" name="do-you-drink-wine"> <option label="Yes" value="yes">Yes</option> <option label="Sometimes" value="sometimes">Sometimes</option> <option label="No" value="no">No</option> </field> <field type="radio-group" label="Do you drink beer?" name="do-you-drink-beer"> <option label="Yes" value="yes">Yes</option> <option label="Sometimes" value="sometimes">Sometimes</option> <option label="No" value="no">No</option> </field> <field type="radio-group" label="Do you drink whiskey and other spirits?" name="do-you-drink-whiskey-and-other-spirits"> <option label="Yes" value="yes">Yes</option> <option label="Sometimes" value="sometimes">Sometimes</option> <option label="No" value="no">No</option> </field> <field type="radio-group" label="Do you smoke?" name="do-you-smoke"> <option label="Yes" value="yes">Yes</option> <option label="Sometimes" value="sometimes">Sometimes</option> <option label="No" value="no">No</option> </field> <field type="checkbox-group" label="Which season do you prefer?" name="which-season-do-you-prefer"> <option label="Spring" value="spring">Spring</option> <option label="Summer" value="summer">Summer</option> <option label="Fall" value="fall">Fall</option> <option label="Winter" value="winter">Winter</option> </field> <field type="text" required="true" label="How much free time do you want when on vacation?" name="how-much-free-time-do-you-want-when-on-vacation" subtype="text" className="form-control"/> <field type="checkbox-group" required="true" label="Activity Levels - Activity Level Ratings provide an understanding of the physical expectations for your vacation, making it easier to plan a vacation that is right for you.&nbsp;" name="activity-levels-activity-level-ratings-provide-an-understanding-of-the-physical-expectations-for-your-vacation-making-it-easier-to-plan-a-vacation-that-is-right-for-you-"> <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" required="true" label="Please check off the top 3 most important things when going on a 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="Other" value="other">Other</option> </field> <field type="checkbox-group" label="What is your favorite furniture style?" name="what-is-your-favorite-furniture-style"> <option label="Art Deco" value="art-deco">Art Deco</option> <option label="Artisan / Arts & Crafts" value="artisan-arts-crafts">Artisan / Arts & Crafts</option> <option label="Asian" value="asian">Asian</option> <option label="Beach House / Nautical" value="beach-house-nautical">Beach House / Nautical</option> <option label="Country" value="country">Country</option> <option label="French" value="french">French</option> <option label="Industrial" value="industrial">Industrial</option> <option label="South Western" value="south-western">South Western</option> <option label="Tropical" value="tropical">Tropical</option> <option label="Scandinavian" value="scandinavian">Scandinavian</option> <option label="Not important" value="not-important">Not important</option> </field> <field type="radio-group" required="true" 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?" name="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"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="textarea" label="Please explain below" name="textarea-1519699241694" className="form-control"/> <field type="text" required="true" label="Do you have any special fears?&nbsp; (heights, spiders, flying etc.)" name="do-you-have-any-special-fears-heights-spiders-flying-etc" subtype="text" className="form-control"/> <field type="text" required="true" label="Are there destinations you’ve visited and loved, or ones you want to avoid repeating?&nbsp; Please explain:" name="must-dos" subtype="text" className="form-control"/> <field type="radio-group" required="true" label="Is being close to a place of worship important to you when on vacation?" name="is-being-close-to-a-place-of-worship-important-to-you-when-on-vacation"> <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="text" label="What is the primary purpose of this trip (e.g., relaxation, adventure, cultural exploration, reconnecting with loved ones)&nbsp; Will you be celebrating a special occasion?" name="what-is-your-main-reason-for-wanting-to-travel-to-this-destination" subtype="text" 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="Other" value="other">Other</option> <option label="N/A" value="na">N/A</option> </field> <field type="text" label="Other celebration" name="other-celebration" subtype="text" className="form-control"/> <field type="checkbox-group" required="true" label="How did you hear about Perfectly Planned Journeys?" name="how-did-you-hear-about-us"> <option label="Referral from a friend" value="referral-from-a-friend">Referral from a friend</option> <option label="Client / previous client" value="client-previous-client">Client / previous client</option> <option label="Website" value="website">Website</option> <option label="Social media" value="social-media">Social media</option> <option label="Networking group" value="networking-group">Networking group</option> <option label="Friends or family" value="friends-or-family">Friends or family</option> <option label="Advertisement" value="advertisement">Advertisement</option> <option label="Blog" value="blog">Blog</option> <option label="Newsletter" value="newsletter">Newsletter</option> <option label="Other" value="other">Other</option> </field> <field type="header" subtype="h2" label="HOW DID YOU HEAR ABOUT PERFECTLY PLANNED JOURNEYS?"/> <field type="text" label="If you were referred by someone, please let us know who so that we can thank her/him.&nbsp; Please include e-mail." name="how-did-you-hear-about-perfectly-planned-journeys" subtype="text" className="form-control"/> <field type="text" label="Please let me know what prompted you to contact me.&nbsp; This helps me know how I can be of as much value to you as possible." name="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" subtype="text" className="form-control"/> <field type="checkbox-group" required="true" label="How do you prefer that we keep in touch?" name="how-do-you-prefer-that-we-keep-in-touch"> <option label="Phone" value="phone">Phone</option> <option label="Text" value="text">Text</option> <option label="FB Messenger" value="fb-messenger">FB Messenger</option> <option label="E-mail" value="email">E-mail</option> <option label="Other" value="other">Other</option> </field> <field type="paragraph" subtype="p" label="&nbsp;Thank you for taking the time to complete this form!"/> </fields> </form-template> </body> </html>
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