<html> <body> <form-template> <fields> <field type="header" subtype="h2" label="New Client Profile - 2023"/> <field type="paragraph" subtype="p" label="Thank you for taking the time to answer these questions."/> <field type="header" subtype="h2" label="Passport Info"/> <field type="paragraph" subtype="p" label="Please make sure to enter your name and date of birth exactly as it is shown in your passport.&nbsp; &nbsp;Neglecting to do so may prevent you from boarding your flight or cruise ship."/> <field type="paragraph" subtype="p" label="This information will be stored on a PCI-compliant website.&nbsp;"/> <field type="header" subtype="h2" label="Full name"/> <field type="text" 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 (nickname)" name="preferred-name" subtype="text" className="form-control"/> <field type="header" subtype="h2" label="Address"/> <field type="text" required="true" 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" 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="Zip" name="address-zip" subtype="text" className="form-control"/> <field type="text" required="true" label="Country" name="address-country" 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="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 Birth" name="date-of-birth" 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="Citizenship&nbsp; (the country your passport represent)" name="citizenship" subtype="text" className="form-control"/> <field type="text" label="If you are not a US citizen, do you have a valid Green Card?" name="if-you-are-not-a-us-citizen-do-you-have-a-green-card" subtype="text" className="form-control"/> <field type="date" label="If yes, when does your Green Card expire?" name="if-yes-when-does-your-green-card-expre" className="form-control"/> <field type="paragraph" subtype="p" label="On June 1, 2019, as part of IATA Resolution 830d, International Air Transport Association (IATA) began to require that all travel advisors and travel agencies enter passenger contact information when booking air tickets in order to help contact the passenger “in an operational disruption” and so that airlines are “able to advise passengers of irregular flight operations and disruptions.”&nbsp;"/> <field type="paragraph" subtype="p" label="For this reason, the information you provide on this form will be stored on a PCI-compliant website.&nbsp; Be assured that the information will never be sold or shared with anyone for any other purpose than to book your travel arrangements."/> <field type="text" label="Do you have Global Entry?&nbsp; If so, plase add your account number here:" name="do-you-have-global-entry-if-so-plase-add-your-account-number-here" subtype="text" className="form-control"/> <field type="text" label="Do you have Pre-Check?&nbsp; If yes, please add your number here:" name="do-you-have-precheck-if-yes-please-add-your-number-here" subtype="text" className="form-control"/> <field type="header" subtype="h1" label="Your&nbsp; trip"/> <field type="text" label="Where would you like to travel?&nbsp; If you are not sure , you may leave this blank.&nbsp;&nbsp;" placeholder="ex: Tahiti" name="destination" subtype="text" className="form-control"/> <field type="text" label="What is your main reason for wanting to travel to this destination?" name="what-is-your-main-reason-for-wanting-to-travel-to-this-destination" subtype="text" className="form-control"/> <field type="radio-group" label="Have you ever been to this destination before?" name="have-you-ever-been-to-this-destination-before"> <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, but longer than 5 years ago" value="yes-but-longer-than-5-years-ago">Yes, but longer than 5 years ago</option> </field> <field type="date" label="When would you like to travel?" 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" 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"/> <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> <option label="Not sure" value="not-sure">Not sure</option> </field> <field type="text" label="How many travelers?&nbsp;" name="number-of-travelers" subtype="text" className="form-control"/> <field type="radio-group" required="true" label="Do you have an idea of how much you would like to spend per person on your trip?&nbsp; (no trip can be planned unless we have a price range to work with)" 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> <option label="Not sure yet" value="not-sure-yet">Not sure yet</option> </field> <field type="paragraph" subtype="p" label="We understand that discussing a budget is not always easy. You may not know exactly how much you need to spend to get the experience that you want, or maybe you are not ready to discuss your budget. It is however an essential part of planning your vacation and having an idea of how much you have estimated for your trip ensures that we don't waste your time by suggesting experiences that are not appropriate for your budget as well as the time of our suppliers."/> <field type="text" label="If you are not ready to share how much your budget is per person for this trip you can leave this blank, however please understand that we can not begin to plan your trip without a budget." name="if-you-feel-comfortable-sharing-how-much-your-budget-is-for-this-trip-per-person-please-do-so-here" subtype="text" className="form-control"/> <field type="text" name="are-you-interested-in-a-quote-for-travel-insurance" subtype="text" className="form-control"/> <field type="checkbox-group" required="true" label="Please specify what your needs for this trip are&nbsp; (this can be modified at a later time, but is important to know to estimate and plan for how long it will take to design your 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="Travel Service" value="travel-service">Travel Service</option> <option label="Other" value="other">Other</option> <option label="Not sure" value="not-sure">Not sure</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> </field> <field type="text" label="Other" name="text-1645300875943" subtype="text" className="form-control"/> <field type="text" label="Will you be leaving from your preferred home airport?" name="what-is-your-departure-city" subtype="text" className="form-control"/> <field type="textarea" label="Do you have any family or friends you would like to invite to join you on this trip?&nbsp;&nbsp;" name="do-you-have-any-family-or-friends-you-would-like-to-invite-to-join-you-on-this-trip" className="form-control"/> <field type="header" subtype="h1" label="Travel Prefrences"/> <field type="text" label="Which is your preferred airport?" name="which-is-your-preferred-airport" subtype="text" className="form-control"/> <field type="text" label="Which is your preferred airline?" name="which-is-your-preferred-airline" subtype="text" className="form-control"/> <field type="checkbox-group" label="Preferred Seat" name="preferred-seat"> <option label="Window" value="window">Window</option> <option label="Aisle" value="aisle">Aisle</option> <option label="Least expensive" value="least-expensive">Least expensive</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="radio-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="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="Value" value="value">Value</option> <option label="Moderate" value="moderate">Moderate</option> <option label="Luxury" value="luxury">Luxury</option> <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?" name="how-many-rooms-will-you-need" subtype="text" className="form-control"/> <field type="checkbox-group" label="Room Preferences (when available)" name="room-preferences-when-available"> <option label="Oceanfront" value="oceanfront">Oceanfront</option> <option label="Oceanview (you can see the ocean, but not full view)" value="oceanview-you-can-see-the-ocean-but-not-full-view">Oceanview (you can see the ocean, but not full view)</option> <option label="Garden view" value="garden-view">Garden view</option> <option label="Cityview" value="cityview">Cityview</option> <option label="Ground floor (low level)" value="ground-floor-low-level">Ground floor (low level)</option> <option label="Top / high level" value="top-high-level">Top / high level</option> </field> <field type="radio-group" required="true" label="Bedding&nbsp;" name="bedding-"> <option label="2 Twin / 2 Queen" value="2-twin-2-queen">2 Twin / 2 Queen</option> <option label="1 King" value="1-king">1 King</option> <option label="2 Twin / 2 Queen + Sofa Bed" value="2-twin-2-queen-sofa-bed">2 Twin / 2 Queen + Sofa Bed</option> <option label="1 King + Sofa Bed" value="1-king-sofa-bed">1 King + Sofa Bed</option> <option label="Family Suite" value="family-suite">Family Suite</option> <option label="Single Room" value="single-room">Single Room</option> <option label="2 Twin / 2 Queen + Crib" value="2-twin-2-queen-crib">2 Twin / 2 Queen + Crib</option> <option label="1 King + Crib" value="1-king-crib">1 King + Crib</option> <option label="Other" value="other">Other</option> </field> <field type="checkbox-group" required="true" label="What kind of vibe are you looking for?" description="Check all that apply." name="vibe-preference" other="true"> <option label="Romantic" value="romantic">Romantic</option> <option label="Rest and relaxation" value="rest-and-relaxation">Rest and relaxation</option> <option label="Off the beaten path" value="off-the-beaten-path">Off the beaten path</option> <option label="Party" value="party">Party</option> <option label="Local culture" value="local-culture">Local culture</option> <option label="Family friendly" value="family-friendly">Family friendly</option> <option label="Food and wine (beer, whiskey etc.)" value="food-and-wine-beer-whiskey-etc">Food and wine (beer, whiskey etc.)</option> <option label="Warm Destination" value="warm-destination">Warm Destination</option> <option label="Cold Destination" value="cold-destination">Cold Destination</option> <option label="Shopper's Heaven" value="shoppers-heaven">Shopper's Heaven</option> <option label="Trendy " value="trendy-">Trendy </option> <option label="Budget Conscious" value="budget-conscious">Budget Conscious</option> <option label="Must-see sightseeing spots" value="mustsee-sightseeing-spots">Must-see sightseeing spots</option> <option label="The Art and Theater lover" value="the-art-and-theater-lover">The Art and Theater lover</option> <option label="Music Lover" value="music-lover">Music Lover</option> <option label="Adventurous" value="adventurous">Adventurous</option> <option label="Beach & Water" value="beach-water">Beach & Water</option> <option label="Nature" value="nature">Nature</option> <option label="Volunteer" value="volunteer">Volunteer</option> <option label="Other" value="other">Other</option> </field> <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="checkbox-group" required="true" label="What activities are you interested in?" 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" value="adventure-activities">Adventure Activities</option> <option label="Safari" value="safari">Safari</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" value="wellness">Wellness</option> <option label="Local Culture" value="local-culture">Local Culture</option> <option label="Outdoor activities - skiing, hiking, diving etc." value="outdoor-activities-skiing-hiking-diving-etc">Outdoor activities - skiing, hiking, diving etc.</option> <option label="Shopping" value="shopping">Shopping</option> <option label="Sight-seeing" value="sightseeing">Sight-seeing</option> <option label="Rest" value="rest">Rest</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" value="music">Music</option> <option label="Volunteer" value="volunteer">Volunteer</option> <option label="Educational" value="educational">Educational</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> </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="text" label="What is your favorite food?" name="what-is-your-favorite-food" subtype="text" className="form-control"/> <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="text" label="What is your favorite drink?&nbsp; (alcoholic or non-alcoholic)" name="what-is-your-favorite-drink-alcoholic-or-nonalcoholic" subtype="text" className="form-control"/> <field type="text" label="What is your favorite dessert?" name="what-is-your-favorite-dessert" subtype="text" className="form-control"/> <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="textarea" label="Text Area" name="textarea-1673749999544" className="form-control"/> <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="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 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="what-is-your-favorite-genre-of-movies" subtype="text" className="form-control"/> <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="Georgian / Queen Anne / Victorian" value="georgian-queen-anne-victorian">Georgian / Queen Anne / Victorian</option> <option label="Industrial" value="industrial">Industrial</option> <option label="Italian / Tuscan" value="italian-tuscan">Italian / Tuscan</option> <option label="Minimalistic" value="minimalistic">Minimalistic</option> <option label="Rustic" value="rustic">Rustic</option> <option label="South Western" value="south-western">South Western</option> <option label="Traditional" value="traditional">Traditional</option> <option label="Tropical" value="tropical">Tropical</option> <option label="N/A" value="na">N/A</option> </field> <field type="text" label="What magazines do you read?" name="what-magazines-do-you-read" subtype="text" className="form-control"/> <field type="checkbox-group" label="Social Media Platforms you use" name="social-media-platforms-you-use"> <option label="FB" value="fb">FB</option> <option label="Twitter" value="twitter">Twitter</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> </field> <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> </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="paragraph" subtype="p" label="It is important for you to know that a lot of countries and suppliers now require that your COVID vaccine is up to date.&nbsp; &nbsp; &nbsp; &nbsp;(Not all countries have the same requirement when it comes to how recent your last vaccine must be to be considered up-to-date.)&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp;&nbsp;"/> <field type="radio-group" required="true" label="Do you have a current COVID vaccine?" name="do-you-have-a-current-covid-vaccine"> <option label="Yes" value="yes">Yes</option> <option label="I would rather not provide this information" value="i-would-rather-not-provide-this-information">I would rather not provide this information</option> <option label="No" value="no">No</option> </field> <field type="date" required="true" label="If you are vaccinated, when did you receive your last COVID vaccine?" name="if-you-are-vaccinated-when-did-you-receive-your-last-covid-vaccine" className="form-control"/> <field type="text" required="true" label="Is there anything you absolutely must do or see?" name="must-dos" subtype="text" className="form-control"/> <field type="textarea" label="Is there anything 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="checkbox-group" required="true" label="How did you hear about us?" 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="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 choose to work with 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="For information that we need to keep on file, we will be using TravelJoy because it stores all information in chronological order, and it is PCI compliant."/> <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="paragraph" subtype="p" label="&nbsp;Please note that it is the traveler NOT Perfectly Planned Journeys' responsibility to ensure that the traveler meets all travel requirements."/> </fields> </form-template> </body> </html>
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