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<html> <body> <form-template> <fields> <field type="header" subtype="h2" label="Welcome!"/> <field type="header" subtype="h1" label="This intake questionnaire helps me build a detailed proposal tailored to you and your party"/> <field type="header" subtype="h1" label="&nbsp;A research fee is required before any planning or research begins, and full details will be provided after your request is submitted. IF you want to see an example proposal please let me know."/> <field type="text" required="true" label="First name" description="Note: name needs to be exactly as they appear on your ID or passport." placeholder="Your answer" name="first-name" subtype="text" className="form-control"/> <field type="text" required="true" label="Last name" description="Note: name needs to be exactly as they appear on your ID or passport." placeholder="Your answer" name="last-name" subtype="text" className="form-control"/> <field type="textarea" required="true" label="What type of driver's license/or ID Do you and your parties have ? The original ID or the real ID with the star. Note: All domestic U.S. flights require a REAL ID-compliant driver's license or ID. IF You have a passport that Will work IMPORTANT : If you don't have either, you can use your original ID/ drivers license , BUT you have to pay a $45 fee and maybe more depending the state Here is the link https://www.pay.gov/public/form/start/1820857221 "its best to get it done, before you're trip so there is no delays or issues"" placeholder="Your answer" name="drivers-license-or-id" rows="1" className="form-control"/> <field type="textarea" label="If you plan on traveling internationally, will your passport expire within 6 months from your arrival date? Note for clients: Most countries require your passport to be valid for at least 6 months beyond your arrival date." placeholder="Your answer" name="passport-expiring-soon" rows="1" className="form-control"/> <field type="text" subtype="email" required="true" label="Email" placeholder="Your answer" name="email" className="form-control"/> <field type="text" subtype="tel" required="true" label="Phone number&nbsp;" placeholder="Your answer" name="phone-number" className="form-control"/> <field type="text" required="true" label="Mailing Address" placeholder="Your answer" name="address-line-1" subtype="text" className="form-control"/> <field type="text" required="true" label="City" placeholder="Your answer" name="address-city" subtype="text" className="form-control"/> <field type="text" required="true" label="State&nbsp;" placeholder="Your answer" name="address-state" subtype="text" className="form-control"/> <field type="text" required="true" label="Zip" placeholder="Your answer" name="address-zip" subtype="text" className="form-control"/> <field type="date" required="true" label="What is your birthday&nbsp;" name="birthday" className="form-control"/> <field type="checkbox-group" required="true" label="Preferred communication method ( all quotes will be&nbsp; via email)" name="preferred-communication-method" other="true"> <option label="Email" value="Email">Email</option> <option label="Text" value="Text">Text</option> <option label="Phone call" value="Phone call">Phone call</option> </field> <field type="textarea" required="true" label="Please provide your departing city and local airport&nbsp; Note: Please include both the city you’ll be departing from and your local airport (or, if your city has more than one, your preferred airport)." placeholder="Your answer" name="departing-city-and-airport" rows="1" className="form-control"/> <field type="text" required="true" label="What is your destination ?&nbsp;" placeholder="Your answer" name="travel-destination" subtype="text" className="form-control"/> <field type="text" required="true" label="What Are Your Travel Dates ? If you do not have specific dates in mind, please include months/ times of the year you prefer." placeholder="Your answer" name="travel-dates" subtype="text" className="form-control"/> <field type="text" label="If your travel dates are flexible, how many nights would you like your trip to last ?" placeholder="Your answer" name="flexible-trip-length" subtype="text" className="form-control"/> <field type="text" required="true" label="How many people are going on this trip (number of adults and number of children) ?" placeholder="Your answer" name="number-of-travelers" subtype="text" className="form-control"/> <field type="textarea" required="true" label="Please list the full names and birthdays (including birth year) of everyone in your travel party. If birthdays are not yet available, ages may be provided initially, with birthdays supplied before booking if required." placeholder="Your answer" name="party-names-and-birthdays" rows="1" className="form-control"/> <field type="select" required="true" label="Preferred Departure Time (times you’re comfortable departing)" name="select-1773618441908" className="form-control"> <option label="Early morning (5:00 AM – 8:59 AM)" value="early-morning-500-am-859-am">Early morning (5:00 AM – 8:59 AM)</option> <option label="Morning (9:00 AM – 11:59 AM)" value="morning-900-am-1159-am">Morning (9:00 AM – 11:59 AM)</option> <option label="Afternoon (12:00 PM – 4:59 PM)" value="afternoon-1200-pm-459-pm">Afternoon (12:00 PM – 4:59 PM)</option> <option label="Evening (5:00 PM – 8:59 PM)" value="evening-500-pm-859-pm">Evening (5:00 PM – 8:59 PM)</option> <option label="Late night (9:00 PM – 4:59 AM)" value="late-night-900-pm-459-am">Late night (9:00 PM – 4:59 AM)</option> <option label="No preference" value="no-preference">No preference</option> </field> <field type="select" required="true" label="preferred weather when traveling? (Preferences will be considered based on destination and time of year and are not guaranteed.)" name="select-1774018456245" className="form-control"> <option label="Warm / Hot" value="warm-hot">Warm / Hot</option> <option label="Mild / Moderate" value="mild-moderate">Mild / Moderate</option> <option label="Cool / Cold" value="cool-cold">Cool / Cold</option> <option label="No preference" value="no-preference">No preference</option> </field> <field type="textarea" required="true" label="What are the main activities or experiences you’re interested in for this trip?" placeholder="Your answer" name="main-activities-and-experiences" rows="1" className="form-control"/> <field type="text" required="true" label="What is your total trip budget I’ll be booking ?&nbsp; &nbsp; &nbsp; (Please put dollar amount ) A minimum trip budget of $5,000 is required." placeholder="Your answer" name="total-trip-budget" subtype="text" className="form-control"/> <field type="text" required="true" label="How soon are you able to pay a deposit ?&nbsp; Note: Pricing and availability are secured with a deposit and may change without one." placeholder="Your answer" name="deposit-payment-timing" subtype="text" className="form-control"/> <field type="checkbox-group" required="true" label="What do you want included in your quote?" name="quote-inclusions"> <option label="Flights" value="flights">Flights</option> <option label="Hotel" value="Hotel">Hotel</option> <option label="Car rental" value="Car rental">Car rental</option> <option label="All-Inclusive Resort" value="allinclusive-resort">All-Inclusive Resort</option> <option label="Airport Transfer (Airport ↔ Hotel)" value="airport-transfer-airport-hotel">Airport Transfer (Airport ↔ Hotel)</option> <option label="Travel Insurance (Recommended — waiver required if declined)" value="travel-insurance-recommended-waiver-required-if-declined">Travel Insurance (Recommended — waiver required if declined)</option> <option label="Adventures / Excursions (e.g., snorkeling, ziplining, kayaking, etc.)" value="adventures-excursions-eg-snorkeling-ziplining-kayaking-etc">Adventures / Excursions (e.g., snorkeling, ziplining, kayaking, etc.)</option> <option label="Kid Activities" value="kid-activities">Kid Activities</option> </field> <field type="text" label="If you prefer to use Airbnb or Turo, I can research options and provide recommendations. While these services must be booked directly by you, I’m happy to assist and guide you through the booking process. Please let me know below if you'd like help with either service." placeholder="Your answer" name="if-you-prefer-to-use-services-like-airbnb-or-turo-im-happy-to-provide-general-suggestions-or-tips-to-help-you-make-informed-decisions-" subtype="text" className="form-control"/> <field type="text" label="Regarding Turo would you be interested in the coverages they offer ?&nbsp; ( I recommend but it totally option )" placeholder="Your answer" name="turo-coverage-interest" subtype="text" className="form-control"/> <field type="checkbox-group" required="true" label="What is a must-have with a flight?" description="Note: the best value doesn't necessarily mean the cheapest fare. Some features have an added cost but they can also be the most important part of your flight experience. Select what’s most important to you and your budget." name="flight-must-haves"> <option label="Nonstop flight" value="Nonstop flight">Nonstop flight</option> <option label="Seat selection (e.g., window, aisle)" value="Seat selection (e.g., window, aisle)">Seat selection (e.g., window, aisle)</option> <option label="Carry-on baggage allowance" value="Carry-on baggage allowance">Carry-on baggage allowance</option> <option label="Checked baggage allowance" value="Checked baggage allowance">Checked baggage allowance</option> <option label="In-flight meals or snacks" value="In-flight meals or snacks">In-flight meals or snacks</option> <option label="Wi-Fi availability" value="Wi-Fi availability">Wi-Fi availability</option> <option label="Flexible ticket (e.g., refundable or changeable)" value="Flexible ticket (e.g., refundable or changeable)">Flexible ticket (e.g., refundable or changeable)</option> <option label="Priority boarding" value="Priority boarding">Priority boarding</option> <option label="( I don't need a flight )" value="( I don't need a flight )">( I don't need a flight )</option> </field> <field type="checkbox-group" label="What is a must-have with a hotel?&nbsp;" name="hotel-must-haves"> <option label="Walkable area (shops, dining, or attractions nearby)" value="Walkable area (shops, dining, or attractions nearby)">Walkable area (shops, dining, or attractions nearby)</option> <option label="Neighborhood safety is a top priority" value="Neighborhood safety is a top priority">Neighborhood safety is a top priority</option> <option label="Close to airport or transportation hub" value="Close to airport or transportation hub">Close to airport or transportation hub</option> <option label="Quiet/low-traffic area" value="Quiet/low-traffic area">Quiet/low-traffic area</option> <option label="Free breakfast" value="Free breakfast">Free breakfast</option> <option label="Kitchen or kitchenette" value="Kitchen or kitchenette">Kitchen or kitchenette</option> <option label="Gym or fitness center" value="Gym or fitness center">Gym or fitness center</option> <option label="Pool | hot tub | spa " value="pool-hot-tub-spa-">Pool | hot tub | spa </option> <option label="On-site restaurant or bar" value="On-site restaurant or bar">On-site restaurant or bar</option> <option label="Laundry facilities" value="Laundry facilities">Laundry facilities</option> <option label="Workspace or desk area" value="Workspace or desk area">Workspace or desk area</option> <option label="Air conditioning/heating" value="Air conditioning/heating">Air conditioning/heating</option> <option label="Private balcony or view" value="Private balcony or view">Private balcony or view</option> <option label="Non-smoking room" value="Non-smoking room">Non-smoking room</option> <option label="Pet-friendly room" value="Pet-friendly room">Pet-friendly room</option> <option label="Luxury experience" value="Luxury experience">Luxury experience</option> <option label="wheelchair accessible room" value="wheelchair accessible room">wheelchair accessible room</option> </field> <field type="textarea" label="How many rooms will you need, how many beds per room, and what type of beds do you prefer (e.g., king, queen, connecting rooms, or suite) ? Please include any specific requests or requirements." placeholder="Your answer" name="rooms-and-beds-preferences" rows="1" className="form-control"/> <field type="textarea" label="Will you be traveling with any firearms or ammunition ?&nbsp; Note: Hotel firearm policies vary widely; many prohibit them entirely. Airbnb tends to offer more flexibility depending on the host. " placeholder="Your answer" name="traveling-with-firearms" rows="1" className="form-control"/> <field type="textarea" required="true" label="Do you have any special requests, accessibility needs, or anything else important that I should know about ?" placeholder="Your answer" name="special-requests-or-needs" rows="1" className="form-control"/> <field type="textarea" required="true" label="Do you have any special requests, accessibility needs, or anything else important that I should know about ?" placeholder="Your answer" name="textarea-1777095752206" rows="1" className="form-control"/> </fields> </form-template> </body> </html>
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