<html> <body> <form-template> <fields> <field type="text" required="true" label="First name" name="first-name" subtype="text" className="form-control"/> <field type="text" required="true" label="Last name" name="last-name" subtype="text" className="form-control"/> <field type="header" subtype="h2" label="Questions for your trip"/> <field type="text" label="Where would you like to go?" description="If you're not sure just give me a few destinations you're considering." placeholder="ex: Tahiti" name="destination" subtype="text" className="form-control"/> <field type="date" label="When would you like to depart?" description="This just gives me a general idea of when you would 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 would 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" other="true"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="text" label="What is your departure city and preferred airport?" description="Where will you be flying from?" name="departure-city" subtype="text" className="form-control"/> <field type="text" label="How many travelers?" name="number-of-travelers" subtype="text" className="form-control"/> <field type="textarea" label="Name(s) and age(s) of all travelers" name="names-of-all-travelers" className="form-control"/> <field type="radio-group" label="What is your budget for all travelers?" description="This just gives me a general starting point and can always be changed later." name="budget" other="true"> <option label="less than $10,000" value="less-than-10000">less than $10,000</option> <option label="$10,000 to $12,500" value="10000-to-12500">$10,000 to $12,500</option> <option label="$12,500 to $15,000" value="12500-to-15000">$12,500 to $15,000</option> <option label="$15,000 to $17,500" value="15000-to-17500">$15,000 to $17,500</option> <option label="$17,500 to $20,000" value="17500-to-20000">$17,500 to $20,000</option> <option label="$20,000 to $25,000" value="20000-to-25000">$20,000 to $25,000</option> <option label="$25,000 to $30,000" value="25000-to-30000">$25,000 to $30,000</option> <option label="$30,000+" value="30000">$30,000+</option> </field> <field type="header" subtype="h1" label="Accommodations "/> <field type="radio-group" label="What best describes your hotel preference?" name="hotel-preference" other="true"> <option label="Economy" value="value">Economy</option> <option label="Moderate" value="moderate">Moderate</option> <option label="Luxury" value="luxury">Luxury</option> <option label="Boutique" value="boutique">Boutique</option> </field> <field type="text" label="What is your favorite hotel that you ever stayed at?" description="If there are several pick a hotel you've stayed at based on similar destinations to where you are wanting to go. ie tropical mountain, desert." name="what-is-your-favorite-hotel-that-you-ever-stayed-at" subtype="text" className="form-control"/> <field type="radio-group" label="Bed preference" name="bed-preference"> <option label="King" value="king">King</option> <option label="2 Double/Queen" value="2-double-queen">2 Double/Queen</option> </field> <field type="text" label="Anything additional you need in your room? (ie. extra blankets, pillows, water)" name="anything-additional-you-need-in-your-room-ie-extra-blankets-pillows-water" subtype="text" className="form-control"/> <field type="header" subtype="h1" label="The Details: Vibe &amp; Activities"/> <field type="text" label="Are you celebrating anything?" name="are-you-celebrating-anything" subtype="text" className="form-control"/> <field type="checkbox-group" 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="Local Culture" value="local-culture">Local Culture</option> <option label="Family Friendly" value="family-friendly">Family Friendly</option> <option label="Food and Wine" value="food-and-wine">Food and Wine</option> <option label="Party" value="party">Party</option> <option label="Active/Adventure" value="activeadventure">Active/Adventure</option> </field> <field type="checkbox-group" label="What activities are you interested in?" description="Check all that apply" name="activity-preferences" other="true"> <option label="Guided Tours" value="guided-tours">Guided Tours</option> <option label="Arts and Theater" value="arts-and-theater">Arts and Theater</option> <option label="Architecture" value="architecture">Architecture</option> <option label="History" value="history">History</option> <option label="Shopping" value="shopping">Shopping</option> <option label="Cooking & Food" value="cooking-food">Cooking & Food</option> <option label="Beach Time" value="beach-time">Beach Time</option> <option label="Snorkeling " value="snorkeling-">Snorkeling </option> <option label="Fishing" value="fishing">Fishing</option> <option label="Boating" value="boating">Boating</option> <option label="Other Water Sports" value="other-water-sports">Other Water Sports</option> <option label="Biking" value="biking">Biking</option> <option label="Hiking" value="hiking">Hiking</option> <option label="Yoga & Meditation" value="yoga-meditation">Yoga & Meditation</option> <option label="Golf" value="golf">Golf</option> <option label="Gambling" value="gambling">Gambling</option> <option label="Nightlife" value="nightlife">Nightlife</option> <option label="Mixology" value="mixology">Mixology</option> <option label="Live Music" value="live-music">Live Music</option> </field> <field type="text" label="Anything you absolutely must do or see?" name="must-dos" subtype="text" className="form-control"/> <field type="text" label="What is your (or the group's) favorite cuisine(s)? " name="what-is-your-or-the-groups-favorite-cuisines-" subtype="text" className="form-control"/> <field type="text" label="What is your favorite restaurant for food &amp; vibe?" name="what-is-your-favorite-restaurant-for-food-vibe" subtype="text" className="form-control"/> <field type="text" label="What is your favorite cocktail/ beverage?" name="what-is-your-favorite-cocktail-beverage" subtype="text" className="form-control"/> <field type="text" label="What time would you like to have dinner while traveling?&nbsp;" name="what-time-would-you-like-to-have-dinner-while-traveling-" subtype="text" className="form-control"/> <field type="text" label="Any food allergies or dietary restrictions?" name="any-food-allergies-or-dietary-restrictions" subtype="text" className="form-control"/> <field type="radio-group" label="If you plan to go to the spa, what gender therapist do&nbsp; you prefer?" name="if-you-plan-to-go-to-the-spa-what-gender-therapist-do-you-prefer"> <option label="Male" value="male">Male</option> <option label="Female" value="female">Female</option> <option label="No Preference" value="no-preference">No Preference</option> </field> <field type="header" subtype="h1" label="Flight Information"/> <field type="checkbox-group" label="How would you like to fly?" name="how-would-you-like-to-fly"> <option label="Basic Economy" value="basic-economy">Basic Economy</option> <option label="Economy" value="economy">Economy</option> <option label="Premium Economy" value="premium-economy">Premium Economy</option> <option label="Business" value="business">Business</option> <option label="First Class" value="first-class">First Class</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="header" subtype="h1" label="Contact Information"/> <field required="true" type="text" label="Email" name="email" subtype="text" className="form-control"/> <field type="text" label="Phone number" name="phone-number" subtype="text" className="form-control"/> <field type="checkbox-group" label="How do you prefer to be communicated with?" name="how-do-you-prefer-to-be-communicated-with"> <option label="via Email" value="via-email">via Email</option> <option label="via Phone Call" value="via-phone-call">via Phone Call</option> <option label="via Text" value="via-text">via Text</option> <option label="All the above" value="all-the-above">All the above</option> </field> <field type="header" subtype="h1" label="Important Dates"/> <field type="date" label="Date of Birth" name="birthday" className="form-control"/> <field type="date" label="Wedding Anniversary" name="wedding-anniversary" className="form-control"/> <field type="header" subtype="h1" label="Additional Information"/> <field type="text" label="Emergency contact &amp; phone number [someone who is not traveling with you]" name="emergency-contact-phone-number-someone-who-is-not-traveling-with-you" subtype="text" className="form-control"/> <field type="select" label="Do you apply for military or senior discounts?" name="do-you-apply-for-military-or-senior-discounts" className="form-control"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> <option label="" value="" selected="selected"/> </field> <field type="radio-group" label="Will everyone in your party have the Covid-19 vaccine? (Not required)" name="will-everyone-in-your-party-be-vaccinated" other="true"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="textarea" label="Anything else I should know?" name="textarea-1657055304040" className="form-control"/> <field type="header" subtype="h1" label="Let's Chat!"/> <field type="paragraph" subtype="p" label="Schedule a 60 minute meeting with me through my scheduling link:&nbsp; www.calendly.com/lillian-hocevar"/> </fields> </form-template> </body> </html>
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