<html> <body> <form-template> <fields> <field type="header" subtype="h2" label="Live Well Travel-Travel Request Form&nbsp;"/> <field type="text" label="undefined" name="text-1703975071076" value="Please fill out the details below-We work with individuals families couples small and large group requests." subtype="text" className="form-control"/> <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" required="true" label="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="text" required="true" label="Where Would You Like To Go?" description="If you're not sure just give me a few destinations you're considering." name="destination" subtype="text" className="form-control"/> <field type="text" label="What Is It About This Destination That Interests You?" name="what-is-it-about-this-destination-that-interests-you" subtype="text" className="form-control"/> <field type="radio-group" label="Where Are You In The Planning Process?" name="where-are-you-in-the-planning-process"> <option label="Just getting started " value="just-getting-started-">Just getting started </option> <option label="I have some ideas, but need help with research & planning" value="i-have-some-ideas-but-need-help-with-research-planning">I have some ideas, but need help with research & planning</option> <option label="I know what I want, but need help finalizing details" value="i-know-what-i-want-but-need-help-finalizing-details">I know what I want, but need help finalizing details</option> <option label="Other" value="other">Other</option> </field> <field type="radio-group" label="Please Select Your Level Of Experience With Traveling" name="please-select-your-level-of-experience-with-traveling"> <option label="Beginner - I have limited travel experience" value="beginner-i-have-limited-travel-experience">Beginner - I have limited travel experience</option> <option label="Intermediate - I have traveled a few times before" value="intermediate-i-have-traveled-a-few-times-before">Intermediate - I have traveled a few times before</option> <option label="Experienced - I have traveled frequently and feel comfortable navigating trips" value="experienced-i-have-traveled-frequently-and-feel-comfortable-navigating-trips">Experienced - I have traveled frequently and feel comfortable navigating trips</option> </field> <field type="date" label="When Would You Like To Depart?" 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> </field> <field type="text" label="Is This Trip For A Special Occasion?(Birthday, Anniversary, Honeymoon, Engagement, Babymoon, etc.)" name="is-this-trip-for-a-special-occasionbirthday-anniversary-etc" subtype="text" className="form-control"/> <field type="text" required="true" label="How Many Travelers Will Be In Your Party?" name="number-of-travelers" subtype="text" className="form-control"/> <field type="text" label="How Many Rooms?&nbsp; Will They Be Split?" name="how-many-rooms-will-they-be-split" subtype="text" className="form-control"/> <field type="text" label="If Your Travel Dates Are Flexible, Can You Give A Range Of Dates Or Further Information You Would Like Me To Know." name="if-your-travel-dates-are-flexible-can-you-give-a-range-of-dates-or-further-information-you-would-like-me-to-know" subtype="text" className="form-control"/> <field type="text" required="true" label="What Is Your Departure City?" description="Where will you be flying from?" name="departure-city" subtype="text" className="form-control"/> <field type="text" label="Do You Or Any Members In Your Travel Party Have Any Dietary Restrictions Or Allergies? If Yes, Please List What You Would Like Me To Be Aware Of." name="do-you-or-any-members-in-your-travel-party-have-any-dietary-restrictions-or-allergies-if-yes-please-list-what-you-would-like-me-to-be-aware-of" subtype="text" className="form-control"/> <field type="header" subtype="h2" label="TRAVEL PREFERENCES"/> <field type="text" required="true" label="Will Airline Tickets Need To Be Included In Your Vacation Package (vs using miles or cc points)" name="will-airline-tickets-need-to-be-included-in-your-vacation-package-vs-using-miles" subtype="text" className="form-control"/> <field type="text" label="Please List Your Preferred Airline(s) -If applicable . Sometimes There Are Additional Discounts At The Time Of Booking For Those With A Delta Skymiles #.&nbsp; Always inquire if you can use miles to book as it can vary by each trip." name="please-list-your-preferred-airlines-if-applicable-sometimes-there-are-additional-discounts-at-the-time-of-booking-for-those-with-a-delta-skymiles-" subtype="text" className="form-control"/> <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 Have Preference For Seating?" name="seat-preference"> <option label="Window" value="window">Window</option> <option label="Aisle" value="aisle">Aisle</option> <option label="Opposite aisle" value="opposite aisle">Opposite aisle</option> <option label="Economy" value="economy">Economy</option> <option label="Comfort +/Premium" value="comfort-premium">Comfort +/Premium</option> <option label="Business Class/First" value="business-classfirst">Business Class/First</option> </field> <field type="radio-group" required="true" label="What Type Of Accommodations Do You Prefer?" name="hotel-preference"> <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> <option label="All-Inclusive " value="allinclusive-">All-Inclusive </option> <option label="Resort or Hotel Stay (meals/drinks not included)" value="resort-or-hotel-stay-mealsdrinks-not-included">Resort or Hotel Stay (meals/drinks not included)</option> <option label="Private Apartment" value="private-apartment">Private Apartment</option> <option label="Private Villa" value="private-villa">Private Villa</option> <option label="Other" value="other">Other</option> </field> <field type="radio-group" required="true" label="Are You A Pool Person Or A Beach Person?" name="are-you-a-pool-person-or-a-beach-person"> <option label="Beach" value="beach">Beach</option> <option label="Pool " value="pool-">Pool </option> <option label="I balance my time in between both " value="i-balance-my-time-in-between-both-">I balance my time in between both </option> <option label="It doesn't matter for this getaway" value="it-doesnt-matter-for-this-getaway">It doesn't matter for this getaway</option> </field> <field type="radio-group" required="true" label="What Type Of Getaway Are You Hoping To Experience?" name="what-type-of-getaway-are-you-hoping-to-experience"> <option label="Family Friendly" value="family-friendly">Family Friendly</option> <option label="Food & Wine" value="food-wine">Food & Wine</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="Romance" value="romance">Romance</option> <option label="Rest & Relaxation " value="rest-relaxation-">Rest & Relaxation </option> <option label="Multigenerational" value="multigenerational">Multigenerational</option> <option label="Adventure " value="adventure-">Adventure </option> <option label="Scuba " value="scuba-">Scuba </option> <option label="Golf " value="golf-">Golf </option> </field> <field type="radio-group" label="Bedding Preference" name="bed-preference"> <option label="King" value="king">King</option> <option label="2 Double/Queen" value="2-doublequeen">2 Double/Queen</option> <option label="Twin Beds" value="twin-beds">Twin Beds</option> </field> <field type="text" label="How Many Children In Your Travel Party And Their Ages At The Time Of Travel.&nbsp;" name="how-many-children-and-their-ages-at-the-time-of-travel" subtype="text" className="form-control"/> <field type="textarea" required="true" label="Please Include ALL Travelers Full Names As Seen On ID's/Passports and&nbsp;Birthdates For Accurate Quotes" name="please-include-all-travelers-passport-names-and-dates-of-birth-for-accurate-quotes" className="form-control"/> <field type="radio-group" required="true" label="What Is Your Desired Budget For All Travelers" description="This provides a general starting point and can always be changed later." name="budget" other="true"> <option label="$5,000-$7,500" value="50007500">$5,000-$7,500</option> <option label="$7,600-$9,500" value="76009500">$7,600-$9,500</option> <option label="$9,600-$12,500" value="960012500">$9,600-$12,500</option> <option label="$12,600-15,500" value="1260015500">$12,600-15,500</option> <option label="$15,600-$20,000" value="1560020000">$15,600-$20,000</option> <option label="$20,100-$25,000" value="2010025000">$20,100-$25,000</option> <option label="$25,600-$30,000" value="2560030000">$25,600-$30,000</option> <option label="$30,100+" value="30100">$30,100+</option> </field> <field type="radio-group" required="true" label="If Budget Is Fixed, What Aspects Of The Vacation Are You Willing To Compromise To Fit The Budget?" name="if-budget-is-fixed-what-aspects-of-the-vacation-are-you-willing-to-compromise-to-fit-the-budget"> <option label="I am open to increasing my budget if it provides the experience I am seeking" value="i-am-open-to-increasing-my-budget-if-it-provides-the-experience-i-am-seeking">I am open to increasing my budget if it provides the experience I am seeking</option> <option label="I am willing to compromise the length of stay" value="i-am-willing-to-compromise-the-length-of-stay">I am willing to compromise the length of stay</option> <option label="I am willing to compromise the view from my room" value="i-am-willing-to-compromise-the-view-from-my-room">I am willing to compromise the view from my room</option> <option label="I am willing to compromise to a more modest resort" value="i-am-willing-to-compromise-to-a-more-modest-resort">I am willing to compromise to a more modest resort</option> <option label="Other " value="other-">Other </option> </field> <field type="text" label="If This Is A Group, Please Indicate The Desired Per Person Budget Here." name="if-this-is-a-group-please-indicate-the-desired-per-budget-here" subtype="text" className="form-control"/> <field type="textarea" label="What Hotels/Resorts Have You Loved Staying At Previously And What Did You Enjoy About Them?" name="where-have-you-traveled-in-the-past-what-is-your-favorite-vacation-and-why" className="form-control"/> <field type="text" label="What Is Your Least Favorite Destination Or Place You Have Traveled To/Stayed At?" name="what-is-your-least-favorite-place-you-have-traveled-tostayed-at" subtype="text" className="form-control"/> <field type="checkbox-group" label="Do You Have A Preference For Activities You Are 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="Historical sites" value="historical-sites">Historical sites</option> <option label="Foodie experiences" value="foodie-experiences">Foodie experiences</option> <option label="Private tours" value="private-tours">Private tours</option> <option label="Group tours" value="group-tours">Group tours</option> <option label="Adventure activities" value="adventure-activities">Adventure activities</option> <option label="Golf" value="golf">Golf</option> <option label="Museums" value="museums">Museums</option> <option label="Family friendly" value="family-friendly">Family friendly</option> <option label="Hiking & Biking" value="hiking-biking">Hiking & Biking</option> </field> <field type="text" label="What Concerns Do You Have About Travel? Of What Are Your Pain Points When Traveling?" name="what-concerns-do-you-have-about-travel-of-what-are-your-pain-points-when-traveling" subtype="text" className="form-control"/> <field type="text" label="What Do You Most Want To Get Out Of This Trip?" name="must-dos" subtype="text" className="form-control"/> <field type="text" label="When You're Envisioning Your Vacation, What are Some Of Your "Must Have's", "Nice To Have's", and "I'd Rather Not Have" Items?&nbsp;" name="when-youre-envisioning-your-vacation-what-are-some-of-your-must-haves-nice-to-haves-and-id-rather-not-have-items-is-there-anything-else-you-would-like-me-to-know-" subtype="text" className="form-control"/> <field type="header" subtype="h2" label="Important Details&nbsp;"/> <field type="radio-group" required="true" label="We highly recommend Trip Protection Insurance for your travel peace of mind. Travel insurance will be discussed with you at the time of booking. If you choose to decline Trip Protection Insurance, we will share with you the cancellation penalties per the suppliers that are used for your trip." name="trip-protection-insurance-is-always-highly-recommended-for-travel-and-cancel-for-any-reason-type-insurance-is-the-only-type-of-policy-that-covers-covidrelated-cancellations-live-well-travel-will-require-a-waiver-to-be-signed-if-trip-protection-insurance-is-declined-for-this-trip"> <option label="I understand and plan to accept the cancel for any reason insurance." value="i-understand-and-plan-to-accept-the-cancel-for-any-reason-insurance">I understand and plan to accept the cancel for any reason insurance.</option> <option label="I am not sure yet about purchasing trip protection insurance." value="i-am-not-sure-yet-about-purchasing-trip-protection-insurance">I am not sure yet about purchasing trip protection insurance.</option> <option label="I plan to decline trip protection insurance and sign the waiver." value="i-plan-to-decline-trip-protection-insurance-and-sign-the-waiver">I plan to decline trip protection insurance and sign the waiver.</option> </field> <field type="select" label="Select Your Travel Advisor&nbsp;" name="select-your-travel-advisor-" className="form-control"> <option label="Amanda Kelly" value="amanda-kelly">Amanda Kelly</option> <option label="Andria Monson" value="andria-monson">Andria Monson</option> <option label="Jackie Awes" value="jackie-awes">Jackie Awes</option> <option label="Kat Lillie" value="kat-lillie">Kat Lillie</option> <option label="Kelsey Trexel" value="kelsey-trexel">Kelsey Trexel</option> <option label="Landy Godines" value="landy-godines">Landy Godines</option> <option label="Mandy Davis" value="mandy-davis">Mandy Davis</option> <option label="Not Sure Yet" value="not-sure-yet">Not Sure Yet</option> </field> <field type="checkbox-group" required="true" label="Live Well Travel offers a complimentary travel consultation to understand your needs. Your advisor will delve into in-depth questions to align with your specific travel requests. We'll discuss any professional service fee associated with your curated trip, encompassing the service, knowledge, and support provided throughout the planning process. This ensures a tailored and seamless partnership, adjusted to the unique complexity of your travel experience." name="after-a-complimentary-phoneemail-consultation-if-you-have-selected-a-destination-with-covid-travel-restrictions-live-well-travel-will-charge-a-covid-travel-support-fee-prior-to-sending-your-trip-quote-due-to-the-uncompensated-timeeffort-required-to-research-and-discuss-the-most-recent-travel-restrictions-applicable-to-each-individual-situation-this-support-fee-may-either-be-applied-to-your-overall-trip-or-as-a-separate-planning-fee-pending-the-complexity-of-your-trip-live-well-travel-will-also-provide-resources-and-support-through-the-complex-process-"> <option label="I understand that LWT may collect a travel professional fee and will discuss this with me at the time of consultation " value="i-understand-that-lwt-may-collect-a-travel-professional-fee-and-will-discuss-this-with-me-at-the-time-of-consultation-">I understand that LWT may collect a travel professional fee and will discuss this with me at the time of consultation </option> </field> <field type="text" required="true" label="How Did You Hear About Live Well Travel?" name="how-did-you-hear-about-live-well-travel" subtype="text" className="form-control"/> <field type="text" label="Anything Else You Would Like Me To Know?" name="anything-else-you-would-like-me-to-know" subtype="text" className="form-control"/> <field type="checkbox-group" required="true" label="Consent" name="consent"> <option label="I consent to having Live Well Travel to collect my details via this form" value="i-consent-to-having-live-well-travel-to-collect-my-details-via-this-form">I consent to having Live Well Travel to collect my details via this form</option> </field> </fields> </form-template> </body> </html>
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