<html> <body> <form-template> <fields> <field type="header" subtype="h2" label="Let's start getting to know you so we can plan your ideal trip."/> <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" name="preferred-name" 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="Phone number" name="phone-number" 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" label="Country" name="address-country" subtype="text" className="form-control"/> <field type="text" required="true" label="What destination(s) are you considering?" name="what-destinations-are-you-considering" subtype="text" className="form-control"/> <field type="date" required="true" 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" required="true" 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" required="true" 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" required="true" label="How many travelers on this trip?" description="If you are traveling with children please advise of their ages. If you are traveling with multiple families, please advise of total members in each family and childrens ages" name="number-of-travelers" subtype="text" className="form-control"/> <field type="textarea" required="true" label="What is your budget for this trip, excluding airfare?" name="what-is-your-budget-for-this-trip-excluding-airfare" className="form-control"/> <field type="checkbox-group" required="true" label="What type of trip planning are you interested in?" name="what-type-of-trip-planning-are-you-interested-in"> <option label="I have a specific trip in mind" value="i-have-a-specific-trip-in-mind">I have a specific trip in mind</option> <option label="Long term planning" value="long-term-planning">Long term planning</option> <option label="I just need a hotel booking (VIP me!)" value="i-just-need-a-hotel-booking-vip-me">I just need a hotel booking (VIP me!)</option> </field> <field type="checkbox-group" required="true" label="Where are you in the trip planning process?" name="where-are-you-in-the-trip-planning-process"> <option label="I need all the help I can get" value="i-need-all-the-help-i-can-get">I need all the help I can get</option> <option label="I have some initial ideas, but could use some guidance" value="i-have-some-initial-ideas-but-could-use-some-guidance">I have some initial ideas, but could use some guidance</option> <option label="I have a pretty solid plan, but need help finalizing details" value="i-have-a-pretty-solid-plan-but-need-help-finalizing-details">I have a pretty solid plan, but need help finalizing details</option> <option label="Other" value="other">Other</option> </field> <field type="select" required="true" label="Would You Like Flights Booked?" name="would-you-like-flights-booked" className="form-control"> <option label="Yes Please!" value="yes-please">Yes Please!</option> <option label="I've got my flights covered" value="ive-got-my-flights-covered">I've got my flights covered</option> </field> <field type="radio-group" label="Flight Cabin Preference" name="seat-preference" other="true"> <option label="First" value="first">First</option> <option label="Business" value="business">Business</option> <option label="Premium Economy" value="premium-economy">Premium Economy</option> <option label="Economy" value="economy">Economy</option> </field> <field type="checkbox-group" label="Flight Routing Preferences" name="flight-routing-preferences" other="true"> <option label="Nonstop Only" value="nonstop-only">Nonstop Only</option> <option label="Connecting OK" value="connecting-ok">Connecting OK</option> </field> <field type="checkbox-group" required="true" label="What Are Your Travel Interests (check all that apply)" name="vibe-preference" other="true"> <option label="Beach" value="beach">Beach</option> <option label="Rest and relaxation" value="rest-and-relaxation">Rest and relaxation</option> <option label="Exclusive Access/Experiences" value="exclusive-accessexperiences">Exclusive Access/Experiences</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="Adventure" value="adventure">Adventure</option> <option label="Art" value="art">Art</option> <option label="History" value="history">History</option> <option label="Food and wine" value="food-wine">Food and wine</option> <option label="Nightlife" value="nightlife">Nightlife</option> <option label="Shopping" value="shopping">Shopping</option> <option label="Romantic" value="romantic">Romantic</option> <option label="Family friendly" value="family-friendly">Family friendly</option> <option label="Multi-generational" value="multi-generational">Multi-generational</option> <option label="LGBTIQA+" value="lgbtiqa">LGBTIQA+</option> </field> <field type="text" label="Anything you absolutely must do or see?" name="must-dos" subtype="text" className="form-control"/> <field type="radio-group" required="true" label="Hotel Preferences" name="hotel-preference" other="true"> <option label="Luxury Chain" value="luxury-chain">Luxury Chain</option> <option label="Luxury Boutique" value="luxury-boutique">Luxury Boutique</option> <option label="Luxury Resort" value="luxury-resort">Luxury Resort</option> </field> <field type="text" required="true" label="What are Your Favorite Hotels?" name="what-are-your-favorite-hotels" subtype="text" className="form-control"/> <field type="text" required="true" label="Room &amp; Bedding Preferences" description="i.e. - 1 room with king bed connecting rooms large suite rollaway crib etc" name="room-bedding-preferences" subtype="text" className="form-control"/> <field type="checkbox-group" required="true" label="Drink Preferences" name="drink-preferences" other="true"> <option label="Red Wine" value="red-wine">Red Wine</option> <option label="White Wine" value="white-wine">White Wine</option> <option label="Rosé" value="ros">Rosé</option> <option label="Bubbles" value="bubbles">Bubbles</option> <option label="Still Water" value="still-water">Still Water</option> <option label="Sparkling Water" value="sparkling-water">Sparkling Water</option> <option label="Other/Additional Info on Above Choice" value="otheradditional-info-on-above-choice">Other/Additional Info on Above Choice</option> </field> <field type="checkbox-group" required="true" label="Favorite Snacks" name="checkbox-group-1687806171597" other="true"> <option label="Fruit" value="fruit">Fruit</option> <option label="Cheese & Crackers" value="cheese-crackers">Cheese & Crackers</option> <option label="Chocolate" value="chocolate">Chocolate</option> <option label="Candy" value="candy">Candy</option> <option label="Baked Goods" value="baked-goods">Baked Goods</option> <option label="Chips & Dip" value="chips-dip">Chips & Dip</option> <option label="Other/Additional Info on Above Choice" value="otheradditional-info-on-above-choice">Other/Additional Info on Above Choice</option> </field> <field type="text" required="true" label="Other Favorites" description="Do you like a certain card game or board game? Must have extra blankets or down pillows? Please let us know!" name="other-favorites" subtype="text" className="form-control"/> <field type="text" required="true" label="Dietary Restrictions" description="Please list any or write none" name="dietary-restrictions" subtype="text" className="form-control"/> <field type="text" label="Mobility or Transportation Needs" description="stroller wheelchair car seats no stairs, etc" name="mobility-or-transportation-needs" subtype="text" className="form-control"/> <field type="textarea" label="What Else Would You Like Us To Know?" name="what-else-would-you-like-us-to-know" className="form-control"/> <field type="checkbox-group" required="true" label="I understand that Attaché at NinthFlr charges a planning fee for most services" description="*please note the credit card authorization is for us to keep your card on file the amount listed will not be charged. no amount will be charged without prior consent." name="i-understand-that-attach-at-ninthflr-charges-a-planning-fee-for-most-services"> <option label="Yes" value="yes">Yes</option> </field> <field type="date" label="Date Field" name="date-1657570195967" className="form-control"/> </fields> </form-template> </body> </html>
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