<form-template> <fields> <field type="header" subtype="h2" label="Contact Info"/> <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="Email" placeholder="johnsmith@gmail.com" name="email" subtype="text" className="form-control"/> <field type="text" required="true" label="Phone number" placeholder="888-111-2222" name="phone-number" subtype="text" className="form-control"/> <field type="text" required="true" label="Address Line 1" name="address-line-1" subtype="text" className="form-control"/> <field type="text" label="Address 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="header" subtype="h1" label="Trip Info"/> <field type="checkbox-group" required="true" label="Where are you in the planning process?&nbsp;" 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 researching and planning" value="i-have-some-ideas-but-need-help-with-researching-and-planning">I have some ideas, but need help with researching and planning</option> <option label="I know exactly what I want and would like to hand it over to a professional" value="i-know-exactly-what-i-want-and-would-like-to-hand-it-over-to-a-professional">I know exactly what I want and would like to hand it over to a professional</option> <option label="Other..." value="other">Other...</option> </field> <field type="text" required="true" label="Where would you like to travel?" description="If you're not yet sure put "I don't know"" placeholder="Thailand &amp; Vietnam" name="where-would-you-like-to-travel" subtype="text" className="form-control"/> <field type="textarea" required="true" label="What are your preferred travel dates? Are your travel dates flexible?" description="Please give me a range and let me know if there are any restrictions" placeholder=""September 2019" or "September 3 - 15 2019" or "We can travel anytime after September 1; we must return before September 20"" name="what-are-your-preferred-travel-dates-are-your-travel-dates-flexible" className="form-control"/> <field type="text" required="true" label="How many total nights would you like to travel?&nbsp;" placeholder="10 nights" name="how-many-total-nights-would-you-like-to-travel-" subtype="text" className="form-control"/> <field type="textarea" required="true" label="What is the inspiration for this trip? What experiences do you hope to have? What are your top priorities?&nbsp;" placeholder="We are celebrating our 1 year anniversary. This will be our first trip to Asia. We're looking forward to seeing elephants cooking classes and enjoying some relaxation on the beach." name="what-is-the-inspiration-for-this-trip-what-experiences-do-you-hope-to-have-what-are-your-top-priorities-" className="form-control"/> <field type="textarea" required="true" label="Names and relationships of each traveler (for children, please include ages)" placeholder="Phil (husband) Haley (daughter - 17) Alex (daughter - 15) Luke (son - 13)" name="names-and-relationships-of-each-traveler-for-children-please-include-ages" className="form-control"/> <field type="text" required="true" label="What is your ideal budget, not including airfare? Please specify a range or a maximum, not including airfare. We are currently accepting new clients with a starting budget of $5,000 per couple per week. (This budget includes accommodation, transportation, tours, and experiences.)" placeholder="$6 000 - $8 000" name="what-is-your-ideal-budget-not-including-airfare" subtype="text" className="form-control"/> <field type="checkbox-group" required="true" label="What class of service would you like us to quote for airfare?" description="Please check all the options you would like to consider." name="flight-arrangements"> <option label="I've already booked my flights" value="ive-already-booked-my-flights">I've already booked my flights</option> <option label="Economy Class" value="economy-class">Economy Class</option> <option label="Premium Economy Class" value="premium-economy-class">Premium Economy Class</option> <option label="Business Class" value="business-class">Business Class</option> <option label="First Class" value="first-class">First Class</option> </field> <field type="text" required="true" label="From what airport will you be departing?" name="from-what-airport-will-you-be-departing" subtype="text" className="form-control"/> <field type="header" subtype="h1" label="Travel Style &amp; Preferences"/> <field type="radio-group" required="true" label="Have you worked with a travel advisor before?" name="have-you-worked-with-a-travel-advisor-before"> <option label="Yes!" value="yes">Yes!</option> <option label="No, this will be the first time" value="no-this-will-be-the-first-time">No, this will be the first time</option> </field> <field type="radio-group" required="true" label="How often do you travel for pleasure?" name="how-often-do-you-travel-for-pleasure"> <option label="Once every 1-3 years to celebrate big occasions" value="once-every-13-years-to-celebrate-big-occasions">Once every 1-3 years to celebrate big occasions</option> <option label="One international trip per year plus some domestic getaways" value="one-international-trip-per-year-plus-some-domestic-getaways">One international trip per year plus some domestic getaways</option> <option label="2-3 international trips per year plus some domestic getaways" value="23-international-trips-per-year-plus-some-domestic-getaways">2-3 international trips per year plus some domestic getaways</option> <option label="Big trips, small trips, we travel as often as possible" value="big-trips-small-trips-we-travel-as-often-as-possible">Big trips, small trips, we travel as often as possible</option> </field> <field type="checkbox-group" required="true" label="What are you most interested to include in this trip? Check all that apply." name="what-are-you-most-interested-to-include-in-this-trip-check-all-that-apply"> <option label="History" value="history">History</option> <option label="Churches/Temples/Mosques" value="churchestemplesmosques">Churches/Temples/Mosques</option> <option label="Nature (Gardens, National Parks, etc)" value="nature-gardens-national-parks-etc">Nature (Gardens, National Parks, etc)</option> <option label="Museums" value="museums">Museums</option> <option label="Food" value="food">Food</option> <option label="Local drinks (Wine, whiskey, beer, etc)" value="local-drinks-wine-whiskey-beer-etc">Local drinks (Wine, whiskey, beer, etc)</option> <option label="Adventure (paragliding, skydiving, white water rafting, etc)" value="adventure-paragliding-skydiving-white-water-rafting-etc">Adventure (paragliding, skydiving, white water rafting, etc)</option> <option label="Outdoor Activity (walking, hiking, biking, etc)" value="outdoor-activity-walking-hiking-biking-etc">Outdoor Activity (walking, hiking, biking, etc)</option> <option label="Spiritual (Meditation, yoga, etc)" value="spiritual-meditation-yoga-etc">Spiritual (Meditation, yoga, etc)</option> <option label="Spa " value="spa-">Spa </option> <option label="Giving Back" value="giving-back">Giving Back</option> </field> <field type="checkbox-group" required="true" label="What type of accommodations do you prefer?&nbsp;" name="what-type-of-accommodations-do-you-prefer-"> <option label="5-star luxury" value="5star-luxury">5-star luxury</option> <option label="4-star local" value="4star-local">4-star local</option> <option label="Boutique Hotels" value="boutique-hotels">Boutique Hotels</option> <option label="U.S. based chains" value="us-based-chains">U.S. based chains</option> <option label="Private apartment or home rental" value="private-apartment-or-home-rental">Private apartment or home rental</option> <option label="Other" value="other">Other</option> </field> <field type="text" required="true" label="Are there any hotel amenities you desire?" placeholder="Onsite gym swimming pool connecting rooms etc" name="are-there-any-hotel-amenities-you-desire" subtype="text" className="form-control"/> <field type="checkbox-group" required="true" label="On which experiences do you like to splurge?" name="on-which-experiences-do-you-like-to-splurge"> <option label="An incredible hotel" value="an-incredible-hotel">An incredible hotel</option> <option label="A unique experience" value="a-unique-experience">A unique experience</option> <option label="A really great meal" value="a-really-great-meal">A really great meal</option> <option label="Shopping for mementos, souvenirs, clothes, etc" value="shopping-for-mementos-souvenirs-clothes-etc">Shopping for mementos, souvenirs, clothes, etc</option> <option label="A day full of pampering at the spa" value="a-day-full-of-pampering-at-the-spa">A day full of pampering at the spa</option> <option label="All of the above! " value="all-of-the-above-">All of the above! </option> </field> <field type="text" required="true" label="What hotel have you loved staying at previously?&nbsp;" name="what-hotel-have-you-loved-stay-at-recently-" subtype="text" className="form-control"/> <field type="text" required="true" label="What is one of your favorite travel memories?" name="what-is-one-of-your-favorite-travel-memories" subtype="text" className="form-control"/> <field type="text" required="true" label="What has been your least favorite travel experience?&nbsp;" name="what-has-been-your-least-favorite-travel-experience-" subtype="text" className="form-control"/> <field type="textarea" label="In addition to this trip, what trips and/or destinations are at the top of your priority list for the next 3-5 years?&nbsp;" placeholder="For example: My 50th birthday is next year and I'd like to visit Bora Bora; Our 25th wedding anniversary is in two years and we are looking forward to taking a trip to celebrate; Seeing the northern lights in Norway is at the top of our list!" name="in-addition-to-this-trip-what-trips-andor-destinations-are-at-the-top-of-your-priority-list-for-the-next-35-years-" className="form-control"/> <field type="textarea" label="Is there anything else I should know?" name="is-there-anything-else-i-should-know" className="form-control"/> <field type="text" required="true" label="How did you hear about Adrianne Resek Travel?" name="how-did-you-hear-about-undiscovered-sunsets" subtype="text" className="form-control"/> <field type="checkbox-group" required="true" label="Would you like to be added to my monthly newsletter?" inline="true" name="would-you-like-to-be-added-to-my-monthly-newsletter"> <option label="Yes, please" value="yes-please">Yes, please</option> <option label="No, thank you" value="no-thank-you">No, thank you</option> </field> <field type="paragraph" subtype="p" label="Please note: Resek Travel charges a non-refundable Research &amp; Design fee starting at $500. Each Research &amp; Design fee is based upon the number of travelers, the length of trip, and the complexity of the trip and covers the time involved in researching and designing a highly customized travel experience.&nbsp; An invoice will be sent immediately after the Discovery Call to begin your trip design."/> </fields> </form-template>
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