<html> <body> <form-template> <fields> <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" 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="h1" label="Step 1: Let's focus on finding the best cruise for YOU! Once we've found the perfect cruise, we can explore options for extending and/or elevating your trip.&nbsp;"/> <field type="radio-group" label="Is this your first cruise?&nbsp;" name="is-this-your-first-cruise-"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> <option label="I'm a cruise PRO!" value="im-a-cruise-pro">I'm a cruise PRO!</option> </field> <field type="text" required="true" label="Where would you like to go? It can be general like&nbsp; "tropical", "glacier" or "Mediterranean". If there's a certain port you must visit, please share it here.&nbsp;" placeholder="ex: Tahiti" name="where-would-you-like-to-go-it-can-be-general-like-mediterranean-or-scandinavia-if-theres-a-certain-port-you-must-visit-please-share-it-here-" subtype="text" className="form-control"/> <field type="checkbox-group" label="Are you interested in:&nbsp;" description="Check all that apply" name="are-you-interested-in-"> <option label="Big-ship ocean cruise" value="bigship-ocean-cruise">Big-ship ocean cruise</option> <option label="Small-ship ocean cruise " value="smallship-ocean-cruise-">Small-ship ocean cruise </option> <option label="River cruise" value="river-cruise">River cruise</option> <option label="Private yacht charter" value="private-yacht-charter">Private yacht charter</option> <option label="Expedition cruise" value="expedition-cruise">Expedition cruise</option> </field> <field type="checkbox-group" label="The purpose of this cruise is:&nbsp;" description="Check all that apply" name="the-purpose-of-this-cruise-is-" other="true"> <option label="Making memories w/ family and/or friends" value="making-memories-w-family-andor-friends">Making memories w/ family and/or friends</option> <option label="Visiting historical sites" value="visiting-historical-sites">Visiting historical sites</option> <option label="Checking something off a bucket list" value="checking-something-off-a-bucket-list">Checking something off a bucket list</option> <option label="Romance" value="romance">Romance</option> <option label="Just for fun!" value="just-for-fun">Just for fun!</option> <option label="Celebrating a special occasion" value="celebrating-a-special-occasion">Celebrating a special occasion</option> <option label="Eating and/or drinking around the world" value="eating-andor-drinking-around-the-world">Eating and/or drinking around the world</option> <option label="Adventure" value="adventure">Adventure</option> </field> <field type="checkbox-group" label="Are any of these important? *These only apply to ocean cruises .&nbsp;" inline="true" name="are-any-of-these-important-these-only-apply-to-ocean-cruises-"> <option label="Casino" value="casino">Casino</option> <option label="Babysitting" value="babysitting">Babysitting</option> <option label="Kids/Teen Club" value="kidsteen-club">Kids/Teen Club</option> <option label="Sports court" value="sports-court">Sports court</option> <option label="Lots of specialty dining venues" value="lots-of-specialty-dining-venues">Lots of specialty dining venues</option> <option label="Rock wall" value="rock-wall">Rock wall</option> <option label="Zipline" value="zipline">Zipline</option> <option label="Flow Rider" value="flow-rider">Flow Rider</option> <option label="Water slide" value="water-slide">Water slide</option> <option label="Go-carts" value="gocarts">Go-carts</option> <option label="Adults-only pool" value="adultsonly-pool">Adults-only pool</option> <option label="Outdoor movies" value="outdoor-movies">Outdoor movies</option> <option label="Spa" value="spa">Spa</option> <option label="Nightly shows" value="nightly-shows">Nightly shows</option> </field> <field type="checkbox-group" label="What experiences are you interested in?&nbsp;" description="Check all that apply" name="what-experiences-are-you-interested-in-" other="true"> <option label="Seeing all of the sites you can possibly fit in" value="seeing-all-of-the-sites-you-can-possibly-fit-in">Seeing all of the sites you can possibly fit in</option> <option label="Cooking classes and/or food tours" value="cooking-classes-andor-food-tours">Cooking classes and/or food tours</option> <option label="Adventure activities" value="adventure-activities">Adventure activities</option> <option label="Nightlife" value="nightlife">Nightlife</option> <option label="Arts and theater" value="arts-and-theater">Arts and theater</option> <option label="Private, custom experiences" value="private-custom-experiences">Private, custom experiences</option> <option label="Wineries & vineyards" value="wineries-vineyards">Wineries & vineyards</option> <option label="Distilleries" value="distilleries">Distilleries</option> <option label="Gambling" value="gambling">Gambling</option> </field> <field type="text" label="Which cruise lines have you sailed with before?&nbsp;" name="which-cruise-lines-have-you-sailed-with-before-" subtype="text" className="form-control"/> <field type="text" label="Which ones are on your wishlist?&nbsp;" name="which-ones-are-on-your-wishlist-" subtype="text" className="form-control"/> <field type="text" label="Would you call yourself a foodie? What type of food excites you?&nbsp;" name="would-you-call-yourself-a-foodie-what-type-of-food-excites-you-" subtype="text" className="form-control"/> <field type="checkbox-group" label="Are you looking forward to:&nbsp;" description="Choose as many as you like" name="are-you-looking-forward-to-"> <option label="The buffet" value="the-buffet">The buffet</option> <option label="The main dining room" value="the-main-dining-room">The main dining room</option> <option label="Specialty restaurants all the way!" value="specialty-restaurants-all-the-way">Specialty restaurants all the way!</option> <option label="Dining in each port" value="dining-in-each-port">Dining in each port</option> </field> <field type="radio-group" label="What best describes your hotel/cruise preference?&nbsp;" name="what-best-describes-your-hotelcruise-preference-" other="true"> <option label="Value" value="value">Value</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="checkbox-group" label="What type of cabin are you interested in?&nbsp;" description="You can choose more than one if you want to compare prices" name="what-type-of-cabin-are-you-interested-in-"> <option label="We're splurging on a suite because we deserve it!" value="were-splurging-on-a-suite-because-we-deserve-it">We're splurging on a suite because we deserve it!</option> <option label="We'd like to have a balcony where we can enjoy morning coffee in the fresh air" value="wed-like-to-have-a-balcony-where-we-can-enjoy-morning-coffee-in-the-fresh-air">We'd like to have a balcony where we can enjoy morning coffee in the fresh air</option> <option label="A French balcony (river cruise only)" value="a-french-balcony-river-cruise-only">A French balcony (river cruise only)</option> <option label="As long as we have a window, we're happy" value="as-long-as-we-have-a-window-were-happy">As long as we have a window, we're happy</option> <option label="An interior cabin is where we get the best sleep" value="an-interior-cabin-is-where-we-get-the-best-sleep">An interior cabin is where we get the best sleep</option> <option label="Tell me about some of the unique cabin options that are available" value="tell-me-about-some-of-the-unique-cabin-options-that-are-available">Tell me about some of the unique cabin options that are available</option> </field> <field type="radio-group" required="true" label="What is the price range you are comfortable with (total for all travelers) for the CRUISE ONLY&nbsp;" description="You can add notes below" name="what-is-the-price-range-you-are-comfortable-with-total-for-all-travelers-for-the-cruise-only-"> <option label="Under $3,500" value="under-3500">Under $3,500</option> <option label="$3500-5000" value="35005000">$3500-5000</option> <option label="$5000-7500" value="50007500">$5000-7500</option> <option label="$7500-10,000" value="750010000">$7500-10,000</option> <option label="$10,000-15,000" value="1000015000">$10,000-15,000</option> <option label="$15,000+" value="15000">$15,000+</option> </field> <field type="textarea" label="Is there anything else I should know about your price range?&nbsp;" name="is-there-anything-else-i-should-know-about-your-price-range-" className="form-control"/> <field type="header" subtype="h1" label="Practical Information"/> <field type="date" label="Earliest you can depart?" description="This just gives me a general idea of when you like to go; it can be changed later." name="earliest-you-can-depart" className="form-control"/> <field type="date" label="Latest you can return?&nbsp;" description="This just gives me a general idea of when you like to go; it can be changed later." name="latest-you-can-return-" className="form-control"/> <field type="radio-group" label="Are your dates flexible?&nbsp;" name="are-your-dates-flexible-"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="text" label="How many nights would you like the cruise to be (can be a range)?&nbsp;" name="how-many-nights-would-you-like-the-cruise-to-be-can-be-a-range-" subtype="text" className="form-control"/> <field type="textarea" label="Number of cabins and location preferences - Do they need to connect, or is side-by-side or just nearby ok?&nbsp;" name="number-of-cabins-and-location-preferences-do-they-need-to-connect-or-is-sidebyside-or-just-nearby-ok-" className="form-control"/> <field type="textarea" label="Number of travelers and their ages?&nbsp;" name="number-of-travelers-and-their-ages-" className="form-control"/> <field type="radio-group" required="true" label="Is anyone in your party pregnant or planning to become pregnant before the cruise?&nbsp;&nbsp;" description="So that we can advise as each cruise line has its own pregnancy policy. All information is private." name="is-anyone-in-your-party-pregnant-or-planning-to-become-pregnant-before-the-cruise-"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="radio-group" required="true" label="Is everyone in your party a US citizen?&nbsp;" description="If not we need to know so that we can advise you properly" name="is-everyone-in-your-party-a-us-citizen-"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="checkbox-group" label="Promotions you qualify for (if available):" name="promotions-you-qualify-for-if-available" other="true"> <option label="Senior (55 or older)" value="senior-55-or-older">Senior (55 or older)</option> <option label="Military" value="military">Military</option> <option label="Fire/EMT/Law Enforcement" value="fireemtlaw-enforcement">Fire/EMT/Law Enforcement</option> <option label="Teacher" value="teacher">Teacher</option> </field> <field type="text" label="What state do you live in?&nbsp;" name="what-state-do-you-live-in-" subtype="text" className="form-control"/> <field type="text" label="Is there anything you absolutely must do or see?&nbsp;" name="is-there-anything-you-absolutely-must-do-or-see-" subtype="text" className="form-control"/> <field type="textarea" label="What else would you like me to know? (dietary or medical requirements, special requests, etc)&nbsp;" name="what-else-would-you-like-me-to-know-dietary-or-medical-requirements-special-requests-etc-" className="form-control"/> <field type="text" required="true" label="Please share how you found us (or who referred you, so that we can thank them).&nbsp;" name="please-share-how-you-found-us-or-who-referred-you-so-that-we-can-thank-them-" subtype="text" className="form-control"/> <field type="checkbox-group" label="Would you like to receive our monthly newsletter? It will feature new blog posts, great deals and other stuff, travel related." name="would-you-like-to-receive-our-monthly-newsletter-it-will-feature-new-blog-posts-great-deals-and-other-stuff-travel-related"> <option label="Yes, sign me up." value="yes-sign-me-up">Yes, sign me up.</option> </field> </fields> </form-template> </body> </html>
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