<html> <body> <form-template> <fields> <field type="header" subtype="h2" label="Tell me about you and your trip...the more you tell me now, the more I can help you! Note once you submit this form, scroll back up to see my link to schedule a Zoom call.&nbsp;"/> <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" 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="text" label="Where do you live?" name="where-do-you-live" subtype="text" className="form-control"/> <field type="text" required="true" label="Who&nbsp; can we thank for the referral?" name="how-did-you-hear-about-me" 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." placeholder="ex: Italy or Spain or anywhere warm in Europe" name="destination" subtype="text" className="form-control"/> <field type="text" required="true" label="What airport(s) do you plan on departing from?&nbsp;" placeholder="Prefer JFK but would consider LGA too" name="what-airports-do-you-want-to-depart-from" subtype="text" className="form-control"/> <field type="text" required="true" label="Who's going with you? Include names and ages please.&nbsp;" placeholder="My Aunt Ursula (82) my cousin George (~55) and my niece Delaney (12)" name="whos-going-with-you-include-names-and-ages-please-" subtype="text" className="form-control"/> <field type="textarea" label="Now that you've told me who you are traveling with, tell me their hobbies and interests. And yours too! The more you tell me, the more special and interesting I can make your trip." placeholder="Krista (me): I love food tours photography modern and contemporary art street art biking anything Michelin-starred. Ursula: Loves shopping mid-century modern design. George: Loves cars architecture and interiors. Delaney: Instagram fashion painting and drawing." name="now-that-youve-told-me-who-you-are-traveling-with-tell-me-their-hobbies-and-interests-and-yours-too-the-more-you-tell-me-the-more-special-and-interesting-i-can-make-your-trip" className="form-control"/> <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="radio-group" required="true" label="Are your dates flexible?" inline="true" name="are-your-dates-flexible"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="radio-group" required="true" label="Have you already booked your flights?" inline="true" name="have-you-already-booked-your-flights"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="radio-group" required="true" label="What is your total budget for all travelers? Consider accommodations and tours, not flights." description="This just gives me a general starting point!" name="budget"> <option label="$2,500 to $5,000" value="2500-to-5000">$2,500 to $5,000</option> <option label="$5,000 to $7,500" value="5000-to-7500">$5,000 to $7,500</option> <option label="$7,500 to $10,000" value="7500-to-10000">$7,500 to $10,000</option> <option label="$10,000 to $15,000" value="10000-to-15000">$10,000 to $15,000</option> <option label="$15,000 to $20,000" value="15000-to-20000">$15,000 to $20,000</option> <option label="$20,000 to $35,000" value="20000-to-35000">$20,000 to $35,000</option> <option label="$35,000 to $50,000" value="35000-to-50000">$35,000 to $50,000</option> <option label="$50,000+" value="50000">$50,000+</option> </field> <field type="checkbox-group" required="true" label="What kind of vacation vibe are you looking for?" description="Check all that apply." name="vibe-preference" other="true"> <option label="Beach and water" value="beach-and-water">Beach and water</option> <option label="Rest and relaxation" value="rest-and-relaxation">Rest and relaxation</option> <option label="Adventure" value="adventure">Adventure</option> <option label="Romantic" value="romantic">Romantic</option> <option label="Sporty" value="sporty">Sporty</option> <option label="City break" value="city-break">City break</option> <option label="Local culture" value="local-culture">Local culture</option> <option label="Arts and theater" value="arts-and-theater">Arts and theater</option> <option label="Food and wine" value="food-wine">Food and 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="Family friendly" value="family-friendly">Family friendly</option> </field> <field type="textarea" label="Tell me everything you absolutely must do or see. The more you tell me, the more amazing I can make your trip." placeholder="Colosseum Naples pizza tour Amalfi coast boat ride" name="tell-me-everything-you-absolutely-must-do-or-see-the-more-you-tell-me-the-more-amazing-i-can-make-your-trip" className="form-control"/> <field type="checkbox-group" label="Do you need tours during your trip? What type of touring are you most interested in? Check all that apply." description="Imagine a tour of The Louvre in Paris a walking tour of London or perhaps a food tour in Venice." name="what-type-of-touring-are-you-most-interested-in-check-all-that-apply"> <option label="Private tours with private drivers and guides. The best of the best! Rates typically start at $1000 a day." value="private-tours-with-private-drivers-and-guides-the-best-of-the-best-rates-typically-start-at-1000-a-day">Private tours with private drivers and guides. The best of the best! Rates typically start at $1000 a day.</option> <option label="Small group tours (Usually < 24 people)" value="small-group-tours-usually-24-people">Small group tours (Usually < 24 people)</option> <option label="Group tours (Usually > 24 people)" value="group-tours-usually-24-people">Group tours (Usually > 24 people)</option> <option label="No tours (You'll explore on your own or just sit on a beach.)" value="no-tours-youll-explore-on-your-own-or-just-sit-on-a-beach">No tours (You'll explore on your own or just sit on a beach.)</option> </field> <field type="text" required="true" label="What's the best hotel you've ever stayed at?" name="whats-the-best-hotel-youve-ever-stayed-at" subtype="text" className="form-control"/> <field type="text" required="true" label="What's the maximum you're willing to spend on a hotel per night? Please note that we only work with 4 and 5 star hotels. Pricing varies by location but the properties we typically work with start at $500 per night.&nbsp;" name="whats-the-maximum-youre-willing-to-spend-on-a-hotel-per-night" subtype="text" className="form-control"/> <field type="textarea" required="true" label="Does anyone in your group have any allergies or dietary needs, other health needs, or mobility issues? Please be as specific as possible." placeholder="List any allergies chronic conditions or physical constraints." name="does-anyone-in-your-group-have-any-allergies-or-dietary-needs-other-health-needs-or-mobility-issues-please-be-as-specific-as-possible" className="form-control"/> <field type="radio-group" required="true" label="Red wine or white wine?" name="red-wine-or-white-wine" other="true"> <option label="Red" value="red">Red</option> <option label="White" value="white">White</option> <option label="Both" value="both">Both</option> <option label="Neither" value="neither">Neither</option> </field> <field type="radio-group" label="Sweet or savory snacks?" name="sweet-or-savory-snacks"> <option label="Sweet" value="sweet">Sweet</option> <option label="Savory" value="savory">Savory</option> </field> <field type="radio-group" required="true" label="Do you plan on using frequent flyer miles or hotel points for any part of your trip?" name="do-you-plan-on-using-points-for-any-part-of-your-trip"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="radio-group" required="true" label="Travel insurance will protect your investment and help you when the unexpected occurs. (Flight delays, cancellations, lost luggage, accidents/injuries, illness, etc.) Can I send you a quote for travel insurance for your trip?" name="travel-insurance-is-an-important-part-of-any-trip-and-will-protect-your-investment-would-you-like-a-quote-for-travel-insurance"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="checkbox-group" required="true" label="By submitting this form, you understand that if we decide to work together, Antidote Travel may charge a travel design fee for some elements of trip planning and management.&nbsp;" name="by-submitting-this-form-you-understand-that-antidote-travel-may-charge-a-travel-design-fee-for-trip-planning-and-management"> <option label="Yes" value="yes">Yes</option> </field> <field type="header" subtype="h1" label="When you submit this form, please scroll back up on the page for the link to schedule your consultation."/> </fields> </form-template> </body> </html>
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