<html> <body> <form-template> <fields> <field type="header" subtype="h2" label="Questions for your trip"/> <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" label="Preferred Name" name="preferred-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" label="Where would you like to go?" description="If you're not sure just give me a few destinations you're considering." placeholder="ex: Tahiti, Egypt , somewhere in the Caribbean, no clue- I'd love advice!" name="destination" subtype="text" className="form-control"/> <field type="text" required="true" label="What are your ideal travel dates?&nbsp; Please note any flexibility or restrictions to the timing of your trip." name="what-are-your-ideal-travel-dates-" subtype="text" className="form-control"/> <field type="text" required="true" label="How many travelers?" name="number-of-travelers" subtype="text" className="form-control"/> <field type="text" required="true" label="Full legal names as they appear on passports or government IDs of all that will be traveling with you, and dates of birth. Please include relationships to each traveler and for children, please include ages. *" name="full-legal-names-as-they-appear-on-passports-or-government-ids-of-all-that-will-be-traveling-with-you-and-dates-of-birth-please-include-relationships-to-each-traveler-and-for-children-please-include-ages-" subtype="text" className="form-control"/> <field type="radio-group" required="true" label="What is your budget for all travelers? If your budget is firm, please click "other" and provide details." description="This just gives me a general starting point and can always be changed later." name="budget" other="true"> <option label="up to $10,000" value="up-to-10000">up to $10,000</option> <option label="$10,000-$15,000" value="1000015000">$10,000-$15,000</option> <option label="$15,000-$20,000" value="1500020000">$15,000-$20,000</option> <option label="$20,000-30,000" value="2000030000">$20,000-30,000</option> <option label="$30,000+" value="30000">$30,000+</option> </field> <field type="select" required="true" label="Are flights included in your above budget?&nbsp;" name="are-flights-included-in-your-above-budget-" className="form-control"> <option label="Please include flight costs in this budget" value="please-include-flight-costs-in-this-budget" selected="selected">Please include flight costs in this budget</option> <option label="Airfare is not included in this budget" value="airfare-is-not-included-in-this-budget">Airfare is not included in this budget</option> </field> <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="radio-group" label="What are you typically comfortable spending on a hotel room?&nbsp;" name="hotel-preference" other="true"> <option label="up to $500 per night" value="up-to-500-per-night">up to $500 per night</option> <option label="$500 to $1,000 per night" value="500-to-1000-per-night">$500 to $1,000 per night</option> <option label="over $1,000 per night" value="over-1000-per-night">over $1,000 per night</option> </field> <field type="text" label="What is your reason for travel? Are you celebrating anything?&nbsp;" name="must-dos" subtype="text" className="form-control"/> <field type="text" label="What is your favorite hotel you've stayed in or most fond travel memory you have? Why?&nbsp;" placeholder="Help me get to know what's important to you!" name="what-is-your-favorite-hotel-youve-stayed-in-or-most-fond-travel-memory-you-have-why-" subtype="text" className="form-control"/> <field type="textarea" label="What else would you like me to know?" description="What else would you like me to know about your travelers budget and/or travel preferences?" name="notes" className="form-control"/> <field type="text" label="How did you hear about my services? Let me know wo I can thank!" placeholder="instagram? a colleague? google? " name="how-did-you-hear-about-my-services-let-me-know-wo-i-can-thank" subtype="text" className="form-control"/> <field type="radio-group" label="What kind of planning assistance are you looking for?&nbsp;" description="If you've taken a peek at my services page, please select your interest here! " name="what-kind-of-planning-assistance-are-you-looking-for-"> <option label="VIP Me! One stop hotel booking" value="vip-me-one-stop-hotel-booking">VIP Me! One stop hotel booking</option> <option label="A one stop booking with an itinerary" value="a-one-stop-booking-with-an-itinerary">A one stop booking with an itinerary</option> <option label="Multi-stop, full-service itinerary" value="multistop-fullservice-itinerary">Multi-stop, full-service itinerary</option> <option label="Destination Wedding or Elopement planning" value="destination-wedding-or-elopement-planning">Destination Wedding or Elopement planning</option> <option label="Cruises or Air/Yacht Charters" value="cruises-or-airyacht-charters">Cruises or Air/Yacht Charters</option> <option label="I'm not quite sure-- overall advice within a given budget, date, and desire." value="im-not-quite-sure-overall-advice-within-a-given-budget-date-and-desire">I'm not quite sure-- overall advice within a given budget, date, and desire.</option> </field> <field type="select" required="true" label="Would you like to be on our email list?&nbsp;" placeholder="We send no more than 2 emails per month!" name="would-you-like-to-be-on-our-email-list-" className="form-control"> <option label="Heck yes! " value="heck-yes-" selected="selected">Heck yes! </option> <option label="I'll pass!" value="ill-pass">I'll pass!</option> </field> <field type="checkbox-group" required="true" label="Client Agreement:" inline="true" name="client-agreement"> <option label=" I understand that for international travel my passport may be required to be valid for up to 6 months AFTER my scheduled return date to the US. " value="-i-understand-that-for-international-travel-my-passport-may-be-required-to-be-valid-for-up-to-6-months-after-my-scheduled-return-date-to-the-us-"> I understand that for international travel my passport may be required to be valid for up to 6 months AFTER my scheduled return date to the US. </option> </field> </fields> </form-template> </body> </html>
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