<html> <body> <form-template> <fields><field type="text" subtype="text" required="true" label="First name" className="form-control" name="first-name"></field><field type="text" subtype="text" required="true" label="Last name" className="form-control" name="last-name"></field><field type="text" subtype="text" required="true" label="Email" className="form-control" name="email"></field> <field type="header" subtype="h1" label="DESTINATION &amp; VIBE&nbsp;"/> <field type="textarea" label="Have you been to the Africa before?&nbsp;" name="names-and-ages-of-all-travelers" className="form-control"/> <field type="text" label="Have you been on a safari before?" name="have-you-been-on-a-safari-before" subtype="text" className="form-control"/> <field type="select" label="What animals are you hoping to see?" name="select-1753177311025" multiple="multiple" className="form-control"> <option label="Lions" value="lions">Lions</option> <option label="Elephants" value="elephants">Elephants</option> <option label="Hippos" value="hippos">Hippos</option> <option label="Wildebeest (Great Migration)" value="wildebeest-great-migration">Wildebeest (Great Migration)</option> <option label="Giraffes" value="giraffes">Giraffes</option> <option label="Cheetahs" value="cheetahs">Cheetahs</option> <option label="Rhinos" value="rhinos">Rhinos</option> <option label="Wild dog" value="wild-dog">Wild dog</option> </field> <field type="textarea" label="Pre or Post safari - would you be interested in another location like the beach (Zanzibar, Seychelles, etc.) or time in a city (Cape Town, Nairobi, etc.) ?&nbsp;" name="textarea-1753176721605" className="form-control"/> <field type="textarea" label="Is there anywhere you'd prefer not to go?&nbsp;" name="textarea-1753176740904" className="form-control"/> <field type="textarea" label="One amazing location or would you like to explore multiple spots?&nbsp;" name="textarea-1753176758671" className="form-control"/> <field type="textarea" label="Are you open to vaccines? Some countries require them." name="textarea-1753536532836" className="form-control"/> <field type="radio-group" label="How much does exceptional service matter to you?&nbsp;" name="how-much-does-exceptional-service-matter-to-you-"> <option label="It’s essential—I value attentive, personalized service and smooth logistics throughout my trip." value="its-essentiali-value-attentive-personalized-service-and-smooth-logistics-throughout-my-trip">It’s essential—I value attentive, personalized service and smooth logistics throughout my trip.</option> <option label="It’s important—I appreciate good service, especially when it makes things easier or more enjoyable." value="its-importanti-appreciate-good-service-especially-when-it-makes-things-easier-or-more-enjoyable">It’s important—I appreciate good service, especially when it makes things easier or more enjoyable.</option> <option label="I notice it, but it’s not a dealbreaker—I’m more focused on the destination and experience." value="i-notice-it-but-its-not-a-dealbreakerim-more-focused-on-the-destination-and-experience">I notice it, but it’s not a dealbreaker—I’m more focused on the destination and experience.</option> </field> <field type="textarea" label="Are there any family or traveler dynamics to consider?" description="Any connecting rooms bedding requests sharing rooms etc?" placeholder="Any connecting rooms bedding requests sharing rooms etc?" name="family-or-traveler-dynamics-to-consider" className="form-control"/> <field type="textarea" label="Any special considerations for the trip?" description="Please let us know of any special considerations needed for your trip." placeholder="Medical needs dietary restrictions or mobility issues?" name="textarea-1753177910399" className="form-control"/> <field type="header" subtype="h1" label="WHAT MATTERS MOST TO YOU"/> <field type="textarea" label="What would make this a WOW trip for you?" description="What memories would you like to make?" name="what-would-make-this-a-wow-trip-for-you" className="form-control"/> <field type="textarea" label="What are some of your most memorable vacation highlights?" description="Any special activities you have done in the past that made your trip memorable?" placeholder="Any special activities to note?" name="what-are-some-of-your-most-memorable-vacation-highlights" className="form-control"/> <field type="textarea" label="Anything you did not like on your past trips?" name="textarea-1753179645539" className="form-control"/> <field type="header" subtype="h1" label="THE LOGISTICS"/> <field type="radio-group" required="true" label="Do you need assistance with flights? Please note we're not able to assist with airline points or credit card points bookings but encourage you to use them for airfare- NOT hotels." name="do-you-need-assistance-with-air-travel"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="select" required="true" label="Preferred class of service?" name="preferred-class-of-service" className="form-control"> <option label="First Class" value="first-class">First Class</option> <option label="Business/ First" value="business-first">Business/ First</option> <option label="Premium Economy" value="premium-economy">Premium Economy</option> <option label="Economy" value="economy">Economy</option> </field> <field type="clientLoyaltyPrograms" label="Are you loyal to an airline? If so, please choose your Loyalty Programs below." name="loyalty-program" loyalty-program-note="*** This field allows your client to enter multiple loyalty program numbers (you only need one of these per form template) ***" className="form-control"/> <field type="radio-group" label="Are you comfortable flying on a small plane?" name="radio-group-1753178440337"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="header" subtype="h1" label="ACCOMMODATION STYLE&nbsp; &amp; ACTIVITIES&nbsp;"/> <field type="select" label="What type of accommodation are you envisioning?" name="hotel-preferences" multiple="multiple" className="form-control"> <option label="Tented Camp / Family Tents" value="tented-camp-family-tents">Tented Camp / Family Tents</option> <option label="Private Home" value="private-home">Private Home</option> <option label="Safari Lodge" value="safari-lodge">Safari Lodge</option> <option label="I don't know, please help me decide! " value="i-dont-know-please-help-me-decide-">I don't know, please help me decide! </option> </field> <field type="checkbox-group" label="Check all that apply: I would prefer accommodation with:" name="checkbox-group-1753176923206"> <option label="Stable wifi to check in back home" value="stable-wifi-to-check-in-back-home">Stable wifi to check in back home</option> <option label="Spa & Wellness amenities " value="spa-wellness-amenities-">Spa & Wellness amenities </option> <option label="A room with a beautiful view" value="a-room-with-a-beautiful-view">A room with a beautiful view</option> <option label="Plunge Pool" value="plunge-pool">Plunge Pool</option> </field> <field type="select" label="What activities are you looking to do while in Africa?" name="select-1753177226827" multiple="multiple" className="form-control"> <option label="Cultural experiences (local villages, tribal visits, storytelling, crafts)" value="cultural-experiences-local-villages-tribal-visits-storytelling-crafts">Cultural experiences (local villages, tribal visits, storytelling, crafts)</option> <option label="Safari game drives (Big Five spotting, sunrise or sunset drives)" value="safari-game-drives-big-five-spotting-sunrise-or-sunset-drives">Safari game drives (Big Five spotting, sunrise or sunset drives)</option> <option label="Food & wine (local cuisine tours, South African wine tasting, cooking classes)" value="food-wine-local-cuisine-tours-south-african-wine-tasting-cooking-classes">Food & wine (local cuisine tours, South African wine tasting, cooking classes)</option> <option label="Elephant or Animal Sanctuary" value="elephant-or-animal-sanctuary">Elephant or Animal Sanctuary</option> <option label="Walking safaris or bush hikes" value="walking-safaris-or-bush-hikes">Walking safaris or bush hikes</option> <option label="Gorilla or chimpanzee trekking" value="gorilla-or-chimpanzee-trekking">Gorilla or chimpanzee trekking</option> <option label=" Beach time (Zanzibar, Seychelles, Cape Town coastline)" value="-beach-time-zanzibar-seychelles-cape-town-coastline"> Beach time (Zanzibar, Seychelles, Cape Town coastline)</option> <option label="Stargazing in the desert" value="stargazing-in-the-desert">Stargazing in the desert</option> <option label=" Wellness & relaxation (spa, yoga, retreats in nature)" value="-wellness-relaxation-spa-yoga-retreats-in-nature"> Wellness & relaxation (spa, yoga, retreats in nature)</option> <option label="Urban exploring (markets, music, architecture in cities like Cape Town or Nairobi)" value="urban-exploring-markets-music-architecture-in-cities-like-cape-town-or-nairobi">Urban exploring (markets, music, architecture in cities like Cape Town or Nairobi)</option> </field> <field type="textarea" label="Any other activities you are interested in doing or seeing?" name="any-allergies-dietary-restrictions-or-aversions" className="form-control"/> <field type="textarea" label="INVESTMENT" description="On average, a safari in East Africa will cost $1000 per person, per day. South Africa is a bit less. Botswana and Namibia will be closer to $2000 per person, per day." placeholder="On average, a safari in East Africa will cost $1000 per person, per day. South Africa is a bit less. Bostswana and Namibia will be closer to $2000 per person, per day." name="textarea-1753536716665" className="form-control"/> </fields> </form-template> </body> </html>
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