<html> <body> <form-template> <fields> <field type="header" subtype="h2" label="Traveler Information"/> <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="Email" name="email" subtype="text" className="form-control"/> <field type="text" required="true" label="Phone Number" placeholder="By inputting your phone number you are agreeing to receive texts from Hunter" name="phone-number" subtype="text" className="form-control"/> <field type="radio-group" required="true" label="Have you ever worked with a travel agent before?" name="have-you-ever-worked-with-a-travel-agent-before"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="header" subtype="h1" label="Travel Preferences"/> <field type="textarea" required="true" label="Please list the full names of each person in your travel party AND their age at the time of travel. If you'd like more than one room, please group everyone by how you'd like them to be broken up." placeholder="Example: Room One- John Smith (42) Jane Smith (40) and Jack Smith (10) Room Two- Mike Miller (43) Mary Miller (40) and Mason Miller (11)" name="please-list-the-full-names-of-each-person-in-your-travel-party-and-their-age-at-the-time-of-travel-if-youd-like-more-than-one-stateroom-please-group-everyone-by-how-youd-like-them-to-be-broken-up" className="form-control"/> <field type="text" required="true" label="When would you like to travel?" description="If you have specific dates please include those" placeholder="8/1/2024 - 8/8/2024" name="when-would-you-like-to-travel" subtype="text" className="form-control"/> <field type="checkbox-group" required="true" label="Are your dates flexible?" name="dates-flexible"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="text" label="What is your departure city?" description="Where will you be flying from?" placeholder="I would prefer to fly from Indianapolis but I can also fly from Chicago." name="departure-city" subtype="text" className="form-control"/> <field type="header" subtype="h1" label="Perfecting Your Experience"/> <field type="radio-group" required="true" label="When was the last time you took a Disney Cruise Line vacation?" name="when-was-the-last-time-you-took-a-disney-cruise-line-vacation"> <option label="We are new to Disney Cruise Line vacations!" value="we-are-new-to-disney-cruise-line-vacations">We are new to Disney Cruise Line vacations!</option> <option label="In the last 3 years" value="in-the-last-3-years">In the last 3 years</option> <option label="3-5 years ago" value="35-years-ago">3-5 years ago</option> <option label="5-10 years ago" value="510-years-ago">5-10 years ago</option> <option label="10+ years ago" value="10-years-ago">10+ years ago</option> </field> <field type="radio-group" label="If you are a current Castaway Club member, what is your status?" name="if-you-are-a-current-castaway-club-member-what-is-your-status"> <option label="Silver (1-4 Disney cruises completed)" value="silver-14-disney-cruises-completed">Silver (1-4 Disney cruises completed)</option> <option label="Gold (5-9 Disney cruises completed)" value="gold-59-disney-cruises-completed">Gold (5-9 Disney cruises completed)</option> <option label="Platinum (10+ Disney cruises completed)" value="platinum-10-disney-cruises-completed">Platinum (10+ Disney cruises completed)</option> <option label="Pearl (25+ Disney cruises completed)" value="pearl-25-disney-cruises-completed">Pearl (25+ Disney cruises completed)</option> </field> <field type="checkbox-group" required="true" label="What destinations are you interested in sailing to? (Select up to three)" name="what-destinations-are-you-interested-in-sailing-to-select-up-to-three"> <option label="Alaska" value="alaska">Alaska</option> <option label="Asia" value="asia">Asia</option> <option label="Bahamas" value="bahamas">Bahamas</option> <option label="Bermuda" value="bermuda">Bermuda</option> <option label="Canada" value="canada">Canada</option> <option label="Caribbean" value="caribbean">Caribbean</option> <option label="Europe" value="europe">Europe</option> <option label="Hawaii" value="hawaii">Hawaii</option> <option label="Mediterranean" value="mediterranean">Mediterranean</option> <option label="Mexico" value="mexico">Mexico</option> <option label="Pacific Coast" value="pacific-coast">Pacific Coast</option> <option label="South Pacific " value="south-pacific-">South Pacific </option> <option label="Transatlantic" value="transatlantic">Transatlantic</option> </field> <field type="checkbox-group" required="true" label="How long is your ideal Disney Cruise?" name="how-long-is-your-ideal-disney-cruise"> <option label="3 nights" value="3-nights">3 nights</option> <option label="4 nights" value="4-nights">4 nights</option> <option label="5 to 6 nights" value="5-to-6-nights">5 to 6 nights</option> <option label="7 nights " value="7-nights-">7 nights </option> <option label="8 to 13 nights" value="8-to-13-nights">8 to 13 nights</option> <option label="14 nights or more" value="14-nights-or-more">14 nights or more</option> </field> <field type="checkbox-group" required="true" label="What is your preferred departure port? (Select up to two)" name="what-is-your-preferred-departure-port-select-up-to-two"> <option label="Port Canaveral, Florida" value="port-canaveral-florida">Port Canaveral, Florida</option> <option label="Fort Lauderdale, Florida" value="fort-lauderdale-florida">Fort Lauderdale, Florida</option> <option label="Galveston, Texas" value="galveston-texas">Galveston, Texas</option> <option label="New Orleans, Louisiana" value="new-orleans-louisiana">New Orleans, Louisiana</option> <option label="New York, New York" value="new-york-new-york">New York, New York</option> <option label="San Diego, California" value="san-diego-california">San Diego, California</option> <option label="Honolulu, Hawai'i" value="honolulu-hawaii">Honolulu, Hawai'i</option> <option label="San Juan, Puerto Rico" value="san-juan-puerto-rico">San Juan, Puerto Rico</option> <option label="Auckland, New Zealand" value="auckland-new-zealand">Auckland, New Zealand</option> <option label="Barcelona, Spain" value="barcelona-spain">Barcelona, Spain</option> <option label="Brisbane, Australia" value="brisbane-australia">Brisbane, Australia</option> <option label="Civitavecchia (Rome), Italy" value="civitavecchia-rome-italy">Civitavecchia (Rome), Italy</option> <option label="Copenhagen, Denmark" value="copenhagen-denmark">Copenhagen, Denmark</option> <option label="Melbourne, Australia" value="melbourne-australia">Melbourne, Australia</option> <option label="Southampton, England" value="southampton-england">Southampton, England</option> <option label="Sydney, Australia" value="sydney-australia">Sydney, Australia</option> <option label="Vancouver, Canada" value="vancouver-canada">Vancouver, Canada</option> </field> <field type="radio-group" required="true" label="If you have a preferred ship, which ship is it?" name="if-you-have-a-preferred-ship-which-ship-is-it"> <option label="No preference" value="no-preference">No preference</option> <option label="Disney Treasure" value="disney-treasure">Disney Treasure</option> <option label="Disney Wish" value="disney-wish">Disney Wish</option> <option label="Disney Fantasy" value="disney-fantasy">Disney Fantasy</option> <option label="Disney Dream" value="disney-dream">Disney Dream</option> <option label="Disney Wonder" value="disney-wonder">Disney Wonder</option> <option label="Disney Magic" value="disney-magic">Disney Magic</option> </field> <field type="radio-group" label="What best describes yourstateroom preference?" name="hotel-preference"> <option label="Inside Stateroom (no windows) $" value="inside-stateroom-no-windows-">Inside Stateroom (no windows) $</option> <option label="Oceanview Stateroom (window with view of the ocean) $$" value="oceanview-stateroom-window-with-view-of-the-ocean-">Oceanview Stateroom (window with view of the ocean) $$</option> <option label="Stateroom with Verandah (balcony overlooking the ocean) $$$" value="stateroom-with-verandah-balcony-overlooking-the-ocean-">Stateroom with Verandah (balcony overlooking the ocean) $$$</option> <option label="Concierge Stateroom (specialty category with enhanced services and benefits) $$$$" value="concierge-stateroom-specialty-category-with-enhanced-services-and-benefits-">Concierge Stateroom (specialty category with enhanced services and benefits) $$$$</option> <option label="Concierge Suite (offers multiple bedroom options, specialty services, and benefits) $$$$$" value="concierge-suite-offers-multiple-bedroom-options-specialty-services-and-benefits-">Concierge Suite (offers multiple bedroom options, specialty services, and benefits) $$$$$</option> </field> <field type="textarea" required="true" label="What is important to you in your accommodations?" placeholder="Is there a specific area on the ship you'd like to be? Do you need wheelchair accessibility? Do you need adjoining cabins with another party?" name="what-is-important-to-you-in-your-accommodations" className="form-control"/> <field type="checkbox-group" required="true" label="Are you interested in any of these themed or holiday cruises?" name="are-you-interested-in-any-of-these-themed-or-holiday-cruises"> <option label="Marvel Day at Sea (typically offered from late January into early March on the Disney Dream out of Fort Lauderdale, Florida)" value="marvel-day-at-sea-typically-offered-from-late-january-into-early-march-on-the-disney-dream-out-of-fort-lauderdale-florida">Marvel Day at Sea (typically offered from late January into early March on the Disney Dream out of Fort Lauderdale, Florida)</option> <option label="Pixar Day at Sea (typically offered from late January to early March on the Disney Fantasy from Port Canaveral, Florida)" value="pixar-day-at-sea-typically-offered-from-late-january-to-early-march-on-the-disney-fantasy-from-port-canaveral-florida">Pixar Day at Sea (typically offered from late January to early March on the Disney Fantasy from Port Canaveral, Florida)</option> <option label="Halloween on the High Seas (offered fleet wide in September and October)" value="halloween-on-the-high-seas-offered-fleet-wide-in-september-and-october">Halloween on the High Seas (offered fleet wide in September and October)</option> <option label="Very Merrytime (typically offered fleet wide in November and December)" value="very-merrytime-typically-offered-fleet-wide-in-november-and-december">Very Merrytime (typically offered fleet wide in November and December)</option> <option label="We prefer a sailing without any special theming. " value="we-prefer-a-sailing-without-any-special-theming-">We prefer a sailing without any special theming. </option> </field> <field type="radio-group" label="What is MOST important to you when considering your cruise options?" name="what-is-most-important-to-you-when-considering-your-cruise-options"> <option label="Sailing within our preferred dates" value="sailing-within-our-preferred-dates">Sailing within our preferred dates</option> <option label="Sailing on your preferred ship" value="sailing-on-your-preferred-ship">Sailing on your preferred ship</option> <option label="Sailing from our preferred port" value="sailing-from-our-preferred-port">Sailing from our preferred port</option> <option label="Sailing for our preferred cruise length" value="sailing-for-our-preferred-cruise-length">Sailing for our preferred cruise length</option> <option label="Sailing on a themed sailing" value="sailing-on-a-themed-sailing">Sailing on a themed sailing</option> <option label="Staying within our budget" value="staying-within-our-budget">Staying within our budget</option> </field> <field type="radio-group" required="true" label="Is your budget flexible if it means taking the kind of vacation you'd like to take?" name="is-your-budget-flexible-if-it-means-taking-the-kind-of-vacation-youd-like-to-take"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="textarea" label="What else would you like me to know?" description="Birthdays Honeymoon Anniversaries Engagement, Family Reunion, Adoption, Etc." placeholder="We are celebrating our 10 year anniversary." name="notes" className="form-control"/> <field type="header" subtype="h1" label="Basic Trip Information"/> <field type="radio-group" required="true" label="Would you like Travel Insurance included in your vacation?" description="Information on the policy can be provided upon request." name="radio-group-1689797792761"> <option label="Yes, please include it in my quotes." value="yes-please-include-it-in-my-quotes">Yes, please include it in my quotes.</option> <option label="No, I do not wish to purchase travel insurance and assume all risk of that decision." value="no-i-do-not-wish-to-purchase-travel-insurance-and-assume-all-risk-of-that-decision">No, I do not wish to purchase travel insurance and assume all risk of that decision.</option> <option label="No, I will be purchasing travel insurance through an outside vendor on my own. " value="no-i-will-be-purchasing-travel-insurance-through-an-outside-vendor-on-my-own-">No, I will be purchasing travel insurance through an outside vendor on my own. </option> </field> <field type="radio-group" required="true" label="Which of the following describes your booking timeline?" name="which-of-the-following-describes-your-booking-timeline" other="true"> <option label="We are ready to place a 20% deposit on our vacation." value="we-are-ready-to-place-a-20-deposit-on-our-vacation">We are ready to place a 20% deposit on our vacation.</option> <option label="We will be ready to make the deposit in the next two weeks. " value="we-will-be-ready-to-make-the-deposit-in-the-next-two-weeks-">We will be ready to make the deposit in the next two weeks. </option> </field> <field type="radio-group" required="true" label="How would you prefer to receive your vacation proposals?" inline="true" name="how-would-you-prefer-to-receive-your-vacation-proposals"> <option label="Email" value="email">Email</option> <option label="Phone Consultations" value="phone-consultations">Phone Consultations</option> </field> <field type="paragraph" subtype="blockquote" label="If you would like to discuss your vacation proposals during a phone consultation, please schedule a call here: https://calendly.com/keelingadventures/phoneconsultation"/> <field type="radio-group" required="true" label="Where did you hear about our services?" name="where-did-you-hear-about-our-services" other="true"> <option label="Personal Referral" value="personal-referral">Personal Referral</option> <option label="Tik Tok" value="tik-tok">Tik Tok</option> <option label="Instagram" value="instagram">Instagram</option> <option label="Facebook" value="facebook">Facebook</option> <option label="Youtube" value="youtube">Youtube</option> </field> <field type="radio-group" required="true" label="Do you belong to any of the following groups?" name="do-you-belong-to-any-of-the-following-groups"> <option label="New Client" value="new-client">New Client</option> <option label="Repeat Client" value="repeat-client">Repeat Client</option> <option label="United States Armed Forces (Active Duty and Retired Veteran Only)" value="united-states-armed-forces-active-duty-and-retired-veteran-only">United States Armed Forces (Active Duty and Retired Veteran Only)</option> <option label="Florida Resident" value="florida-resident">Florida Resident</option> <option label="California Resident " value="california-resident-">California Resident </option> <option label="Hawaii Resident " value="hawaii-resident-">Hawaii Resident </option> <option label="Canadian Resident" value="canadian-resident">Canadian Resident</option> <option label="UK Resident " value="uk-resident-">UK Resident </option> </field> <field type="paragraph" subtype="p" label="Thank you reaching out to me, and taking the time to fill out this travel survey to help me better understand what you are looking for in your next vacation. You can expect to receive your vacation proposal within 2 business days of submitting your form. If you do not hear from us, please feel free to reach out to me at hunter@jcotravel.com to ensure we received the form.&nbsp;"/> </fields> </form-template> </body> </html>
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