<html> <body> <form-template> <fields> <field label="Questions for your trip" subtype="h2" type="header"/> <field label="First name" name="first-name" required="true" subtype="text" type="text" className="form-control"/> <field label="Last name" name="last-name" required="true" subtype="text" type="text" className="form-control"/> <field label="Birthday" name="birthday" type="date" className="form-control"/> <field label="Email" name="email" required="true" subtype="text" type="text" className="form-control"/> <field label="Phone number" name="phone-number" required="true" subtype="text" type="text" className="form-control"/> <field label="Trip Details" subtype="h1" type="header"/> <field description="If you're not sure just give me a few destinations you're considering." label="Where would you like to go?" name="destination" placeholder="ex: Tahiti" required="true" subtype="text" type="text" className="form-control"/> <field description="This just gives me a general idea of when you like to go; it can be changed later." label="When would you like to depart?" name="starting-at" required="true" type="date" className="form-control"/> <field description="This just gives me a general idea of when you like to return; it can be changed later." label="When would you like to return?" name="ending-at" required="true" type="date" className="form-control"/> <field label="Are your dates flexible?" name="dates-flexible" type="checkbox-group"> <option label="Yes" value="yes">Yes</option> </field> <field description="Where will you be flying from?" label="What is your preferred departure city?" name="departure-city" required="true" subtype="text" type="text" className="form-control"/> <field label="How many travelers?" name="number-of-travelers" required="true" type="text" className="form-control"/> <field label="If traveling internationally: Do all travelers have passports valid for 6 months AFTER travel would end?" name="if-traveling-internationally-do-all-travelers-have-passports-valid-for-6-months-after-travel-would-end" subtype="text" type="text" className="form-control"/> <field label="If you are wanting to cruise: Are all travelers vaccinated or will they be fully vaccinated 2 weeks prior to setting sail?" name="if-you-are-wanting-to-cruise-are-all-travelers-vaccinated-or-will-they-be-fully-vaccinated-2-weeks-prior-to-setting-sail" subtype="text" type="text" className="form-control"/> <field description="This just gives me a general starting point and can always be changed later." label="What is your budget for all travelers?" name="budget" type="radio-group"> <option label="$1,500 to $2,500" value="1500-2500">$1,500 to $2,500</option> <option label="$2,500 to $4,500" value="2500-4500">$2,500 to $4,500</option> <option label="$4,500 to $6,500" value="4500-6500">$4,500 to $6,500</option> <option label="$6,500 to $8,500" value="6500-8500">$6,500 to $8,500</option> <option label="$8,500 to $10,000" value="8500-10000">$8,500 to $10,000</option> <option label="$10,000+" value="10000">$10,000+</option> </field> <field label="What best describes your hotel preference?" name="hotel-preference" other="true" type="radio-group"> <option label="Economy" value="value">Economy</option> <option label="Moderate" value="moderate">Moderate</option> <option label="Luxury" value="luxury">Luxury</option> <option label="Boutique" value="boutique">Boutique</option> </field> <field description="Check all that apply." label="What kind of vibe are you looking for?" name="vibe-preference" other="true" type="checkbox-group"> <option label="Romantic" value="romantic">Romantic</option> <option label="Rest and relaxation" value="rest-and-relaxation">Rest and relaxation</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="Local culture" value="local-culture">Local culture</option> <option label="Family friendly" value="family-friendly">Family friendly</option> <option label="Food and wine" value="food-wine">Food and wine</option> </field> <field description="Check all that apply" label="What activities are you interested in?" name="activity-preferences" other="true" type="checkbox-group"> <option label="Beach and water" value="beach-water">Beach and water</option> <option label="Gambling" value="gambling">Gambling</option> <option label="Scuba" value="scuba">Scuba</option> <option label="Adventure activities" value="adventure">Adventure activities</option> <option label="Golf" value="golf">Golf</option> <option label="Nightlife" value="nightlife">Nightlife</option> <option label="Arts and theater" value="art-theater">Arts and theater</option> </field> <field label="My Travel Type is:&nbsp;" name="my-travel-type-is-" required="true" type="checkbox-group"> <option label="Free and Independent - I make my own rules" selected="selected" value="free-and-independent-i-make-my-own-rules">Free and Independent - I make my own rules</option> <option label="Guided Touring - take the stress out of it all" value="guided-touring-take-the-stress-out-of-it-all">Guided Touring - take the stress out of it all</option> <option label="A mix of doing my own thing and some guided tours" value="a-mix-of-doing-my-own-thing-and-some-guided-tours">A mix of doing my own thing and some guided tours</option> </field> <field label="I like my tours or excursions to be:" name="i-like-my-tours-or-excursions-to-be" required="true" type="checkbox-group"> <option label="Private touring" selected="selected" value="private-touring">Private touring</option> <option label="Small group experiences" value="small-group-experiences">Small group experiences</option> <option label="Large group touring - the more the merrier" value="large-group-touring-the-more-the-merrier">Large group touring - the more the merrier</option> </field> <field label="Anything you absolutely must do or see?" name="must-dos" subtype="text" type="text" className="form-control"/> <field label="My Activity Level is:&nbsp;" name="my-activity-level-is-" required="true" type="checkbox-group"> <option label="Easy - All travelers including those with lower mobility and who are comfortable participating in at least three hours of activity per day." selected="selected" value="easy-all-travelers-including-those-with-lower-mobility-and-who-are-comfortable-participating-in-at-least-three-hours-of-activity-per-day">Easy - All travelers including those with lower mobility and who are comfortable participating in at least three hours of activity per day.</option> <option label="Relaxed - Travelers who are somewhat physically fit and comfortable with longer days of touring (both walking tours and coach time)." value="relaxed-travelers-who-are-somewhat-physically-fit-and-comfortable-with-longer-days-of-touring-both-walking-tours-and-coach-time">Relaxed - Travelers who are somewhat physically fit and comfortable with longer days of touring (both walking tours and coach time).</option> <option label="Moderate - Most travelers beginning with those who are moderately fit, lead semi-active lives, are comfortable participating in long days of activities and expect some physical exertion." value="moderate-most-travelers-beginning-with-those-who-are-moderately-fit-lead-semiactive-lives-are-comfortable-participating-in-long-days-of-activities-and-expect-some-physical-exertion">Moderate - Most travelers beginning with those who are moderately fit, lead semi-active lives, are comfortable participating in long days of activities and expect some physical exertion.</option> <option label="Active - Travelers who are physically fit, expect a vigorous pace and enjoy participating in two to three hours of physical activity per day." value="active-travelers-who-are-physically-fit-expect-a-vigorous-pace-and-enjoy-participating-in-two-to-three-hours-of-physical-activity-per-day">Active - Travelers who are physically fit, expect a vigorous pace and enjoy participating in two to three hours of physical activity per day.</option> <option label="Very Active - Travelers who are physically fit, expect a vigorous pace, enjoy participating in four to five hours of physical activity per day and enjoy challenging themselves physically." value="very-active-travelers-who-are-physically-fit-expect-a-vigorous-pace-enjoy-participating-in-four-to-five-hours-of-physical-activity-per-day-and-enjoy-challenging-themselves-physically">Very Active - Travelers who are physically fit, expect a vigorous pace, enjoy participating in four to five hours of physical activity per day and enjoy challenging themselves physically.</option> <option label="Challenging - Travelers who have a high fitness level, expect a vigorous pace, enjoy participating in five to seven hours of physical activity per day and pushing themselves to their physical limits." value="challenging-travelers-who-have-a-high-fitness-level-expect-a-vigorous-pace-enjoy-participating-in-five-to-seven-hours-of-physical-activity-per-day-and-pushing-themselves-to-their-physical-limits">Challenging - Travelers who have a high fitness level, expect a vigorous pace, enjoy participating in five to seven hours of physical activity per day and pushing themselves to their physical limits.</option> </field> <field description="What else would you like me to know about your travelers budget and/or travel preferences?" label="What else would you like me to know?" name="notes" type="textarea" className="form-control"/> <field label="Additional Travelers Names &amp; DOB:" name="additional-travelers-names-dob" type="textarea" className="form-control"/> <field label="Additional Information" subtype="h1" type="header"/> <field label="Please click on the drop down above at your name and add any additional travelers.&nbsp;" name="please-click-on-the-drop-down-above-at-your-name-and-add-any-additional-travelers-" subtype="text" type="text" className="form-control"/> <field label="Please let me know about any celebrations during your trip (i.e. birthdays, anniversaries, 1st trip, graduation, etc)." name="please-let-me-know-about-any-celebrations-during-your-trip-ie-birthdays-anniversaries-1st-trip-graduation-etc" subtype="text" type="text" className="form-control"/> <field label="Are there any dietary restrictions or special food needs that we need to know about?" name="are-there-any-dietary-restrictions-or-special-food-needs-that-we-need-to-know-about" subtype="text" type="text" className="form-control"/> </fields> </form-template> </body> </html>
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