Share your information with Jessi Diez

Jessi Diez

Travelmation

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    <form-template>&#13;
	<fields>&#13;
		<field type="header" subtype="h1" label="Let&#39;s plan your next trip!"/>&#13;
		<field type="header" subtype="h1" label="Please describe the vacation you would like to take in as much detail as possible!"/>&#13;
		<field type="paragraph" subtype="p" label="BRIDES/GROOMS: Please reach out to me via email for destination wedding inquiries at Jessidiez@travelmation.net"/>&#13;
		<field type="text" required="true" label="First name" name="first-name" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Last name" name="last-name" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Email" name="email" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Phone number" name="phone-number" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Preferred name" placeholder="How would you like me to refer to you?" name="preferred-name" subtype="text" className="form-control"/>&#13;
		<field type="checkbox-group" required="true" label="Preferred method of contact" name="preferred-method-of-contact">&#13;
			<option label="Call" value="call">Call</option>&#13;
			<option label="Text" value="text">Text</option>&#13;
			<option label="Email" value="email">Email</option>&#13;
		</field>&#13;
		<field type="checkbox-group" required="true" label="Best time of day to connect (select all that apply)" name="best-time-of-day-to-connect-select-all-that-apply">&#13;
			<option label="Mon-Fri" value="monfri">Mon-Fri</option>&#13;
			<option label="Weekends " value="weekends-">Weekends </option>&#13;
			<option label="Mornings" value="mornings">Mornings</option>&#13;
			<option label="Afternoons" value="afternoons">Afternoons</option>&#13;
			<option label="Evenings" value="evenings">Evenings</option>&#13;
		</field>&#13;
		<field type="text" required="true" label="Where would you like to go?" placeholder="If you&#39;re not sure just give me a few destinations you&#39;re considering." name="destination" subtype="text" className="form-control"/>&#13;
		<field type="textarea" required="true" label="When would you like to travel?" placeholder="If you don&#39;t have specific dates in mind please give me a date range or general time frame with the number of nights you&#39;d like to travel for." name="when-would-you-like-to-travel" className="form-control"/>&#13;
		<field type="checkbox-group" required="true" label="Are your dates flexible?" name="dates-flexible">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
		</field>&#13;
		<field type="checkbox-group" required="true" label="Where are you in your planning process?" name="where-are-you-in-your-planning-process">&#13;
			<option label="I’m ready to book and would like help securing the right hotel, flights, or cruise." value="im-ready-to-book-and-would-like-help-securing-the-right-hotel-flights-or-cruise">I’m ready to book and would like help securing the right hotel, flights, or cruise.</option>&#13;
			<option label="I have a few ideas but would love help narrowing down the best option." value="i-have-a-few-ideas-but-would-love-help-narrowing-down-the-best-option">I have a few ideas but would love help narrowing down the best option.</option>&#13;
			<option label="I’m still exploring destinations and would like help planning the trip." value="im-still-exploring-destinations-and-would-like-help-planning-the-trip">I’m still exploring destinations and would like help planning the trip.</option>&#13;
		</field>&#13;
		<field type="checkbox-group" required="true" label="How soon are you hoping to move forward with booking?" name="how-many-nights-would-you-like-to-book">&#13;
			<option label="Ready to book as soon as we find the right option" value="ready-to-book-as-soon-as-we-find-the-right-option">Ready to book as soon as we find the right option</option>&#13;
			<option label="Within the next 1–2 weeks" value="within-the-next-12-weeks">Within the next 1–2 weeks</option>&#13;
			<option label="In a few months" value="in-a-few-months">In a few months</option>&#13;
			<option label="Just considering options" value="just-considering-options">Just considering options</option>&#13;
		</field>&#13;
		<field type="text" required="true" label="What is your departure city/airport?" description="Where will you be flying from?" placeholder="Please list in order of convenience if more than one airport is feasible" name="departure-city" subtype="text" className="form-control"/>&#13;
		<field type="checkbox-group" required="true" label="If possible, do you want flights packaged with your trip?" name="if-possible-do-you-want-flights-packaged-with-your-trip">&#13;
			<option label="Yes!" value="yes">Yes!</option>&#13;
			<option label="No, I'd like to book those independently " value="no-id-like-to-book-those-independently-">No, I'd like to book those independently </option>&#13;
		</field>&#13;
		<field type="text" required="true" label="How many travelers?&amp;nbsp;" name="number-of-travelers" subtype="text" className="form-control"/>&#13;
		<field type="textarea" required="true" label="For all travelers please list full names, birthdate, and gender exactly as it appears on each individuals passport" placeholder="Ex.) Jane Marie Doe  DOB: 05/16/1990  Female ;  John Mark Doe  DOB: 02/25/1989, Male" name="for-all-travelers-please-list-full-names-birthdate-and-gender-exactly-as-it-appears-on-each-individuals-passport" className="form-control"/>&#13;
		<field type="checkbox-group" required="true" label="What type of trip are you interested in booking or open to consider?" description="Please check all boxes that apply" name="what-type-of-trip-are-you-interested-in-booking-or-open-to-consider" other="true">&#13;
			<option label="Domestic US Travel" value="domestic-us-travel">Domestic US Travel</option>&#13;
			<option label="Europe" value="europe">Europe</option>&#13;
			<option label="Adult Only- All Inclusive (Caribbean or Mexico)" value="adult-only-all-inclusive-caribbean-or-mexico">Adult Only- All Inclusive (Caribbean or Mexico)</option>&#13;
			<option label="Family Friendly- All Inclusive (Caribbean or Mexico)" value="family-friendly-all-inclusive-caribbean-or-mexico">Family Friendly- All Inclusive (Caribbean or Mexico)</option>&#13;
			<option label="Group/Corporate Travel" value="groupcorporate-travel">Group/Corporate Travel</option>&#13;
			<option label="Cruise" value="cruise">Cruise</option>&#13;
		</field>&#13;
		<field type="radio-group" required="true" label="What is your budget for all travelers?" description="This just gives me a general starting point and can always be changed later." name="budget">&#13;
			<option label="$1,500 to $3,500" value="1500-to-3500">$1,500 to $3,500</option>&#13;
			<option label="$3,500 to $6,000" value="3500-to-6000">$3,500 to $6,000</option>&#13;
			<option label="$6,000 to $9,000" value="6000-to-9000">$6,000 to $9,000</option>&#13;
			<option label="$9,000 to $15,000" value="9000-to-15000">$9,000 to $15,000</option>&#13;
			<option label="$15,000 to $25,000" value="15000-to-25000">$15,000 to $25,000</option>&#13;
			<option label="$25,000+" value="25000">$25,000+</option>&#13;
		</field>&#13;
		<field type="radio-group" label="What best describes your hotel/room preference?" name="hotel-preference" other="true">&#13;
			<option label="Economy" value="economy">Economy</option>&#13;
			<option label="Moderate" value="moderate">Moderate</option>&#13;
			<option label="Luxury" value="luxury">Luxury</option>&#13;
			<option label="Boutique" value="boutique">Boutique</option>&#13;
		</field>&#13;
		<field type="text" required="true" label="Have you already researched any specific resorts, hotel, or cruise line brands? Would you like more information on a specific brand?" name="must-dos" subtype="text" className="form-control"/>&#13;
		<field type="textarea" required="true" label="Any Food Allergies/Medical Conditions/Special Needs to be made aware of?&amp;nbsp;" placeholder="Diabetes  Autism  Wheelchair  Gluten-Free  Etc." name="notes" className="form-control"/>&#13;
		<field type="textarea" required="true" label="Please give me a brief description of what your vacation desires and goals are:" placeholder="What do you want to see? What activities do you want to do? What&#39;s the vibe--fun  relaxed  romantic?" name="please-give-me-a-brief-description-of-what-your-vacation-desires-and-goals-are" className="form-control"/>&#13;
		<field type="textarea" label="Anything else you&#39;d like me to know?" placeholder="Are you celebrating something special? Do you have a preference on room type/location? Do you have a more specific budget in mind?" name="anything-else-youd-like-me-to-know" className="form-control"/>&#13;
		<field type="checkbox-group" required="true" label="If traveling internationally, do you have a current passport? This means it will not expire within 6 months of your travel dates." name="if-looking-to-travel-internationally-do-you-have-a-current-passport-this-means-it-will-not-expire-within-6-months-of-your-travel-dates">&#13;
			<option label="Yes, my passport is valid for 6mo beyond my travel dates" value="yes-my-passport-is-valid-for-6mo-beyond-my-travel-dates">Yes, my passport is valid for 6mo beyond my travel dates</option>&#13;
			<option label="No, but working on it!" value="no-but-working-on-it">No, but working on it!</option>&#13;
		</field>&#13;
		<field type="checkbox-group" required="true" label="Are you currently working with a Travel Agent or have you been in contact with another Agent?" name="are-you-currently-working-with-a-travel-agent-or-have-you-been-in-contact-with-another-agent">&#13;
			<option label="I am not- you are the first I have contacted" value="i-am-not-you-are-the-first-i-have-contacted">I am not- you are the first I have contacted</option>&#13;
			<option label=" I am speaking with another travel advisor as well" value="-i-am-speaking-with-another-travel-advisor-as-well"> I am speaking with another travel advisor as well</option>&#13;
			<option label="I was working with another, but was not satisfied" value="i-was-working-with-another-but-was-not-satisfied">I was working with another, but was not satisfied</option>&#13;
		</field>&#13;
		<field type="checkbox-group" required="true" label="How did you hear about me?" name="how-did-you-hear-about-me" other="true">&#13;
			<option label="Facebook" value="facebook">Facebook</option>&#13;
			<option label="Instagram" value="instagram">Instagram</option>&#13;
			<option label="Google" value="google">Google</option>&#13;
			<option label="Referred by a friend" value="referred-by-a-friend">Referred by a friend</option>&#13;
		</field>&#13;
		<field type="header" subtype="h1" label="To ensure I can dedicate the time and attention each trip deserves, some itineraries may require a professional planning fee depending on the level of research, customization, and trip complexity."/>&#13;
		<field type="paragraph" subtype="p" label="Planning fees vary based on factors such as destination(s), itinerary design, and group size. If a planning fee applies to your trip, it will always be discussed and agreed upon before moving forward — no surprises."/>&#13;
		<field type="checkbox-group" required="true" label="Are you open to a conversation about my planning services and any applicable planning fees?" name="checkbox-group-1768078871416">&#13;
			<option label="Yes — I understand and value working with a professional travel advisor." value="yes-i-understand-and-value-working-with-a-professional-travel-advisor">Yes — I understand and value working with a professional travel advisor.</option>&#13;
			<option label="I’m open to it, but would like to talk through the details first." value="im-open-to-it-but-would-like-to-talk-through-the-details-first">I’m open to it, but would like to talk through the details first.</option>&#13;
			<option label="I’m unsure at this time and would like to learn more about your planning process." value="im-unsure-at-this-time-and-would-like-to-learn-more-about-your-planning-process">I’m unsure at this time and would like to learn more about your planning process.</option>&#13;
		</field>&#13;
	</fields>&#13;
</form-template>
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