Share your information with Betsy Prieto

Betsy Prieto

La Vie Est Belle Travel

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    <form-template>&#13;
	<fields>&#13;
		<field type="header" subtype="h2" label="Betsy&#39;s Quick Questionnaire!"/>&#13;
		<field type="paragraph" subtype="p" label="Thank you for choosing &quot;La Vie Est Belle Travel&quot; for your next vacation! &amp;nbsp;These quick answers will help me to get started on creating the perfect itinerary for you! &amp;nbsp;Merci Beaucoup!"/>&#13;
		<field type="header" subtype="h2" label="Full name"/>&#13;
		<field type="text" required="true" label="First name" name="first-name" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Middle name" name="middle-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 required="true"  type="text" label="Email" name="email" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Where would you like to go?" description="If you&#39;re not sure  just give me a few destinations you&#39;re considering." placeholder="ex: Tahiti" name="destination" subtype="text" className="form-control"/>&#13;
		<field type="date" label="When would you like to depart?" description="This just gives me a general idea of when you like to go; it can be changed later." name="starting-at" className="form-control"/>&#13;
		<field type="date" label="When would you like to return?" description="This just gives me a general idea of when you like to return; it can be changed later." name="ending-at" className="form-control"/>&#13;
		<field type="checkbox-group" label="Are your dates flexible?" name="dates-flexible">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
		</field>&#13;
		<field type="text" required="true" label="Would you like help with flights?" name="would-you-like-help-with-flights" subtype="text" className="form-control"/>&#13;
		<field type="text" label="What is your departure city?" description="Where will you be flying from?" name="departure-city" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="How many travelers? &amp;nbsp;Names and ages also, please.&amp;nbsp;" name="number-of-travelers" subtype="text" className="form-control"/>&#13;
		<field type="checkbox-group" required="true" label="Which Service are you most interested in?" name="which-service-are-you-most-interested-in">&#13;
			<option label="Hotel Bookings Only (Free)" value="hotel-bookings-only-free">Hotel Bookings Only (Free)</option>&#13;
			<option label="Itinerary Planning ($600):  Hotels, Activities, Transfers, General knowledge" value="itinerary-planning-600-hotels-activities-transfers-general-knowledge">Itinerary Planning ($600):  Hotels, Activities, Transfers, General knowledge</option>&#13;
			<option label="FULL Itinerary Planning ($1000):  Hotels, activities, Transfers, restaurant bookings, golf bookings, etc." value="full-itinerary-planning-1000-hotels-activities-transfers-restaurant-bookings-golf-bookings-etc">FULL Itinerary Planning ($1000):  Hotels, activities, Transfers, restaurant bookings, golf bookings, etc.</option>&#13;
			<option label="Group Travel (varies)" value="group-travel-varies">Group Travel (varies)</option>&#13;
			<option label="Cruising (free)" value="cruising-free">Cruising (free)</option>&#13;
		</field>&#13;
		<field type="radio-group" label="What is your hotel budget per night?" description="This just gives me a general starting point and can always be changed later." name="budget" other="true">&#13;
			<option label="$500- $600" value="500-600">$500- $600</option>&#13;
			<option label="$600 to $1000" value="600-to-1000">$600 to $1000</option>&#13;
			<option label="$1000  to $1500" value="1000-to-1500">$1000  to $1500</option>&#13;
			<option label="$1500 - $2000" value="1500-2000">$1500 - $2000</option>&#13;
			<option label="$2000 +" value="2000-">$2000 +</option>&#13;
		</field>&#13;
		<field type="radio-group" label="What best describes your hotel preference?" name="hotel-preference" other="true">&#13;
			<option label="Economy" value="value">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="checkbox-group" label="What kind of vibe are you looking for?" description="Check all that apply." name="vibe-preference" other="true">&#13;
			<option label="Romantic" value="romantic">Romantic</option>&#13;
			<option label="Rest and relaxation" value="rest-and-relaxation">Rest and relaxation</option>&#13;
			<option label="Off the beaten path" value="off-the-beaten-path">Off the beaten path</option>&#13;
			<option label="Party" value="party">Party</option>&#13;
			<option label="Local culture" value="local-culture">Local culture</option>&#13;
			<option label="Family friendly" value="family-friendly">Family friendly</option>&#13;
			<option label="Food and wine" value="food-wine">Food and wine</option>&#13;
		</field>&#13;
		<field type="checkbox-group" required="true" label="What activities are you interested in?" description="Check all that apply" name="activity-preferences" other="true">&#13;
			<option label="Beach and water" value="beach-water">Beach and water</option>&#13;
			<option label="Adventure activities" value="adventure">Adventure activities</option>&#13;
			<option label="Golf" value="golf">Golf</option>&#13;
			<option label="Nightlife" value="nightlife">Nightlife</option>&#13;
			<option label="Arts and theater" value="art-theater">Arts and theater</option>&#13;
			<option label="Family Friendly" value="family-friendly">Family Friendly</option>&#13;
			<option label="City to City Travel" value="city-to-city-travel">City to City Travel</option>&#13;
		</field>&#13;
		<field type="text" label="Anything you absolutely must do or see?" name="must-dos" subtype="text" className="form-control"/>&#13;
		<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"/>&#13;
		<field type="text" label="Text Field" name="text-1747766514167" value="Thank you so much!  I will be in touch ASAP!" subtype="text" className="form-control"/>&#13;
	</fields>&#13;
</form-template>
  </body>
</html>