<html> <body> <form-template> <fields> <field type="header" subtype="h2" label="Let's Start Designing Your Journey..."/> <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" required="true" label="Email" name="email" subtype="text" className="form-control"/> <field type="header" subtype="h1" label="Let's Get Started"/> <field type="text" label="How were you referred to us?" name="how-were-you-referred-to-us" subtype="text" className="form-control"/> <field type="checkbox-group" label="What is your preferred method of communication?&nbsp;" name="what-is-your-preferred-method-of-communication-"> <option label="Email" value="email">Email</option> <option label="Phone" value="phone">Phone</option> </field> <field type="text" label="Instagram Handle" name="instagram-profile" subtype="text" className="form-control"/> <field type="checkbox-group" label="Would you like to schedule a phone consultation or would you like me to get started as soon as I receive the form?&nbsp;" name="would-you-like-to-schedule-a-phone-consultation-or-would-you-like-me-to-get-started-as-soon-as-i-receive-the-form-"> <option label="Phone consultation." value="phone-consultation">Phone consultation.</option> <option label="Get started!" value="get-started">Get started!</option> </field> <field type="text" label="Phone number (if you like a phone consultation)" name="phone-number-if-you-like-a-phone-consultation" subtype="text" className="form-control"/> <field type="radio-group" label="Would you like to be added to my newsletter to receive news and updates?&nbsp;" name="would-you-like-to-be-added-to-my-newsletter-to-receive-news-and-updates-"> <option label="Yes please! " value="yes-please-">Yes please! </option> <option label="Not today " value="not-today-">Not today </option> </field> <field type="header" subtype="h1" label="Trip Info"/> <field type="select" required="true" label="Type of Travel" placeholder="Select Type" name="type-of-travel" className="form-control"> <option label="Custom Trip Design (Europe or South East Asia)" value="custom-trip-design-europe-or-south-east-asia" selected="selected">Custom Trip Design (Europe or South East Asia)</option> <option label="Custom Trip Design (Rest of the World))" value="custom-trip-design-rest-of-the-world">Custom Trip Design (Rest of the World))</option> <option label="Cruise Travel (Ocean or River)" value="cruise-travel-ocean-or-river">Cruise Travel (Ocean or River)</option> <option label="Family Travel (Family Vacation, Multi-Generational)" value="family-travel-family-vacation-multigenerational">Family Travel (Family Vacation, Multi-Generational)</option> <option label="Romance Travel (Honeymoon, Babymoon, Couple Getaway)" value="romance-travel-honeymoon-babymoon-couple-getaway">Romance Travel (Honeymoon, Babymoon, Couple Getaway)</option> <option label="Escorted Tour" value="escorted-tour">Escorted Tour</option> <option label="All Inclusive Resort" value="all-inclusive-resort">All Inclusive Resort</option> <option label="Hotel Only" value="hotel-only">Hotel Only</option> <option label="Other" value="other">Other</option> </field> <field type="paragraph" subtype="p" label="Please Note:"/> <field type="paragraph" subtype="p" label="There is a non-refundable travel design fee starting at $300 for some of my services (please see website for details).&nbsp;This fee covers the time involved in consultation, research and itinerary creation to create an experience that's designed just for you.&nbsp;&nbsp;You'll receive the invoice via email after our initial complimentary phone consult.&nbsp;"/> <field type="text" required="true" label="Where would you like to go?" description="If you're not sure just give me a few destinations you're considering." placeholder="ex: Mediterranean Cruise Italy Germany, Thailand+Vietnam" name="destination" subtype="text" className="form-control"/> <field type="text" required="true" label="What is your preferred start date? Is it flexible?" name="what-is-your-preferred-start-date-is-it-flexible" subtype="text" className="form-control"/> <field type="text" label="How many nights?&nbsp;" name="how-many-nights-" subtype="text" className="form-control"/> <field type="textarea" label="Who else will be travelling with you? (Please include the ages if kids are coming.)" name="who-else-will-be-travelling-with-you-please-include-the-ages-if-kids-are-coming" className="form-control"/> <field type="text" label="What is your departure city?" description="Where will you be flying from?" name="departure-city" subtype="text" className="form-control"/> <field type="radio-group" label="Do you want travel protection included in the package?&nbsp;" name="do-you-want-travel-protection-included-in-the-package-"> <option label="Yes" value="yes">Yes</option> <option label="No " value="no-">No </option> <option label="Not yet" value="not-yet">Not yet</option> </field> <field type="textarea" required="true" label="What is the reason for your trip? What experience do you hope to have?&nbsp;" description="Birthday Celebration Graduation Honeymoon etc" name="what-is-the-reason-for-your-trip-what-experience-do-you-hope-to-have-" className="form-control"/> <field type="text" label="Anything you absolutely must do or see?" name="anything-you-absolutely-must-do-or-see" subtype="text" className="form-control"/> <field type="radio-group" label="Which is these are the top 3 priorities?&nbsp;" name="which-is-these-are-the-top-3-priorities-"> <option label="Best experience for money" value="best-experience-for-money">Best experience for money</option> <option label="Lowest price " value="lowest-price-">Lowest price </option> <option label="Authentic, immersive experiences " value="authentic-immersive-experiences-">Authentic, immersive experiences </option> <option label="Just the highlights/main attractions" value="just-the-highlightsmain-attractions">Just the highlights/main attractions</option> </field> <field type="radio-group" label="Accommodation Priority&nbsp;" name="accommodation-priority-"> <option label="Best accommodations" value="best-accommodations">Best accommodations</option> <option label="Basic accommodations: clean, safe, well-located" value="basic-accommodations-clean-safe-welllocated">Basic accommodations: clean, safe, well-located</option> <option label="Small, cozy hotels (more boutique)" value="small-cozy-hotels-more-boutique">Small, cozy hotels (more boutique)</option> <option label="Large property with on-site dining & amenities" value="large-property-with-onsite-dining-amenities">Large property with on-site dining & amenities</option> </field> <field type="radio-group" label="Touring Priority&nbsp;" name="touring-priority-"> <option label="Small Guided Tours" value="small-guided-tours">Small Guided Tours</option> <option label="Normal Guided Tours" value="normal-guided-tours">Normal Guided Tours</option> <option label="Just the tickets/no guide" value="just-the-ticketsno-guide">Just the tickets/no guide</option> <option label="Private Tours " value="private-tours-">Private Tours </option> </field> <field type="radio-group" required="true" label="What is your budget for all travelers (WITHOUT international airfare for a Europe or Asia package BUT INCLUSIVE of air for an All-Inclusive package)?" description="This just gives me a general starting point and can always be changed later." name="budget"> <option label="Under $2500" value="under-2500">Under $2500</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 to $12,000" value="10000-to-12000">$10,000 to $12,000</option> <option label="$12,000 to $15,000" value="12000-to-15000">$12,000 to $15,000</option> <option label="$15,000+" value="15000">$15,000+</option> <option label="I am not sure and need your help!" value="i-am-not-sure-and-need-your-help">I am not sure and need your help!</option> </field> <field type="checkbox-group" label="What kind of vibe are you looking for?" description="Check all that apply." name="vibe-preference" other="true"> <option label="Romantic" value="romantic">Romantic</option> <option label="Children/Family friendly" value="childrenfamily-friendly">Children/Family friendly</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="Local culture" value="local-culture">Local culture</option> <option label="Food & Wine" value="food-wine">Food & Wine</option> <option label="Adults Only" value="adults-only">Adults Only</option> <option label="Multi-Generational" value="multigenerational">Multi-Generational</option> </field> <field type="textarea" required="true" label="How much research have you done so far regarding this trip? Are you just getting started in the planning process or do you have a good idea of what you're looking for already?&nbsp;" name="how-much-research-have-you-done-so-far-regarding-this-trip-are-you-just-getting-started-in-the-planning-process-or-do-you-have-a-good-idea-of-what-youre-looking-for-already-" className="form-control"/> <field type="header" subtype="h1" label="Totally optional questions, to help me get to know you so that I can offer the best options. Answer some, none, or all!&nbsp;"/> <field type="text" label="What trip would you take if you won the lottery?&nbsp;" name="what-trip-would-you-take-if-you-won-the-lottery-" subtype="text" className="form-control"/> <field type="textarea" label="Tell me about your favorite travel memory" name="tell-me-about-your-favorite-travel-memory" className="form-control"/> <field type="textarea" label="Tell me about your least favorite travel memory" name="tell-me-about-your-least-favorite-travel-memory" className="form-control"/> <field type="text" label="What are your favorite beverages?" name="what-are-your-favorite-beverages" subtype="text" className="form-control"/> <field type="text" label="What is your favorite food and/or type of cuisine?" name="what-is-your-favorite-food-andor-type-of-cuisine" subtype="text" className="form-control"/> <field type="text" label="What are your hobbies? What do you like to do?" name="what-are-your-hobbies-what-do-you-like-to-do" subtype="text" className="form-control"/> </fields> </form-template> </body> </html>
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