<html> <body> <form-template> <fields> <field type="header" subtype="h2" label="Questions for your trip"/> <field type="header" subtype="h2" label="Full name"/> <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 required="true" type="text" label="Email" name="email" subtype="text" className="form-control"/> <field type="text" label="Phone number" name="phone-number" subtype="text" className="form-control"/> <field type="text" label="What destination or destinations are you interested in?&nbsp;" description="If you're not sure just give me a few destinations you're considering." placeholder="ex: Tahiti" name="destination" subtype="text" className="form-control"/> <field type="radio-group" label="Vaccination Status" name="vaccination-status"> <option label="Double Vaxed" value="double-vaxed">Double Vaxed</option> <option label="Boosted" value="boosted">Boosted</option> <option label="Not Vaccinated" value="not-vaccinated">Not Vaccinated</option> </field> <field type="text" label="Please enter the date of all travelers last vaccination:" name="please-enter-the-date-of-all-travelers-last-vaccination" subtype="text" className="form-control"/> <field type="radio-group" label="OPTIONAL: Some current travel restrictions only allow travelers who are fully vaccinated (14+ days after an approved vaccine program in the destination). If you are comfortable sharing, please advise if you are open to destinations that require vaccine records to enter the country.&nbsp;" name="optional-some-current-travel-restrictions-only-allow-travelers-who-are-fully-vaccinated-14-days-after-an-approved-vaccine-program-in-the-destination-if-you-are-comfortable-sharing-please-advise-if-you-are-open-to-destinations-that-require-vaccine-records-to-enter-the-country-"> <option label="Yes- I am able to provide vaccination records" value="yes-i-am-able-to-provide-vaccination-records">Yes- I am able to provide vaccination records</option> <option label="No- I do not wish to travel where vaccination records are required" value="no-i-do-not-wish-to-travel-where-vaccination-records-are-required">No- I do not wish to travel where vaccination records are required</option> <option label="I am uncertain about the vaccination status of all parties traveling with me" value="i-am-uncertain-about-the-vaccination-status-of-all-parties-traveling-with-me">I am uncertain about the vaccination status of all parties traveling with me</option> <option label="I decline to answer" value="i-decline-to-answer">I decline to answer</option> </field> <field type="radio-group" label="Can you confirm that all travelers have a current/ unexpired passport with at least 6 months of eligibility from the end date of your trip?" name="can-you-confirm-that-all-travelers-have-a-current-unexpired-passport-with-at-least-6-months-of-eligibility-from-the-end-date-of-your-trip"> <option label="Yes, I can confirm" value="yes-i-can-confirm">Yes, I can confirm</option> <option label="No, travelers will need to update their passports prior to travel" value="no-travelers-will-need-to-update-their-passports-prior-to-travel">No, travelers will need to update their passports prior to travel</option> </field> <field type="checkbox-group" label="If you aren't sure, 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="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 type="radio-group" label="At what phase of travel are you in?" name="at-what-phase-of-travel-are-you-in"> <option label="We are just starting to brainstorm and are open to suggestions." value="we-are-just-starting-to-brainstorm-and-are-open-to-suggestions">We are just starting to brainstorm and are open to suggestions.</option> <option label="We have dates, but we need everything else." value="we-have-dates-but-we-need-everything-else">We have dates, but we need everything else.</option> <option label="Flights are all booked – now help us fill in the blanks!" value="flights-are-all-booked-now-help-us-fill-in-the-blanks">Flights are all booked – now help us fill in the blanks!</option> </field> <field type="radio-group" label="Will you be booking any portion of your trip with points?" name="will-you-be-booking-any-portion-of-your-trip-with-points"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="textarea" label="What components will you be booking with points?" placeholder="Flights hotel etc..." name="what-components-will-you-be-booking-with-points" className="form-control"/> <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"/> <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"/> <field type="radio-group" label="Are your dates flexible?" name="are-your-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?" name="departure-city" subtype="text" className="form-control"/> <field type="text" label="Do you need assistance with flights? If so, what cabin of service do you travel in?" placeholder="Economy premium economy business or first class." name="do-you-need-assistance-with-flights-if-so-what-cabin-of-service-do-you-travel-in" subtype="text" className="form-control"/> <field type="text" label="How many people will be traveling?" name="number-of-travelers" subtype="text" className="form-control"/> <field type="textarea" label="What are their name(s), age(s) and relation to you?&nbsp;" name="what-are-their-names-ages-and-relation-to-you-" className="form-control"/> <field type="text" label="What is your approximate budget?" name="what-is-your-approximate-budget" subtype="text" className="form-control"/> <field type="text" label="What do you typically spend on a hotel room per night?" name="what-do-you-typically-spend-on-a-hotel-room-per-night" subtype="text" className="form-control"/> <field type="text" label="What is your preferred room type?&nbsp;" placeholder="Room Junior Suite Suite depends who I'm traveling with..." name="what-is-your-preferred-room-type-" subtype="text" className="form-control"/> <field type="radio-group" label="What best describes your hotel preference?" name="hotel-preference" other="true"> <option label="Boutique" value="boutique">Boutique</option> <option label="Luxurious" value="luxurious">Luxurious</option> <option label="Barefoot Luxury" value="barefoot-luxury">Barefoot Luxury</option> <option label="Adult" value="adult">Adult</option> <option label="Family" value="family">Family</option> <option label="Homey" value="homey">Homey</option> <option label="Buzzy" value="buzzy">Buzzy</option> <option label="Romantic" value="romantic">Romantic</option> <option label="Business" value="business">Business</option> <option label="Hip" value="hip">Hip</option> <option label="Casual" value="casual">Casual</option> <option label="Sophisticated" value="sophisticated">Sophisticated</option> </field> <field type="textarea" label="Are there any specific amenities you would like to have?" placeholder="Private pool outer-water villa gym a great spa etc." name="are-there-any-specific-amenities-you-would-like-to-have-for-example-a-private-pool-overwater-villa-gym-a-great-spa-etc" className="form-control"/> <field type="textarea" label="What are your three favorite hotels? What did you love about them?" name="what-are-your-three-favorite-hotels-what-did-you-love-about-them" className="form-control"/> <field type="textarea" label="What are you interested in doing during your vacation? Do you just want to relax or are there any specific activities you would like to do?*" name="what-are-you-interested-in-doing-during-your-vacation-do-you-just-want-to-relax-or-are-there-any-specific-activities-you-would-like-to-do" className="form-control"/> <field type="textarea" label="Please let us know if there are any other details you would like for us to know" description="What else would you like me to know about your travelers budget and/or travel preferences and / or are you celebrating anything special?" name="notes" className="form-control"/> <field type="text" label="Please list family members and any allergies" name="please-list-family-members-and-any-allergies" subtype="text" className="form-control"/> <field type="text" label="We are happy you are here, how did you hear about TaylorMade Travel?" placeholder="Instagram Referral Website etc." name="we-are-happy-you-are-here-how-did-you-hear-about-taylormade-travel" subtype="text" className="form-control"/> </fields> </form-template> </body> </html>
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