<html> <body> <form-template> <fields> <field type="header" subtype="h1" label="About You"/> <field type="checkbox-group" label="Does everyone in your party have a valid passport book? (active until 6 months after trip return date)" name="does-everyone-in-your-party-have-a-valid-passport"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="text" required="true" label="First name as it is written on your passport:" description="Please make sure that your name is spelled here exactly as it is written on your passport." name="first-name" subtype="text" className="form-control"/> <field type="text" required="true" label="Last name as it is written on your passport." name="last-name" subtype="text" className="form-control"/> <field type="text" label="Preferred First name" description="Nickname" name="preferred-name" subtype="text" className="form-control"/> <field type="date" required="true" label="Date of Birth" description="This is required in order to save a quote" name="date-of-birth" className="form-control"/> <field type="text" required="true" label="Email" name="email" subtype="text" className="form-control"/> <field type="text" required="true" label="Phone number" description="###-###-####" name="phone-number" subtype="text" className="form-control"/> <field type="header" subtype="h2" label="Address"/> <field type="text" required="true" label="State" name="address-state" subtype="text" className="form-control"/> <field type="header" subtype="h2" label="Questions for your trip"/> <field type="radio-group" label="Where do you want to go, if your preference is staying at an All-Inclusive resort?" description="If you aren't sure give me a few options." inline="true" name="where-do-you-want-to-go" other="true"> <option label="Mexico (Cancun area) " value="mexico-cancun-area-">Mexico (Cancun area) </option> <option label="Mexico (West Coast - Cabo, Puerto Vallarta, etc) " value="mexico-west-coast-cabo-puerto-vallarta-etc-">Mexico (West Coast - Cabo, Puerto Vallarta, etc) </option> <option label="Jamaica " value="jamaica-">Jamaica </option> <option label="Dominican Republic (Punta Cana) " value="dominican-republic-punta-cana-">Dominican Republic (Punta Cana) </option> <option label="Aruba " value="aruba-">Aruba </option> <option label="Belize " value="belize-">Belize </option> <option label="Costa Rica" value="costa-rica">Costa Rica</option> </field> <field type="radio-group" label="Where do you want to go, if you don't require/want to stay at an All-Inclusive resort?" inline="true" name="where-do-you-want-to-go-if-you-dont-requirewant-to-stay-at-an-allinclusive-resort" other="true"> <option label="Hawaii (no all-inclusive resorts)" value="hawaii-no-allinclusive-resorts">Hawaii (no all-inclusive resorts)</option> <option label="Bahamas" value="bahamas">Bahamas</option> <option label="Bermuda" value="bermuda">Bermuda</option> <option label="Aruba" value="aruba">Aruba</option> <option label="Belize" value="belize">Belize</option> <option label="Grand Cayman" value="grand-cayman">Grand Cayman</option> <option label="Costa Rica" value="costa-rica">Costa Rica</option> </field> <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="checkbox-group" label="Are your dates flexible?" description="Input your flex dates (before and after your ideal date range)" name="dates-flexible" other="true"> <option label="Yes" value="yes">Yes</option> </field> <field type="text" label="If you need air included, which airport will you depart from?" description="Where will you be flying from?" name="departure-city" subtype="text" className="form-control"/> <field type="text" label="How many travelers (including yourself)?" name="number-of-travelers" subtype="text" className="form-control"/> <field type="radio-group" label="What best describes your hotel preference?" inline="true" name="hotel-preference" other="true"> <option label="Moderate (3-4 Stars)" value="moderate-34-stars">Moderate (3-4 Stars)</option> <option label="Luxury (4-5 Stars)" value="luxury-45-stars">Luxury (4-5 Stars)</option> <option label="Boutique" value="boutique">Boutique</option> </field> <field type="radio-group" required="true" label="Room Preference" name="room-preference"> <option label="Oceanfront " value="oceanfront-">Oceanfront </option> <option label="Oceanview (partial view) " value="oceanview-partial-view-">Oceanview (partial view) </option> <option label="Pool View " value="pool-view-">Pool View </option> <option label="Garden View (budget friendly)" value="garden-view-budget-friendly">Garden View (budget friendly)</option> <option label="Over Water Bungalow (luxury $)" value="over-water-bungalow-luxury-">Over Water Bungalow (luxury $)</option> </field> <field type="checkbox-group" required="true" label="Room amenities preferred" description="check all that apply" inline="true" name="room-amenities-preferred"> <option label="Butler/Concierge services" value="butlerconcierge-services">Butler/Concierge services</option> <option label="Includes personal plunge pool" value="includes-personal-plunge-pool">Includes personal plunge pool</option> <option label="Swim-Up Suite" value="swimup-suite">Swim-Up Suite</option> <option label="Ground floor" value="ground-floor">Ground floor</option> <option label="Adults only section" value="adults-only-section">Adults only section</option> <option label="Accessible room" value="accessible-room">Accessible room</option> </field> <field type="checkbox-group" required="true" label="What would you like included in your booking?" description="check all that apply" inline="true" name="what-would-you-like-included-in-your-booking"> <option label="Air" value="air">Air</option> <option label="Airport Transfers" value="airport-transfers">Airport Transfers</option> <option label="Car rental" value="car-rental">Car rental</option> <option label="Resort/Hotel" value="resorthotel">Resort/Hotel</option> <option label="Activities/Excursions/Tours" value="activitiesexcursionstours">Activities/Excursions/Tours</option> <option label="Meals Included" value="meals-included">Meals Included</option> <option label="Alcohol Included" value="alcohol-included">Alcohol Included</option> <option label="Travel Insurance" value="travel-insurance">Travel Insurance</option> </field> <field type="checkbox-group" label="What kind of vibe are you looking for?" description="Check all that apply." inline="true" 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> <option label="Golf" value="golf">Golf</option> <option label="Active/Adventure" value="activeadventure">Active/Adventure</option> <option label="Adults-only" value="adultsonly">Adults-only</option> <option label="Spa" value="spa">Spa</option> <option label="Casino" value="casino">Casino</option> </field> <field type="checkbox-group" label="Choose the 3-4 most important things for you on your trip:" inline="true" name="choose-the-3-most-important-things-for-you-on-your-trip" other="true"> <option label="Great food" value="great-food">Great food</option> <option label="Great drinks (Top shelf liquor a MUST)" value="great-drinks-top-shelf-liquor-a-must">Great drinks (Top shelf liquor a MUST)</option> <option label="Great service" value="great-service">Great service</option> <option label="Room service" value="room-service">Room service</option> <option label="Great beach" value="great-beach">Great beach</option> <option label="Great pools" value="great-pools">Great pools</option> <option label="Scuba is a MUST" value="scuba-is-a-must">Scuba is a MUST</option> <option label="Nightlife" value="nightlife">Nightlife</option> <option label="Great social activities" value="great-social-activities">Great social activities</option> <option label="Variety of excursion/tours/cultural activities" value="variety-of-excursiontourscultural-activities">Variety of excursion/tours/cultural activities</option> <option label="Near excursions and tours" value="near-excursions-and-tours">Near excursions and tours</option> <option label="Near shopping" value="near-shopping">Near shopping</option> <option label="Waterpark on-site" value="waterpark-onsite">Waterpark on-site</option> <option label="Kids clubs" value="kids-clubs">Kids clubs</option> <option label="Babysitting services on site" value="babysitting-services-on-site">Babysitting services on site</option> <option label="On or below budget" value="on-or-below-budget">On or below budget</option> </field> <field type="checkbox-group" label="If a beach is your destination, what is a requirement?" description="check all that apply" inline="true" name="if-a-beach-is-your-destination-what-is-a-requirement"> <option label="Swim in turquoise water" value="swim-in-turquoise-water">Swim in turquoise water</option> <option label="Must be swimmable" value="must-be-swimmable">Must be swimmable</option> <option label="A walkable beach for miles (not land locked)" value="a-walkable-beach-for-miles-not-land-locked">A walkable beach for miles (not land locked)</option> <option label="Just a gorgeous view, we don't need to swim" value="just-a-gorgeous-view-we-dont-need-to-swim">Just a gorgeous view, we don't need to swim</option> <option label="We only go to the pool and don't care about the beach" value="we-only-go-to-the-pool-and-dont-care-about-the-beach">We only go to the pool and don't care about the beach</option> </field> <field type="text" label="What are your must haves for your resort?" description="ex: swim-up pool bar top shelf liquor etc" name="what-are-your-must-haves-for-your-resort" subtype="text" className="form-control"/> <field type="textarea" label="What are absolute no's?" description="ex. no family friendly resorts not near the chaos/city area etc" name="what-are-absolute-nos" className="form-control"/> <field type="text" label="Anything you absolutely must do or see?" name="must-dos" subtype="text" className="form-control"/> <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"/> <field type="header" subtype="h1" label="THANK YOU!"/> <field type="paragraph" subtype="p" label="Thank you for taking the time to complete this questionnaire. After I review your answers, I will email you my calendar so you can schedule a time to chat with me over the phone. It is helpful that if you have other travelers in your party, that you have discussed your travel ideas together and you can relay those ideas to me during the free consultation phone call.&nbsp; The call should take no more than 30 minutes.&nbsp;"/> <field type="paragraph" subtype="p" label="At the end of that call, I will determine if I am the right fit for your travel needs and if yes, will discuss my fee structure. I have a 3-tiered fee menu; my non-refundable fee covers my research and design of your specific trip. My fees are not set in stone which is why we have the call to discuss the scope of work I will be doing for you. I will determine what my fee will be by the end of the call. You can then take the day or two to decide if you wish to move forward with my services. During that time, you will receive my detailed Professional Services Fee Agreement and invoice.&nbsp;"/> <field type="paragraph" subtype="p" label="I prioritize my work load based on three things, in this order:&nbsp; 1) first come, first serve&nbsp; 2) date of departure&nbsp; 3) Professional Services Fee paid.&nbsp; Because I must prioritize my work to our committed clients first, I am not able to start working on your trip's research and design until payment is received.&nbsp;"/> <field type="paragraph" subtype="p" label="If you choose not to use my services at this time, no hard feelings as I do not take it personally. I am here when you feel you need the assistance, whether that is now or in the future . I love helping people! I am a people pleaser! Travel design is my passion.&nbsp; This is my own local business which I take very seriously and I hope I can WOW you with my design, too!&nbsp;"/> <field type="paragraph" subtype="p" label="Thank you for contacting Bliss Trips etc, LLC. --Janet Miller, CEO and Principal Travel Concierge"/> </fields> </form-template> </body> </html>
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