<html> <body> <form-template> <fields> <field type="header" subtype="h2" label="Browns Voyage Travel Survey"/> <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="text" label="Phone number" name="phone-number" subtype="text" className="form-control"/> <field type="text" label="Where would you like to go?" description="It's okay to say "I don't know yet!" or "We're open to suggestions!"" placeholder="Ex: Paris France" name="where-would-you-like-to-go" subtype="text" className="form-control"/> <field type="text" label="What are your preferred travel dates?" description="Please give me a range and note if there are any restrictions" placeholder="Ex: 'July 3-15 2022' or 'We can travel anytime after July 3 2022'" name="what-are-your-preferred-travel-dates" subtype="text" className="form-control"/> <field type="text" label="How many nights would you like to travel?" description="This helps me calculate a realistic budget range" placeholder="Ex: 10 nights" name="how-many-nights-would-you-like-to-travel" subtype="text" className="form-control"/> <field type="select" label="What is the reason for your trip?" name="what-is-the-reason-for-your-trip" className="form-control"> <option label="Vacation" value="vacation" selected="selected">Vacation</option> <option label="Honeymoon" value="honeymoon">Honeymoon</option> <option label="Anniversary" value="anniversary">Anniversary</option> <option label="Bachelorette Party" value="bachelorette-party">Bachelorette Party</option> <option label="Other" value="other">Other</option> </field> <field type="radio-group" label="Where are you in the planning process?" name="where-are-you-in-the-planning-processs"> <option label="Just starting to look" value="just-starting-to-look">Just starting to look</option> <option label="I've done some research, but not quite ready to book" value="ive-done-some-research-but-not-quite-ready-to-book">I've done some research, but not quite ready to book</option> <option label="I'm ready to go!" value="im-ready-to-go">I'm ready to go!</option> </field> <field type="radio-group" label="What type of travel style are you most interested in?" name="what-type-of-travel-style-are-you-most-interested-in"> <option label="Private luxury " value="private-luxury-">Private luxury </option> <option label="Join a guided group of like-minded travelers" value="join-a-guided-group-of-likeminded-travelers">Join a guided group of like-minded travelers</option> <option label="Independent self-paced" value="independent-selfpaced">Independent self-paced</option> </field> <field type="textarea" label="Please list each travelers' name and relationship. *For children, please include ages" placeholder="Ex: Phil (husband) | Claire (wife) | Haley (daughter-17) | Alex (daughter-15) | Luke (son-13)" name="please-list-each-travelers-name-and-relationship-for-children-please-include-ages" className="form-control"/> <field type="radio-group" label="Which class of service would you like us to quote for airfare?" name="which-class-of-service-would-you-like-us-to-quote-for-airfare"> <option label="I've already booked my flights" value="ive-already-booked-my-flights">I've already booked my flights</option> <option label="Economy Class" value="economy-class">Economy Class</option> <option label="Premium Economy Class" value="premium-economy-class">Premium Economy Class</option> <option label="Business Class" value="business-class">Business Class</option> <option label="First Class" value="first-class">First Class</option> </field> <field type="text" label="Which airport will you be departing from?" name="departure-city" subtype="text" className="form-control"/> <field type="radio-group" label="How much do you plan to invest on this travel experience?&nbsp;" description="We will discuss this further during our consultation call; this amount will enable me to get started on research" name="budget"> <option label="Up to $7,500" value="up-to-7500" selected="selected">Up to $7,500</option> <option label="$7,500 to $10,000" value="7500-to-10000">$7,500 to $10,000</option> <option label="$10,000 to $15,000" value="10000-to-15000">$10,000 to $15,000</option> <option label="$15,000 to $20,000" value="15000-to-20000">$15,000 to $20,000</option> <option label="$20,000+" value="20000">$20,000+</option> </field> <field type="textarea" label="What are your 'must haves' and wants for this trip? I want to hear your vision!&nbsp;" placeholder="Ex: Since this is our honeymoon in Paris we're looking forward to romantic experiences like dinner in the Eiffel Tower. We also love castles and would like to spend a few days in Loire Valley." name="what-are-your-must-haves-and-wants-for-this-trip-i-want-to-hear-your-vision-" className="form-control"/> <field type="textarea" label="Is there anything else I should know?" placeholder="This is a great place to let us know about any medical issues food allergies or any other details to note" name="notes" className="form-control"/> <field type="select" label="How did you hear about Browns Voyage?" name="how-did-you-hear-about-us" className="form-control"> <option label="" value=""/> <option label="Recommended by a friend" value="recommended-by-a-friend">Recommended by a friend</option> <option label="Virtuoso" value="virtuoso">Virtuoso</option> <option label="Google" value="google">Google</option> <option label="Instagram" value="instagram">Instagram</option> <option label="Facebook" value="facebook">Facebook</option> <option label="Pinterest" value="pinterest">Pinterest</option> <option label="Other" value="other">Other</option> </field> </fields> </form-template> </body> </html>
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