<html> <body> <form-template> <fields> <field type="header" subtype="h1" label="Client Information"/> <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 Address" name="email" subtype="text" className="form-control"/> <field type="text" required="true" label="Phone Number" name="phone-number" subtype="text" className="form-control"/> <field type="text" required="true" label="City" name="address-city" subtype="text" className="form-control"/> <field type="text" required="true" label="State" name="address-state" subtype="text" className="form-control"/> <field type="text" label="Instagram Handle" name="whats-your-instagram-handle" subtype="text" className="form-control"/> <field type="text" required="true" label="Please list all travelers' full names and dates of birth." name="text-1735575910730" subtype="text" className="form-control"/> <field type="text" label="Does anyone traveling have any allergies, dietary restrictions, and/or mobility issues?" name="text-1744495057468" subtype="text" className="form-control"/> <field type="radio-group" required="true" label="Preferred Communication Style" name="preferred-communication-style"> <option label="Email" value="email">Email</option> <option label="Phone Call" value="phone-call">Phone Call</option> <option label="Text Message" value="text-message">Text Message</option> <option label="No Preference" value="no-preference">No Preference</option> </field> <field type="header" subtype="h1" label="Travel Experiences &amp; Details"/> <field type="text" required="true" label="Is this your first time working with a travel advisor? If not, tell us about your previous experience(s)." name="text-1735575761466" subtype="text" className="form-control"/> <field type="text" required="true" label="What’s motivating you to take this trip? Are you celebrating anything?&nbsp;" name="text-1727403381263" subtype="text" className="form-control"/> <field type="text" required="true" label="Where would you like to travel?&nbsp;" name="text-1735575909734" subtype="text" className="form-control"/> <field type="text" required="true" label="What are your ideal travel dates, and are they flexible?&nbsp;" name="text-1727404138436" subtype="text" className="form-control"/> <field type="text" required="true" label="What's the most stressful part of a vacation for you?" name="text-1735575995183" subtype="text" className="form-control"/> <field type="header" subtype="h1" label="Style &amp; Preferences"/> <field type="checkbox-group" required="true" label="Which of these options best describes your needs?&nbsp;" name="which-statement-best-describes-your-needs"> <option label="Full-Service" value="fullservice">Full-Service</option> <option label="Hotel Only" value="hotel-only">Hotel Only</option> </field> <field type="textarea" required="true" label="What's your vision for this trip? Any must-haves?" name="describe-your-dream-vacationtrip-" className="form-control"/> <field type="textarea" required="true" label="What’s your home (departure) airport?&nbsp;" name="what-is-your-preferred-airport" className="form-control"/> <field type="header" subtype="h1" label="Accommodations"/> <field type="checkbox-group" required="true" label="What’s your preferred style?&nbsp;" name="what-type-of-accommodations-do-you-prefer"> <option label="All-Inclusive Resort" value="allinclusive-resort">All-Inclusive Resort</option> <option label="Boutique Hotel" value="boutique-hotel">Boutique Hotel</option> <option label="Ocean or River Cruise" value="ocean-or-river-cruise">Ocean or River Cruise</option> <option label="Home or Villa Rental" value="home-or-villa-rental">Home or Villa Rental</option> <option label="Ultra Luxe Hotel" value="ultra-luxe-hotel">Ultra Luxe Hotel</option> <option label="US Chain Hotel" value="us-chain-hotel">US Chain Hotel</option> </field> <field type="checkbox-group" required="true" label="What do you typically spend on a hotel room per night?" name="checkbox-group-1727403166159"> <option label="Under $500 " value="under-500-">Under $500 </option> <option label="$500-$1,000" value="5001000">$500-$1,000</option> <option label="$1,000-$1,500" value="10001500">$1,000-$1,500</option> <option label="$1,500+" value="1500">$1,500+</option> </field> <field type="checkbox-group" label="If traveling internationally, are all travelers' passports current with at least 6 months of eligibility?&nbsp;" name="checkbox-group-1732934748923"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="header" subtype="h1" label="Investment"/> <field type="checkbox-group" required="true" label="What’s your ideal trip investment (excluding airfare and meals)?&nbsp;" name="what-is-your-ideal-investment-excluding-airfare"> <option label="$6,000-$10,000" value="600010000">$6,000-$10,000</option> <option label="$10,000-$15,000" value="1000015000">$10,000-$15,000</option> <option label="$15,000-$20,000" value="1500020000">$15,000-$20,000</option> <option label="$20,000-$30,000" value="2000030000">$20,000-$30,000</option> <option label="$30,000+" value="30000">$30,000+</option> </field> <field type="paragraph" subtype="p" label="Our recommended minimum for full-service European itineraries is €500 per person per day."/> <field type="header" subtype="h1" label="Final Touches"/> <field type="textarea" required="true" label="How did you hear about us?" placeholder="Referral? Tell us who we can thank!" name="textarea-1744495027852" className="form-control"/> <field type="checkbox-group" required="true" label="Would you like to receive our weekly newsletter?" name="would-you-like-to-be-added-to-our-1xmonth-email-newsletter"> <option label="Yes, please" value="yes-please">Yes, please</option> <option label="No, thank you" value="no-thank-you">No, thank you</option> <option label="Already subscribed" value="already-subscribed">Already subscribed</option> </field> <field type="textarea" label="Is there anything else you would like to share with us?" name="textarea-1740770071325" className="form-control"/> <field type="checkbox-group" required="true" label="Kendra Wagner Travel charges a non-refundable planning fee. This fee covers the time involved in researching, preparing, and executing a completely customized travel experience for you." name="kendra-wagner-travel-charges-a-nonrefundable-planning-fee-starting-from-350-and-varying-by-trip-complexity-this-fee-covers-the-time-involved-in-researching-preparing-and-executing-a-completely-customized-travel-experience"> <option label="I understand." value="i-understand">I understand.</option> </field> </fields> </form-template> </body> </html>
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