Share your information with
Vanesha Harrison
Harrison House Travel Agency LLC
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This short questionnaire helps me understand your travel style, preferred cruise experience, and priorities so I can recommend the sailing that's the best fit for you."/> <field type="header" subtype="h2" label="Trip Details"/> <field type="text" required="true" label="Email" name="email" subtype="text" className="form-control"/> <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="Phone number" name="phone-number" subtype="text" className="form-control"/> <field type="checkbox-group" required="true" label="Preferred method of communication" inline="true" name="preferred-method-of-communication"> <option label="Email" value="email">Email</option> <option label="Phone" value="phone">Phone</option> <option label="Text" value="text">Text</option> </field> <field type="header" subtype="h2" label="Trip Overview"/> <field type="text" required="true" label="Where are you dreaming of traveling?" 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="text" label="Do you have a specific cruise itinerary or destination in mind?" name="do-you-have-a-specific-cruise-itinerary-or-destination-in-mind" subtype="text" className="form-control"/> <field type="checkbox-group" required="true" label="Are you open to destination suggestions?" inline="true" name="are-you-open-to-destination-suggestions"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="text" required="true" label="What are your desired travel dates?" name="what-are-your-desired-travel-dates" subtype="text" className="form-control"/> <field type="checkbox-group" required="true" label="Are your dates flexible?" inline="true" name="dates-flexible" other="true"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="text" required="true" label="What's your length of trip (approximate)?" name="departure-city" subtype="text" className="form-control"/> <field type="pageBreak" name="pageBreak-1772586134548" next="Next" previous="Previous"/> <field type="header" subtype="h2" label="Travelers"/> <field type="text" label="How many adult travelers?" name="number-of-travelers" subtype="text" className="form-control"/> <field type="text" label="How many&nbsp; children travelers? Please, include ages of children at time of expected travel." name="text-1772586980857" subtype="text" className="form-control"/> <field type="text" label="Are any travelers celebrating a special occasion?" description="Anniversary Birthday Honeymoon Graduation Family milestone or something else? Just mention it down below." name="are-any-travelers-celebrating-a-special-occasion" subtype="text" className="form-control"/> <field type="radio-group" label="Do all travelers currently have valid passports that will be valid for at least 6 months after travel?" inline="true" name="radio-group-1772588693214"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="conditionalLogic" label="Conditional Logic" name="conditionalLogic-1772588611506" rule="eyJ3aGVuRmllbGQiOiJyYWRpby1ncm91cC0xNzcyNTg4NjkzMjE0Iiwid2hlbkNvbmRpdGlvbiI6ImVxdWFscyIsIndoZW5WYWx1ZSI6InllcyIsInRoZW5BY3Rpb24iOiJzaG93IiwidGhlbkZpZWxkcyI6WyJwbGVhc2UtZW50ZXItcGFzc3BvcnQtZXhwaXJhdGlvbi1kYXRlcy1pZi1rbm93biJdLCJ0aGVuRmllbGRzSW5mbyI6W3sibmFtZSI6InBsZWFzZS1lbnRlci1wYXNzcG9ydC1leHBpcmF0aW9uLWRhdGVzLWlmLWtub3duIiwibGFiZWwiOiJQbGVhc2UsIGVudGVyIFBhc3Nwb3J0IGV4cGlyYXRpb24gZGF0ZXMgKGlmIGtub3duKSJ9XX0="/> <field type="textarea" label="Please, enter Passport expiration dates (if known)" name="please-enter-passport-expiration-dates-if-known" className="form-control field-hidden"/> <field type="radio-group" required="true" label="What is your budget for all travelers?" description="This just gives me a general starting point and can always be changed later." inline="true" name="budget" other="true"> <option label="Under $5,000" value="under-5000">Under $5,000</option> <option label="5000 to 7000" value="5000-to-7000">5000 to 7000</option> <option label="$7,000 to $10,000" value="7000-to-10000">$7,000 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 $25,000" value="15000-to-25000">$15,000 to $25,000</option> <option label="$25,000+" value="25000">$25,000+</option> </field> <field type="header" subtype="h2" label="Flights"/> <field type="radio-group" required="true" label="Does this budget include flights?" inline="true" name="does-this-budget-include-flights" other="true"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="conditionalLogic" label="Conditional Logic" name="conditionalLogic-1772588288321" rule="eyJ3aGVuRmllbGQiOiJkb2VzLXRoaXMtYnVkZ2V0LWluY2x1ZGUtZmxpZ2h0cyIsIndoZW5Db25kaXRpb24iOiJlcXVhbHMiLCJ3aGVuVmFsdWUiOiJ5ZXMiLCJ0aGVuQWN0aW9uIjoic2hvdyIsInRoZW5GaWVsZHMiOlsid2hhdHMteW91ci1wcmVmZXJyZWQtZGVwYXJ0dXJlLWFpcnBvcnQiXSwidGhlbkZpZWxkc0luZm8iOlt7Im5hbWUiOiJ3aGF0cy15b3VyLXByZWZlcnJlZC1kZXBhcnR1cmUtYWlycG9ydCIsImxhYmVsIjoiV2hhdCdzIHlvdXIgcHJlZmVycmVkIGRlcGFydHVyZSBhaXJwb3J0PyJ9XX0="/> <field type="text" label="What's your preferred departure airport?" name="whats-your-preferred-departure-airport" subtype="text" className="form-control field-hidden"/> <field type="conditionalLogic" label="Conditional Logic" name="conditionalLogic-1782586833071" rule="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"/> <field type="text" label="Do you have a preferred airline?" name="do-you-have-a-preferred-airline" subtype="text" className="form-control field-hidden"/> <field type="radio-group" label="Are you willing to make a connection?" inline="true" name="are-you-willing-to-make-a-connection" className="field-hidden"> <option label="Nonstop only" value="nonstop-only">Nonstop only</option> <option label="One stop is okay" value="one-stop-is-okay">One stop is okay</option> <option label="Whatever saves money" value="whatever-saves-money">Whatever saves money</option> </field> <field type="pageBreak" name="pageBreak-1772586185291" next="Next" previous="Previous"/> <field type="header" subtype="h2" label="Cruise Preferences&nbsp;"/> <field type="radio-group" required="true" label="Is this your first cruise?" inline="true" name="radio-group-1782587005398"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="radio-group" required="true" label="Do you already have a cruise line in mind?" inline="true" name="do-you-have-a-preferred-cruise-line"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="conditionalLogic" label="Conditional Logic" name="conditionalLogic-1782590076269" rule="eyJ3aGVuRmllbGQiOiJkby15b3UtaGF2ZS1hLXByZWZlcnJlZC1jcnVpc2UtbGluZSIsIndoZW5Db25kaXRpb24iOiJlcXVhbHMiLCJ3aGVuVmFsdWUiOiJ5ZXMiLCJ0aGVuQWN0aW9uIjoic2hvdyIsInRoZW5GaWVsZHMiOlsidGV4dC0xNzgyNTkwMjU5Nzg0Il0sInRoZW5GaWVsZHNJbmZvIjpbeyJuYW1lIjoidGV4dC0xNzgyNTkwMjU5Nzg0IiwibGFiZWwiOiJUZXh0IEZpZWxkIn1dfQ=="/> <field type="text" label="Which cruise line(s)?" name="whats-your-preferred-cruise-lines" subtype="text" className="form-control field-hidden"/> <field type="checkbox-group" label="What add-ons are yo interested in purchasing?" inline="true" name="checkbox-group-1782590670849" other="true"> <option label="Drink packages" value="drink-packages">Drink packages</option> <option label="Wi-Fi" value="wifi">Wi-Fi</option> <option label="Spa packages" value="spa-packages">Spa packages</option> <option label="Shore excursions" value="shore-excursions">Shore excursions</option> <option label="Specialty Dining" value="specialty-dining">Specialty Dining</option> <option label="Included gratuity" value="included-gratuity">Included gratuity</option> <option label="Travel protection" value="travel-protection">Travel protection</option> </field> <field type="header" subtype="h2" label="Cruise Style"/> <field type="radio-group" label="What's your cabin preference?" inline="true" name="whats-your-cabin-preference" other="true"> <option label="Interior" value="interior">Interior</option> <option label="Ocean View" value="ocean-view">Ocean View</option> <option label="Balcony" value="balcony">Balcony</option> <option label="Suite" value="suite">Suite</option> <option label="No preference" value="no-preference">No preference</option> </field> <field type="checkbox-group" label="What sounds most like your ideal cruise?" inline="true" name="what-type-of-vacation-experience-are-you-hoping-for"> <option label="Family Fun" value="family-fun">Family Fun</option> <option label="Relax by the pool" value="relax-by-the-pool">Relax by the pool</option> <option label="Explore every port" value="explore-every-port">Explore every port</option> <option label="Luxury" value="luxury">Luxury</option> <option label="Adventure" value="adventure">Adventure</option> <option label="Food & entertainment" value="food-entertainment">Food & entertainment</option> <option label="Adults-only atmosphere" value="adultsonly-atmosphere">Adults-only atmosphere</option> <option label="Romantic getaway" value="romantic-getaway">Romantic getaway</option> </field> <field type="checkbox-group" label="What type of cruise experience are you hoping for?" inline="true" name="checkbox-group-1782590861513" other="true"> <option label="Family-friendly" value="familyfriendly">Family-friendly</option> <option label="Adults-only" value="adultsonly">Adults-only</option> <option label="Quiet & relaxing" value="quiet-relaxing">Quiet & relaxing</option> <option label="Luxury" value="luxury">Luxury</option> <option label="Lively/Nightlife" value="livelynightlife">Lively/Nightlife</option> <option label="Doesn't matter" value="doesnt-matter">Doesn't matter</option> </field> <field type="radio-group" label="When visiting ports, what do you usually prefer?" inline="true" name="how-do-you-prefer-to-explore-ports" other="true"> <option label="Explore on our own" value="explore-on-our-own">Explore on our own</option> <option label="Book cruise line excursions" value="book-cruise-line-excursions">Book cruise line excursions</option> <option label="Book private excursions" value="book-private-excursions">Book private excursions</option> <option label="Stay onboard" value="stay-onboard">Stay onboard</option> </field> <field type="checkbox-group" label="Activity preferences" inline="true" name="activity-preferences"> <option label="Water Sports" value="water-sports">Water Sports</option> <option label="Private Excursions" value="private-excursions">Private Excursions</option> <option label="Snorkeling / Scuba" value="snorkeling-scuba">Snorkeling / Scuba</option> <option label="Cultural Tours" value="cultural-tours">Cultural Tours</option> <option label="Food Tours" value="food-tours">Food Tours</option> <option label="Wildlife Experiences" value="wildlife-experiences">Wildlife Experiences</option> <option label="Kids Club Activities" value="kids-club-activities">Kids Club Activities</option> </field> <field type="text" label="Anything you absolutely must do or see?" name="must-dos" subtype="text" className="form-control"/> <field type="pageBreak" name="pageBreak-1772587831180" next="Next" previous="Previous"/> <field type="header" subtype="h2" label="Travel Experience"/> <field type="textarea" label="Have you sailed any cruise lines, ships, or itineraries that you loved?" name="have-you-stayed-at-any-resorts-or-destinations-you-loved" className="form-control"/> <field type="textarea" label="Are there any cruise lines, ships, ports, or destinations you'd prefer to avoid?" name="are-there-any-resorts-or-destinations-you-would-prefer-to-avoid" className="form-control"/> <field type="textarea" label="Is there anything that would make this trip especially meaningful or memorable for your family?" name="notes" className="form-control"/> <field type="radio-group" label="Are there any motion sickness concerns?" inline="true" name="are-there-any-motion-sickness-concerns" other="true"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="conditionalLogic" label="Conditional Logic" name="conditionalLogic-1782591414300" rule="eyJ3aGVuRmllbGQiOiJhcmUtdGhlcmUtYW55LW1vdGlvbi1zaWNrbmVzcy1jb25jZXJucyIsIndoZW5Db25kaXRpb24iOiJlcXVhbHMiLCJ3aGVuVmFsdWUiOiJ5ZXMiLCJ0aGVuQWN0aW9uIjoic2hvdyIsInRoZW5GaWVsZHMiOlsicGxlYXNlLWV4cGxhaW4tZm9yLXdoby10aGUtY29uY2Vybi1pcy1mb3ItYW5kLWhvdy1iYWQtY2FuLWl0LWdldCJdLCJ0aGVuRmllbGRzSW5mbyI6W3sibmFtZSI6InBsZWFzZS1leHBsYWluLWZvci13aG8tdGhlLWNvbmNlcm4taXMtZm9yLWFuZC1ob3ctYmFkLWNhbi1pdC1nZXQiLCJsYWJlbCI6IlBsZWFzZSBleHBsYWluIGZvciB3aG8gdGhlIGNvbmNlcm4gaXMgZm9yIGFuZCBob3cgYmFkIGNhbiBpdCBnZXQ/In1dfQ=="/> <field type="text" label="Please explain for who the concern is for and how bad can it get?" description="This helps me when considering where to place you inside the ship." name="please-explain-for-who-the-concern-is-for-and-how-bad-can-it-get" subtype="text" className="form-control field-hidden"/> <field type="text" label="Are there any accessibility concerns or needs?" name="are-there-any-accessibility-concerns-or-needs" subtype="text" className="form-control"/> <field type="clientLoyaltyPrograms" label="Are you apart of any loyalty programs?" name="are-you-apart-of-any-loyalty-programs" loyalty-program-note="*** This field allows your client to enter multiple loyalty program numbers (you only need one of these per form template) ***" className="form-control"/> <field type="radio-group" required="true" label="Would you like information about travel insurance options?" inline="true" name="would-you-like-information-about-travel-insurance-options"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> </fields> </form-template> </body> </html>
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