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Tenisha Thompson
Pure Essence Travel
<html> <body> <form-template> <fields> <field type="header" subtype="h2" label="Alignment Survey Questions - Thailand"/> <field type="paragraph" subtype="p" label="This experience is designed for women who are ready to invest in a high-quality, stress-free international travel experience. This 7-night Thailand experience is designed for women who enjoy traveling solo—but value comfort, intention, and community."/> <field type="paragraph" subtype="p" label="You’ll explore Bangkok and Phuket while staying in luxury accommodations with shared or private rooms, curated experiences, select meals, and seamless transportation throughout."/> <field type="paragraph" subtype="p" label="Highlights include a temple visit with a professional photoshoot, a premium spa experience, a elephant sanctuary visit, island and beach club days, and a curated nightlife experience in Bangkok—and so much more, along with a group experience led by someone who lives in Southeast Asia."/> <field type="paragraph" subtype="p" label="This experience is intentionally small, thoughtfully designed, and balances independence with meaningful connection."/> <field type="header" subtype="h2" label="Full name"/> <field type="text" label="Prefix" name="prefix" subtype="text" className="form-control"/> <field type="text" required="true" label="First name" name="first-name" subtype="text" className="form-control"/> <field type="text" label="Middle name" name="middle-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" label="Suffix" name="suffix" subtype="text" className="form-control"/> <field type="text" label="Preferred name" name="preferred-name" subtype="text" 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" name="phone-number" subtype="text" className="form-control"/> <field type="text" required="true" label="What state do you live in?" name="text-1779452094936" subtype="text" className="form-control"/> <field type="select" required="true" label="Which dates are you MOST interested in?" name="select-1773160156682" className="form-control"> <option label="March 1st - 8th, 2027" value="march-1st-8th-2027">March 1st - 8th, 2027</option> <option label="November 9th - 16th 2027" value="november-9th-16th-2027">November 9th - 16th 2027</option> <option label="I can attend either date" value="i-can-attend-either-date">I can attend either date</option> </field> <field type="textarea" required="true" label="What inspired you to apply for this Thailand experience, and what would make this trip meaningful for you?" name="textarea-1773160245694" className="form-control"/> <field type="checkbox-group" required="true" label="How would you describe your travel style?&nbsp;" name="checkbox-group-1772446103218"> <option label="Go with the flow" value="go-with-the-flow">Go with the flow</option> <option label="Structured with some flexibility" value="structured-with-some-flexibility">Structured with some flexibility</option> <option label="I prefer detailed plans and minimal surprises" value="i-prefer-detailed-plans-and-minimal-surprises">I prefer detailed plans and minimal surprises</option> </field> <field type="textarea" required="true" label="How would you describe your travel mindset when plans shift or unexpected moments come up?" name="textarea-1772445196370" className="form-control"/> <field type="radio-group" required="true" label="How comfortable are you with cultural differences, unfamiliar food, and different standards of service?" name="radio-group-1772445286749"> <option label="Very comfortable" value="very-comfortable">Very comfortable</option> <option label="Somewhat comfortable" value="somewhat-comfortable">Somewhat comfortable</option> <option label="I prefer familiar environments" value="i-prefer-familiar-environments">I prefer familiar environments</option> </field> <field type="textarea" required="true" label="Group travel requires patience, compromise, and positive communication. How do you typically handle conflict or misunderstandings?" name="textarea-1772445353686" className="form-control"/> <field type="textarea" required="true" label="What kind of energy do you feel you bring into group spaces?&nbsp;" name="textarea-1772445707015" className="form-control"/> <field type="select" required="true" label="Will you be traveling with a friend you plan to share a room with? (Unfortunately we do not provide roommate pairing.)" name="select-1773208596149" className="form-control"> <option label="No, I would like a private room" value="no-i-would-like-a-private-room">No, I would like a private room</option> <option label="Yes, I will be sharing a room with a friend" value="yes-i-will-be-sharing-a-room-with-a-friend">Yes, I will be sharing a room with a friend</option> <option label="I'm not sure yet" value="im-not-sure-yet">I'm not sure yet</option> </field> <field type="select" required="true" label="How many international trips have you taken?" name="select-1781006170965" className="form-control"> <option label="1 - 3" value="1-3">1 - 3</option> <option label="4 - 6" value="4-6">4 - 6</option> <option label="6+" value="6">6+</option> <option label="None" value="none">None</option> </field> <field type="select" required="true" label="Have you ever traveled to Southeast Asia?" name="select-1781006245396" className="form-control"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="radio-group" required="true" label="What is your age range?" name="radio-group-1779447549972"> <option label="30 - 35" value="30-35">30 - 35</option> <option label="36 - 49" value="36-49">36 - 49</option> <option label="50+" value="50">50+</option> </field> <field type="textarea" required="true" label="Is there anything about group travel that makes you nervous or hesitant?&nbsp;" name="textarea-1772445744466" className="form-control"/> <field type="radio-group" required="true" label="Would you be interested in extending your stay with an additional hotel night(s) before or after the tour package? (Travelers usually like to arrive a day early after a long flight to start the tour well rested!)" name="radio-group-1774352270388"> <option label="Yes, before the tour in Bangkok" value="yes-before-the-tour-in-bangkok">Yes, before the tour in Bangkok</option> <option label="Yes, after the tour in Phuket" value="yes-after-the-tour-in-phuket">Yes, after the tour in Phuket</option> <option label="Yes, before and after the tour" value="yes-before-and-after-the-tour">Yes, before and after the tour</option> <option label="No additional night(s) needed" value="no-additional-nights-needed">No additional night(s) needed</option> </field> <field type="radio-group" required="true" label="Which investment range feels aligned for you? (Flexible payment plans are available.)" name="radio-group-1779441444313"> <option label="$3000 - $3500" value="3000-3500">$3000 - $3500</option> <option label="$3500 - $4000" value="3500-4000">$3500 - $4000</option> <option label="$4000+" value="4000">$4000+</option> </field> <field type="radio-group" required="true" label="Will you be paying in full or do you need a payment plan?" description="Flexible payment plans are available." name="radio-group-1779447797870"> <option label="Paying in full" value="paying-in-full">Paying in full</option> <option label="I need a payment plan (up to 5 flexible payments)" value="i-need-a-payment-plan-up-to-5-flexible-payments">I need a payment plan (up to 5 flexible payments)</option> <option label="I'm not sure yet" value="im-not-sure-yet">I'm not sure yet</option> </field> <field type="header" subtype="h1" label="Travel Insurance Requirement (Please Read Carefully)"/> <field type="paragraph" subtype="p" label="Travel insurance is required for all travelers participating in this group trip. Proof of travel insurance must be submitted within 14 days of paying the initial trip deposit in full ($500 total including the registration fee and deposit). At a minimum your policy must include:-Trip cancellation coverage-Trip interruption coverage-Medical expense coverage-Emergency medical evacuation coverage. Travelers are expected to insure the full value of their trip, including airfare and any additional prepaid travel expenses. If airfare is purchased after the travel insurance policy is issued, travelers are responsible for updating their coverage amount with their insurance provider to include those expenses. Failure to provide proof of travel insurance within 14 days of the initial deposit may result in cancellation of the reservation at Pure Essence Travel's discretion."/> <field type="radio-group" required="true" label="I understand and agree to the Travel Insurance Requirement" name="radio-group-1780735970151"> <option label="Yes, I agree to get the minimum coverage requirement" value="yes-i-agree-to-get-the-minimum-coverage-requirement">Yes, I agree to get the minimum coverage requirement</option> <option label="Yes, I agree and will need assistance" value="yes-i-agree-and-will-need-assistance">Yes, I agree and will need assistance</option> </field> <field type="header" subtype="h1" label="Flight Requirement"/> <field type="paragraph" subtype="p" label="Travelers are responsible for purchasing their own international airfare unless otherwise stated. All travelers must have their flights booked and provide a copy of their flight itinerary to Pure Essence Travel no later than 90 days prior to departure. Travelers are responsible for ensuring their flight schedule aligns with the recommended arrival and departure times provided by Pure Essence Travel in order to participate in all scheduled group activities and transfers. Pure Essence Travel is available to assist travelers with selecting and booking appropriate flights upon request. Pure Essence Travel is not responsible for airfare purchased independently by travelers, including costs associated with cancellations, schedule changes, missed flights, or travel disruptions."/> <field type="radio-group" required="true" label="I understand and agree to the Flight Requirement" name="radio-group-1780736201303"> <option label="Yes, I agree to the Flight Requirement" value="yes-i-agree-to-the-flight-requirement">Yes, I agree to the Flight Requirement</option> <option label="Yes, I agree and will need assistance" value="yes-i-agree-and-will-need-assistance">Yes, I agree and will need assistance</option> </field> <field type="radio-group" required="true" label="If selected for this travel experience, how would you like to proceed?" name="radio-group-1779441965846"> <option label="I would like to secure my spot with a $100 non-refundable registration fee (Deposit will be due 1 week after registration)" value="i-would-like-to-secure-my-spot-with-a-100-nonrefundable-registration-fee-deposit-will-be-due-1-week-after-registration">I would like to secure my spot with a $100 non-refundable registration fee (Deposit will be due 1 week after registration)</option> <option label="I’m ready to pay the $500 non-refundable deposit, Thailand here I come!" value="im-ready-to-pay-the-500-nonrefundable-deposit-thailand-here-i-come">I’m ready to pay the $500 non-refundable deposit, Thailand here I come!</option> <option label="I’d like to schedule a complimentary 15-minute consultation call" value="id-like-to-schedule-a-complimentary-15minute-consultation-call">I’d like to schedule a complimentary 15-minute consultation call</option> <option label="I need a little more time to decide (keep in mind slots are limited and package price will go up after 6 travelers)" value="i-need-a-little-more-time-to-decide-keep-in-mind-slots-are-limited-and-package-price-will-go-up-after-6-travelers">I need a little more time to decide (keep in mind slots are limited and package price will go up after 6 travelers)</option> </field> <field type="paragraph" subtype="p" label="If you would like to schedule a 15 minute complimentary call, where you can ask your specific questions please&nbsp; send me an email at Tenisha@pureessencetravel.com. You will receive a deposit invoice via email in 2 to 4 business days if selected for this experience.&nbsp; Thank you for taking this survey and we look forward to meeting you in Thailand!"/> </fields> </form-template> </body> </html>
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