<html> <body> <form-template> <fields><field type="text" subtype="text" required="true" label="First name" className="form-control" name="first-name"></field><field type="text" subtype="text" required="true" label="Last name" className="form-control" name="last-name"></field> <field type="text" required="true" label="Email" name="email" subtype="text" className="form-control"/> <field type="checkbox-group" label="undefined" inline="true" name="sign-up-for-news-and-updates"> <option label="Sign up for news and updates" value="sign-up-for-news-and-updates">Sign up for news and updates</option> </field> <field type="text" required="true" label="Phone Number" name="phone-number" subtype="text" className="form-control"/> <field type="header" subtype="h1" label="ABOUT YOUR TRIP"/> <field type="select" required="true" label="Have you worked with a Travel Advisor in the past?" placeholder="Select One" name="have-you-worked-with-a-travel-advisor-in-the-past" className="form-control"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="text" required="true" label="What is your home city and preferred airport" name="text-1722572527044" subtype="text" className="form-control"/> <field type="text" required="true" label="What destinations are you interested in visiting?" description="If you're not sure just give me a few destinations you're considering." placeholder="ex: Amalfi Coast" name="destination" subtype="text" className="form-control"/> <field type="date" required="true" 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" required="true" 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" required="true" label="Are your dates flexible?" name="dates-flexible"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="text" required="true" label="Are you celebrating anything special on this trip?" description="If so please let us know the details!" placeholder="Yes! Honeymoon!" name="text-1722571782026" subtype="text" className="form-control"/> <field type="checkbox-group" required="true" label="What phase of the planning process are you in?" name="what-phase-of-the-planning-process-are-you-in" other="true"> <option label="Very beginning: need help with planning, logistics & booking" value="very-beginning-need-help-with-planning-logistics-booking">Very beginning: need help with planning, logistics & booking</option> <option label="Flight(s) booked" value="flights-booked">Flight(s) booked</option> <option label="Hotel(s) booked" value="hotels-booked">Hotel(s) booked</option> <option label="Activities booked" value="activities-booked">Activities booked</option> </field> <field type="checkbox-group" required="true" label="What type of planning support are you looking for?" name="what-type-of-planning-support-are-you-looking-for"> <option label="Destination & Hotel Advice Only " value="destination-hotel-advice-only-">Destination & Hotel Advice Only </option> <option label="Flights" value="flights">Flights</option> <option label="Hotels/Accommodation" value="hotelsaccommodation">Hotels/Accommodation</option> <option label="Cruise" value="cruise">Cruise</option> <option label="Transportation including ground transfers, rental cars, etc." value="transportation-including-ground-transfers-rental-cars-etc">Transportation including ground transfers, rental cars, etc.</option> <option label="Excursions, tours or activities" value="excursions-tours-or-activities">Excursions, tours or activities</option> <option label="Travel Insurance" value="travel-insurance">Travel Insurance</option> <option label="Other" value="other">Other</option> </field> <field type="radio-group" required="true" label="What is your budget for all travelers,&nbsp; excluding flights?" name="radio-group-1724364296324"> <option label="Under $5,000" value="under-5000">Under $5,000</option> <option label="$5,000 - $7,500" value="5000-7500">$5,000 - $7,500</option> <option label="$7,500 - $10,000" value="7500-10000">$7,500 - $10,000</option> <option label="$10,000 - $15,000" value="10000-15000">$10,000 - $15,000</option> <option label="$15,000 - $20,000" value="15000-20000">$15,000 - $20,000</option> <option label="$20,000 - $25,000" value="20000-25000">$20,000 - $25,000</option> <option label="$25,000+" value="25000">$25,000+</option> <option label="Other" value="other">Other</option> </field> <field type="header" subtype="h1" label="TRAVEL STYLE"/> <field type="radio-group" required="true" label="What best describes your hotel preference?" name="hotel-preference"> <option label="Moderate (3*)" value="moderate-3">Moderate (3*)</option> <option label="Upscale (4*)" value="upscale-4">Upscale (4*)</option> <option label="Luxury (5*)" value="luxury-5">Luxury (5*)</option> <option label="Boutique" value="boutique">Boutique</option> </field> <field type="text" required="true" label="Please share your preferred hotel rate per night" placeholder="Ex: $500 per night" name="text-1722572022815" subtype="text" className="form-control"/> <field type="text" required="true" label="What is your favorite hotel that you've stayed at?&nbsp;" name="text-1722572070281" 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"/> </fields> </form-template> </body> </html>
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