<html> <body> <form-template> <fields> <field type="header" subtype="h2" label="Basic 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" 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" label="If you have a preferred travel planner, please leave their name here:" name="if-you-have-a-preferred-travel-planner-please-leave-their-name-here" subtype="text" className="form-control"/> <field type="textarea" required="true" label="Please list the full legal names of each person in your travel party as they appear on a passport, driver's license, or birth certificate AND their age at the time of travel.&nbsp; If you'd like more than one hotel room, please group everyone by how you'd like them to be broken up." description="Example: Room One- John Smith (42) Jane Smith (40) and Jack Smith (10) Room Two- Mike Miller (43) Mary Miller (40) and Mason Miller (11)" name="please-list-the-full-legal-names-of-each-person-in-your-travel-party-as-they-appear-on-a-passport-drivers-license-or-birth-certificate-and-their-age-at-the-time-of-travel-if-youd-like-more-than-one-hotel-room-please-group-everyone-by-how-youd-like-them-to-be-broken-up" className="form-control"/> <field type="radio-group" required="true" label="When was the last time you visited Disneyland?" name="when-was-the-last-time-you-visited-walt-disney-world"> <option label="In the last 3 years" value="in-the-last-3-years">In the last 3 years</option> <option label="3-5 years ago" value="35-years-ago">3-5 years ago</option> <option label="5-10 years ago" value="510-years-ago">5-10 years ago</option> <option label="10+ years ago" value="10-years-ago">10+ years ago</option> <option label="I have never been!" value="i-have-never-been">I have never been!</option> </field> <field type="header" subtype="h1" label="Travel Preferences"/> <field type="date" required="true" label="When would you like to check in?" 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 check out?" 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="radio-group" required="true" label="What best describes your hotel preference?" description="For a week-long vacation for a family of 4 value resorts are most inline with a $3500 budget or less moderate resorts for $3 500 - $5 500 deluxe resorts for $5 500 to $9 000 and club level or suites for budgets of $9 000+. The recommended budgets are per room and can change depending on dates party size and length of stay." name="hotel-preference"> <option label="Disney-Owned and Operated Hotel" value="disney-owned-and-operated-hotel">Disney-Owned and Operated Hotel</option> <option label="Good-Neighbor Hotel " value="goodneighbor-hotel-">Good-Neighbor Hotel </option> </field> <field type="textarea" required="true" label="What is important to you in your accommodations?&nbsp;" description="For example you might need space to spread out accommodations that include a wide variety of recreation options a great pool lots of dining options etc.! You may also include things like handicap accessibility room location and the view type outside of your window." name="what-is-important-to-you-in-your-accommodations-" className="form-control"/> <field type="text" label="If you have a specific hotel in mind, please leave it here.&nbsp; Would you like us to include other options that fit your needs?" name="if-you-have-a-specific-resort-in-mind-please-leave-it-here-would-you-like-us-to-include-other-options-that-fit-your-needs" subtype="text" className="form-control"/> <field type="select" required="true" label="How many days would you like to spend in the parks?" name="how-many-days-would-you-like-to-spend-in-the-parks" className="form-control"> <option label="2" value="2">2</option> <option label="3 (recommended minimum)" value="3-recommended-minimum" selected="selected">3 (recommended minimum)</option> <option label="4 " value="4-">4 </option> <option label="5 " value="5-">5 </option> </field> <field type="radio-group" required="true" label="Would you like Genie+ included in your park tickets?&nbsp;" description="This is the service that replaced MaxPass and allows you to make reservations for attractions throughout the parks to minimize your waits." name="would-you-like-genie-included-in-your-park-tickets-"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="radio-group" label="Would you like Park Hopper included in your park tickets?&nbsp;" description="This service allows you to jump between the two Disneyland parks after 1 pm regardless of the park you have a park reservation for." name="would-you-like-park-hopper-included-in-your-park-tickets-"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="radio-group" required="true" label="Would you like Travel Insurance included in your vacation?" description="The cost of travel insurance is $82.50 per adult $6.00 per child. Information on the policy can be provided upon request." name="would-you-like-travel-insurance-included-in-your-vacation"> <option label="Yes, please include it in my quotes." value="yes-please-include-it-in-my-quotes">Yes, please include it in my quotes.</option> <option label="No, I do not wish to purchase travel insurance and assume all risk of that decision." value="no-i-do-not-wish-to-purchase-travel-insurance-and-assume-all-risk-of-that-decision">No, I do not wish to purchase travel insurance and assume all risk of that decision.</option> <option label="I will be purchasing travel insurance through an outside vendor." value="i-will-be-purchasing-travel-insurance-through-an-outside-vendor">I will be purchasing travel insurance through an outside vendor.</option> </field> <field type="radio-group" required="true" label="Have you ever worked with a travel agent before?&nbsp;" name="have-you-ever-worked-with-a-travel-agent-before-"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="textarea" label="What can I do to help make your vacation planning a great experience?&nbsp;" name="what-can-i-do-to-help-make-your-vacation-planning-a-great-experience-" className="form-control"/> <field type="radio-group" required="true" label="What is your budget for all travelers NOT including flights?" description="This just gives me a general starting point and can always be changed later." name="budget"> <option label="$1,500 to $2,500" value="1500-2500">$1,500 to $2,500</option> <option label="$2,500 to $5,000" value="2500-to-5000">$2,500 to $5,000</option> <option label="$5,000 to $7,500" value="5000-to-7500">$5,000 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+" value="15000">$15,000+</option> </field> <field type="radio-group" required="true" label="Is this price range flexible if it means taking the kind of trip you're hoping to take?" name="is-this-price-range-flexible-if-it-means-taking-the-kind-of-trip-youre-hoping-to-take"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="radio-group" required="true" label="Which of the following describes your booking timeline?" name="which-of-the-following-describes-your-booking-timeline"> <option label="We are ready to place a $200 deposit per room on our vacation." value="we-are-ready-to-place-a-200-deposit-per-room-on-our-vacation">We are ready to place a $200 deposit per room on our vacation.</option> <option label="We will be ready to make the deposit in the next two weeks." value="we-will-be-ready-to-make-the-deposit-in-the-next-two-weeks">We will be ready to make the deposit in the next two weeks.</option> <option label="We won't be ready to book for a month or more." value="we-wont-be-ready-to-book-for-a-month-or-more">We won't be ready to book for a month or more.</option> <option label="We would like an idea on pricing, but plan to book the trip on our own or with another agent." value="we-would-like-an-idea-on-pricing-but-plan-to-book-the-trip-on-our-own-or-with-another-agent">We would like an idea on pricing, but plan to book the trip on our own or with another agent.</option> </field> <field type="checkbox-group" required="true" label="Before you go, please acknowledge the following:" name="before-you-go-please-acknowledge-the-following"> <option label="Due to the complex nature of providing in-depth planning services, a professional service fee may be assessed. The travel planner that you are matched with will provide further details regarding your options - many of our agents offer complimentary basic planning services, but offer upgrades at an additional cost." value="due-to-the-complex-nature-of-providing-indepth-planning-services-a-professional-service-fee-may-be-assessed-the-travel-planner-that-you-are-matched-with-will-provide-further-details-regarding-your-options-many-of-our-agents-offer-complimentary-basic-planning-services-but-offer-upgrades-at-an-additional-cost">Due to the complex nature of providing in-depth planning services, a professional service fee may be assessed. The travel planner that you are matched with will provide further details regarding your options - many of our agents offer complimentary basic planning services, but offer upgrades at an additional cost.</option> </field> <field type="radio-group" required="true" label="How would you prefer to receive your vacation proposals?" name="how-would-you-prefer-to-receive-your-vacation-proposals"> <option label="Phone Consultation" value="phone-consultation">Phone Consultation</option> <option label="Email" value="email">Email</option> </field> <field type="textarea" label="What else would you like me to know?" description="What else would you like me to know about your budget and/or travel preferences?" name="notes" className="form-control"/> <field type="checkbox-group" required="true" label="Where did you hear about our services?&nbsp;" name="checkbox-group-1653745374427" other="true"> <option label="TikTok" value="tiktok">TikTok</option> <option label="Instagram" value="instagram">Instagram</option> <option label="Youtube" value="youtube">Youtube</option> <option label="Facebook" value="facebook">Facebook</option> <option label="MOST" value="most">MOST</option> <option label="Personal Referral" value="personal-referral">Personal Referral</option> </field> <field type="checkbox-group" label="Do you belong to any of the following groups?&nbsp;" name="do-you-belong-to-any-of-the-following-groups-"> <option label="Repeat Client" value="repeat-client">Repeat Client</option> <option label="United States Armed Forces (Active Duty and Retired Veteran Only)" value="united-states-armed-forces-active-duty-and-retired-veteran-only">United States Armed Forces (Active Duty and Retired Veteran Only)</option> <option label="Magic Key Holder" value="">Magic Key Holder</option> <option label="Disney Visa Rewards Cardholder" value="disney-visa-rewards-cardholder">Disney Visa Rewards Cardholder</option> <option label="Disney+ Subscriber" value="disney-subscriber">Disney+ Subscriber</option> <option label="Florida Resident" value="florida-resident">Florida Resident</option> <option label="California Resident" value="california-resident">California Resident</option> <option label="Hawaiian Resident" value="hawaiian-resident">Hawaiian Resident</option> <option label="Canadian Resident" value="canadian-resident">Canadian Resident</option> <option label="UK Resident" value="uk-resident">UK Resident</option> </field> </fields> </form-template> </body> </html>
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