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Patrycja Kobak
It's Worth Traveling LLC
<html> <body> <form-template> <fields> <field type="header" subtype="h2" label="Let's start with the basics:"/> <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" label="Phone number" name="phone-number" subtype="text" className="form-control"/> <field type="text" label="Instagram" description="let's connect on Instagram" placeholder="ex. @itsworthtraveling" name="instagram" subtype="text" className="form-control"/> <field type="header" subtype="h1" label="Let me know a little about your trip! I'll be in touch with any follow up questions."/> <field type="checkbox-group" required="true" label="Where are you in the planning process of your trip?" name="checkbox-group-1731545739290"> <option label="I'm just starting to think about my plans" value="im-just-starting-to-think-about-my-plans">I'm just starting to think about my plans</option> <option label="I've done some research " value="ive-done-some-research-">I've done some research </option> <option label="I know exactly what I want" value="i-know-exactly-what-i-want">I know exactly what I want</option> </field> <field type="checkbox-group" label="How much experience do you have with traveling?" name="checkbox-group-1731545890762"> <option label="Not much / I'm new to this travel thing / I travel every few years" value="not-much-im-new-to-this-travel-thing-i-travel-every-few-years">Not much / I'm new to this travel thing / I travel every few years</option> <option label="I travel couple of times a year / Can find my way around" value="i-travel-couple-of-times-a-year-can-find-my-way-around">I travel couple of times a year / Can find my way around</option> <option label="I'm an experienced traveler / Can do this travel thing in my sleep" value="im-an-experienced-traveler-can-do-this-travel-thing-in-my-sleep">I'm an experienced traveler / Can do this travel thing in my sleep</option> </field> <field type="text" required="true" label="Where would you like to go? Be specific." placeholder="ex: Tahiti" name="destination" subtype="text" className="form-control"/> <field type="checkbox-group" required="true" label="Have you been to this destination before?" name="checkbox-group-1731545800034"> <option label="Yes, once or twice" value="yes-once-or-twice">Yes, once or twice</option> <option label="Yes, I go there often" value="yes-i-go-there-often">Yes, I go there often</option> <option label="No, it's a new spot for me" value="no-its-a-new-spot-for-me">No, it's a new spot for me</option> </field> <field type="text" required="true" label="What are your travel dates? Be as specific as you can.&nbsp;" description="Let us know when you'd like to take your trip." placeholder="ex. June 1-8 but can be flexible by a day or 2" name="when-would-you-like-to-travel" subtype="text" className="form-control"/> <field type="text" required="true" label="How many nights do you want to be away?" description="Let us know how many nights you want to spend in destination." placeholder="ex. 5-7 nights" name="text-1731543628170" subtype="text" className="form-control"/> <field type="checkbox-group" required="true" label="Do you want flights included in your quotes?" name="checkbox-group-1681253479967"> <option label="Yes, include flights in the quote" value="yes-include-flights-in-the-quote">Yes, include flights in the quote</option> <option label="No, I will take care of my own flights or no flights needed" value="no-i-will-take-care-of-my-own-flights-or-no-flights-needed">No, I will take care of my own flights or no flights needed</option> <option label="Provide option with and without flights" value="provide-option-with-and-without-flights">Provide option with and without flights</option> </field> <field type="text" label="If you want flights included, what is your departure city?" description="Where will you be flying from?" placeholder="ex. Chicago O'Hare or Midway" name="departure-city" subtype="text" className="form-control"/> <field type="text" label="What are your preferred airline(s)?" placeholder="ex. Southwest" name="text-1721096546806" subtype="text" className="form-control"/> <field type="text" label="What are your airline(s) you won't fly on?" placeholder="ex. Spirit... or any budget airline" name="text-1731543698550" subtype="text" className="form-control"/> <field type="textarea" required="true" label="Who's going on this trip? List names, ages at the time of travel and relationship to you" placeholder="ex. Jane Smith (37) - self; John Smith (40) - spouse; Jimmy Smith (6) - son" name="whos-going-on-this-trip-list-names-ages-at-the-time-of-travel-and-relationship-to-you" className="form-control"/> <field type="textarea" label="How many rooms do you want/need? And who will be in what room?" placeholder="ex. Room 1: 2 adults 2 kids (7 10) and Room 2: 3 adults" name="how-many-rooms-do-you-wantneed-and-who-will-be-in-what-room" className="form-control"/> <field type="text" label="What are some resorts you stayed at before that you enjoyed? What did you like about them?" placeholder="ex. Atelier Playa Mujeres because of great food" name="text-1721096725859" subtype="text" className="form-control"/> <field type="text" label="What are some resorts you stayed at before that you did NOT like? Why?" description="What resorts you did not like?" placeholder="ex. Resort X becuase of a small beach." name="what-are-some-resorts-you-stayed-at-before-that-you-did-not-like-why" subtype="text" className="form-control"/> <field type="checkbox-group" label="What kind of vibe are you looking for on this trip?" description="Check all that apply." name="vibe-preference" other="true"> <option label="Romantic" value="romantic">Romantic</option> <option label="Rest and relaxation" value="rest-and-relaxation">Rest and relaxation</option> <option label="Off the beaten path" value="off-the-beaten-path">Off the beaten path</option> <option label="Party" value="party">Party</option> <option label="Local culture" value="local-culture">Local culture</option> <option label="Family friendly" value="family-friendly">Family friendly</option> <option label="Food and wine" value="food-wine">Food and wine</option> <option label="Adults Only" value="adults-only">Adults Only</option> <option label="Active / Lots of activities" value="active-lots-of-activities">Active / Lots of activities</option> </field> <field type="checkbox-group" label="What activities are you interested in?" description="Check all that apply" name="activity-preferences" other="true"> <option label="Beach / relaxation" value="beach-relaxation">Beach / relaxation</option> <option label="Spa" value="spa">Spa</option> <option label="Water activities ex. snorkeling" value="water-activities-ex-snorkeling">Water activities ex. snorkeling</option> <option label="Sailing / Boat tours" value="sailing-boat-tours">Sailing / Boat tours</option> <option label="Adventure activities ex. ziplines" value="adventure-activities-ex-ziplines">Adventure activities ex. ziplines</option> <option label="Nightlife / Party / Bars" value="nightlife-party-bars">Nightlife / Party / Bars</option> <option label="Arts and history / Museums" value="arts-and-history-museums">Arts and history / Museums</option> <option label="Walking tours / City tours" value="walking-tours-city-tours">Walking tours / City tours</option> <option label="Golf" value="golf">Golf</option> <option label="Gambling" value="gambling">Gambling</option> </field> <field type="textarea" label="What inspired you to take this trip? Are you celebrating a special occasion?&nbsp; What's your vision for this trip?" name="what-inspired-you-to-take-this-trip-are-you-celebrating-a-special-occasion-whats-your-vision-for-this-trip" className="form-control"/> <field type="text" label="Is there anything you absolutely must do or see on your trip? Let me know so we can make sure to incorporate it into your itinerary." placeholder="ex. snorkeling in Hanauma Bay" name="text-1731546563689" subtype="text" className="form-control"/> <field type="radio-group" required="true" label="How much are you expecting to invest into this trip? Total for all travelers." description="This is just a starting point/your expectation. We will discuss the budget in detail later." name="budget" other="true"> <option label="$1,000 - $4,000" value="1000-4000">$1,000 - $4,000</option> <option label="$4,000 - $7,000" value="4000-7000">$4,000 - $7,000</option> <option label="$7,000 - $10,000" value="7000-10000">$7,000 - $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 - $30,000" value="20000-30000">$20,000 - $30,000</option> <option label="$30,000+" value="30000">$30,000+</option> <option label="$50,000+" value="50000">$50,000+</option> </field> <field type="checkbox-group" required="true" label="If you're traveling internationally, are your passports up to date, and valid for at least 6 months past your trip return?" name="checkbox-group-1731547307402"> <option label="Yes, all good!" value="yes-all-good">Yes, all good!</option> <option label="No, but we're in the process of renewal / getting new passports" value="no-but-were-in-the-process-of-renewal-getting-new-passports">No, but we're in the process of renewal / getting new passports</option> <option label="I still need to apply or renew passports" value="i-still-need-to-apply-or-renew-passports">I still need to apply or renew passports</option> <option label="It's a domestic trip / no passport needed" value="its-a-domestic-trip-no-passport-needed">It's a domestic trip / no passport needed</option> </field> <field type="textarea" label="What's the hardest part of planning a trip for you?" name="whats-the-hardest-part-of-planning-a-trip-for-you" className="form-control"/> <field type="textarea" label="What are your expectations for me, as your travel advisor?" name="what-are-your-expectations-for-me-as-your-travel-advisor" className="form-control"/> <field type="textarea" label="What are you looking forward to the most during your trip?" name="what-are-you-looking-forward-to-the-most-during-your-trip" className="form-control"/> <field type="textarea" label="What else would you like me to know about&nbsp; your trip?" description="The more wIknow the better I can help with planning your trip." name="notes" className="form-control"/> <field type="textarea" label="Besides this trip, what other trips and/or destinations are on your priority list for the next few years?" name="besides-this-trip-what-other-trips-andor-destinations-are-on-your-priority-list-for-the-next-few-years" className="form-control"/> <field type="text" label="Have you worked with a travel advisor before?" name="text-1731546691263" subtype="text" className="form-control"/> <field type="text" required="true" label="How did you hear about It's Worth Traveling? If you were referred, let me know by whom, so I can thank them!" name="how-did-you-hear-about-its-worth-traveling" subtype="text" className="form-control"/> <field type="header" subtype="h1" label="Trip Research Deposit or Planning Fee"/> <field type="paragraph" subtype="p" label="It's Worth Traveling LLC requires a nonrefundable Trip Research Deposit (as low as $50 per trip) or a Planning Fee (depends on the complexity of the trip) before any research is done on a new trip. The Trip Research Deposit is applied towards your trip balance, while the Planning Fee is in addition to&nbsp; your trip cost.&nbsp; More details will be provided in the follow up to your trip request.&nbsp;"/> <field type="checkbox-group" required="true" label="I understand that It's Worth Traveling requires a nonrefundable Trip Research Deposit or Planning Fee to be paid before any work on a trip can begin." name="checkbox-group-1731548261476"> <option label="Yes, I understand." value="yes-i-understand">Yes, I understand.</option> <option label="No, please provide more details. " value="no-please-provide-more-details-">No, please provide more details. </option> </field> </fields> </form-template> </body> </html>
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