<html> <body> <form-template> <fields><field type="text" subtype="text" required="true" label="Email" className="form-control" name="email"></field> <field type="header" subtype="h1" label="Client 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" label="Suffix" name="suffix" subtype="text" className="form-control"/> <field type="text" label="Preferred Name / Alias" name="preferred-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" label="How do you like to communicate?" name="how-do-you-like-to-communicate"> <option label="Text" value="text">Text</option> <option label="Phone" value="phone">Phone</option> <option label="Email" value="email">Email</option> </field> <field type="checkbox-group" label="Please let us know when is the best time to reach you&nbsp;" name="please-let-us-know-when-is-the-best-time-to-reach-you-"> <option label="Morning" value="morning">Morning</option> <option label="Afternoon" value="afternoon">Afternoon</option> <option label="Evening" value="evening">Evening</option> </field> <field type="date" required="true" label="Date of Birth" name="birthday" className="form-control"/> <field type="header" subtype="h1" label="Mailing Address"/> <field type="text" required="true" label="Address Line 1&nbsp;" name="address" subtype="text" className="form-control"/> <field type="text" required="true" label="City" name="city" subtype="text" className="form-control"/> <field type="text" required="true" label="State" name="state" subtype="text" className="form-control"/> <field type="text" required="true" label="Zip Code" name="zip-code" subtype="text" className="form-control"/> <field type="header" subtype="h1" label="Emergency Contact"/> <field type="text" required="true" label="First and Last Name" name="first-and-last-name" subtype="text" className="form-control"/> <field type="text" required="true" label="Relationship to Primary" name="relationship-to-primary" subtype="text" className="form-control"/> <field type="text" required="true" label="Emergency Contact Email" name="emergency-contact-email" subtype="text" className="form-control"/> <field type="text" subtype="tel" required="true" label="Emergency Contact Phone" name="emergency-contact-phone" className="form-control"/> <field type="header" subtype="h1" label="Family Information&nbsp;"/> <field type="text" label="Spouse or Partner Name&nbsp;" name="spouse-or-partner-name-" subtype="text" className="form-control"/> <field type="date" label="Anniversary" name="wedding-anniversary" className="form-control"/> <field type="textarea" label="Children Name(s) and Age(s)&nbsp;" name="children-names-and-ages" className="form-control"/> <field type="header" subtype="h1" label="Health and Wellness&nbsp;"/> <field type="text" label="Please list any (dietary) allergies and restrictions&nbsp;" name="please-list-any-dietary-allergies-and-restrictions-" subtype="text" className="form-control"/> <field type="textarea" label="In case of an emergency, please list any medications or personal information that we can relay to an emergency care provider:" name="do-you-have-any-special-medication-or-personal-information-that-you-would-want-an-emergency-care-provider-to-know-" className="form-control"/> <field type="textarea" label="Do you have any injuries that could prevent or limit you from participating in any activities or excursions?&nbsp;" name="do-you-have-any-injuries-that-would-prevent-you-from-participating-in-any-activities-or-excursions-" className="form-control"/> <field type="header" subtype="h1" label="Travel Preferences"/> <field type="clientLoyaltyPrograms" label="Frequent Flyer Numbers, KTN, Global Entry, TSA , Hotel Loyalty Programs" description="You can enter multiple loyalty programs" name="loyalty-program" 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="text" label="Preferred Airline&nbsp;" name="preferred-airline-" subtype="text" className="form-control"/> <field type="text" label="Preferred Air Cabin" name="preferred-air-cabin" subtype="text" className="form-control"/> <field type="radio-group" required="true" label="Preferred Plane Seat" name="seat-preference"> <option label="Window" value="window">Window</option> <option label="Aisle" value="aisle">Aisle</option> <option label="Opposite aisle" value="opposite aisle">Opposite aisle</option> </field> <field type="text" label="Preferred Airports" name="preferred-airports" subtype="text" className="form-control"/> <field type="text" label="In-Flight Meal Preference" name="inflight-meal-preference" subtype="text" className="form-control"/> <field type="text" label="Preferred Departure and Return Times" name="small-aircraft-requirements" subtype="text" className="form-control"/> <field type="text" label="Are there any aircrafts that we should avoid (helicopters, prop planes, single engine aircrafts, etc)?&nbsp;" name="small-aircraft-comfort-level-prop-planes-helicopter-light-jet-seaplane-heavy-jet-" subtype="text" className="form-control"/> <field type="header" subtype="h1" label="Transportation Preferences"/> <field type="text" label="Transfers and Private Drivers: Preferred Car Model and Make" name="meal-preference" subtype="text" className="form-control"/> <field type="text" label="Self Driver: Preferred Car Model and Make" name="preferred-car-make-model" subtype="text" className="form-control"/> <field type="checkbox-group" label="Preferred Car Rental Transmission&nbsp;" name="preferred-car-rental-transmission-"> <option label="Automatic" value="automatic">Automatic</option> <option label="Manual" value="manual">Manual</option> <option label="Can drive both" value="can-drive-both">Can drive both</option> </field> <field type="text" label="Preferred Vehicle Temperature" name="preferred-vehicle-temperature" subtype="text" className="form-control"/> <field type="select" label="Preferred Conversation&nbsp;" name="preferred-conversation-" className="form-control"> <option label="" value=""/> <option label="Quiet Preferred" value="quiet-preferred">Quiet Preferred</option> <option label="Happy to Chat" value="happy-to-chat">Happy to Chat</option> <option label="No Preference" value="no-preference">No Preference</option> </field> <field type="text" label="In-Car Requests" description="water snacks alcohol (depending on location)" name="incar-requests" subtype="text" className="form-control"/> <field type="text" label="What is the maximum time you'll spend on the road?" name="what-is-the-maximum-time-youll-spend-on-the-road" subtype="text" className="form-control"/> <field type="header" subtype="h1" label="Accommodation Preferences"/> <field type="text" label="Please List Your Favorite Properties" description="Four Seasons Belmond Rosewood Dorchester etc." name="please-list-your-favorite-properties" subtype="text" className="form-control"/> <field type="radio-group" label="&nbsp;Preferred Property Type&nbsp;" name="hotel-preference"> <option label="Boutique" value="boutique">Boutique</option> <option label="Moderate" value="moderate">Moderate</option> <option label="Luxury" value="luxury">Luxury</option> </field> <field type="checkbox-group" label="Preferred Property Ambiance" name="vibe-preference"> <option label="Charming" value="charming">Charming</option> <option label="Peace & Quiet" value="peace-quiet">Peace & Quiet</option> <option label="Vibrant " value="vibrant-">Vibrant </option> <option label="In-The-Know" value="intheknow">In-The-Know</option> <option label="Family Friendly" value="family-friendly">Family Friendly</option> <option label="Multi-Generational" value="multigenerational">Multi-Generational</option> </field> <field type="checkbox-group" label="Preferred Room Category" name="activity-preferences"> <option label="Deluxe Room" value="deluxe-room">Deluxe Room</option> <option label="Junior Suite" value="junior-suite">Junior Suite</option> <option label="Deluxe Suite " value="deluxe-suite-">Deluxe Suite </option> <option label="One Bedroom Suite" value="one-bedroom-suite">One Bedroom Suite</option> <option label="2 Bedroom Suites" value="2-bedroom-suites">2 Bedroom Suites</option> </field> <field type="checkbox-group" label="Room Amenities&nbsp;" name="room-amenities-"> <option label="2 Bathrooms" value="2-bathrooms">2 Bathrooms</option> <option label="Air Conditioning " value="air-conditioning-">Air Conditioning </option> <option label="Bathtub" value="bathtub">Bathtub</option> <option label="Terrace" value="terrace">Terrace</option> <option label="Private Pool" value="private-pool">Private Pool</option> <option label="City Views " value="city-views-">City Views </option> <option label="Ocean Views " value="ocean-views-">Ocean Views </option> <option label="Coffee Machine " value="coffee-machine-">Coffee Machine </option> <option label="Tea Kettle " value="tea-kettle-">Tea Kettle </option> <option label="Children Amenities" value="children-amenities">Children Amenities</option> <option label="24/7 Room Service " value="247-room-service-">24/7 Room Service </option> </field> <field type="text" label="Preferred Room Connectivity" description="King to King King to 2 Queens, Suite to King etc" name="text-1650476846233" subtype="text" className="form-control"/> <field type="text" label="Preferred Room Level&nbsp;" description="Ground Mid-Floor High Penthouse" name="preferred-room-level-" subtype="text" className="form-control"/> <field type="text" label="Preferred Check-in Amenity" description="Champagne Water Fruit Platter Alcohol etc" name="preferred-checkin-amenity" subtype="text" className="form-control"/> <field type="text" label="Other Accommodation Preferences/Requests" name="other-accommodation-preferencesrequests" subtype="text" className="form-control"/> <field type="header" subtype="h1" label="Traveler's Interests"/> <field type="text" label="What are your interests and hobbies?" name="what-are-your-interests-and-hobbies" subtype="text" className="form-control"/> <field type="text" label="Do you speak any other languages? If so, what is your level of fluency?" name="do-you-speak-any-other-languages-if-so-what-is-your-level-of-fluency" subtype="text" className="form-control"/> <field type="text" label="Favorite countries?" name="what-are-your-favorite-countries" subtype="text" className="form-control"/> <field type="text" label="Favorite cities?&nbsp;" name="what-are-your-favorite-cities-" subtype="text" className="form-control"/> <field type="checkbox-group" label="Favorite regions?" name="what-are-your-favorite-regions" other="true"> <option label="Terrain " value="terrain-">Terrain </option> <option label="Ocean " value="ocean-">Ocean </option> <option label="Mountain " value="mountain-">Mountain </option> <option label="Wine" value="wine">Wine</option> <option label="City" value="city">City</option> <option label="Remote" value="remote">Remote</option> </field> <field type="textarea" label="What are your values and priorities in relation to travel?&nbsp;" name="what-are-your-values-and-priorities-in-relation-to-travel-" className="form-control"/> <field type="textarea" label="Please list any pet peeves when traveling&nbsp;" description="talkative guides touristy places crowds" name="please-list-any-pet-peeves-when-traveling-" className="form-control"/> <field type="header" subtype="h1" label="Food and Beverage Preferences"/> <field type="textarea" label="Ideal Dining Times for Breakfast, Lunch, and Dinner" name="ideal-dining-times-for-breakfast-lunch-and-dinner" className="form-control"/> <field type="text" label="What is your drink of choice (alcoholic)?&nbsp;" description="Sparkling Wine Spirits etc" name="what-are-your-alcohol-preferences-" subtype="text" className="form-control"/> <field type="checkbox-group" label="What is your water preference?&nbsp;" name="what-is-your-water-preference-" other="true"> <option label="Still" value="still">Still</option> <option label="Sparkling" value="sparkling">Sparkling</option> </field> <field type="textarea" label="Restaurant Preferences" description="Do you prefer local Michelin or trendy restaurants?" name="dining-suggestions" className="form-control"/> </fields> </form-template> </body> </html>
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