<html> <body> <form-template> <fields> <field type="header" subtype="h1" label="Dream Trip Planning"/> <field type="paragraph" subtype="p" label="We create unique travel experiences based on your travel preferences. We will schedule a complimentary 15-20 minute consultation with you via phone, zoom, or in-person meeting if you are local. Before our call, please complete this 3-minute survey below as a great starting point.&nbsp;"/> <field type="header" subtype="h2" label="Full name"/> <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="How did you hear about us? (95% of our clients are personal referrals and we want to thank them)" description="Sally told me to call you to save me time and add experiences I never thought of; I heard your a "Safari Expert"; I found you on google/FB" name="how-did-you-hear-about-us-95-of-our-clients-are-personal-referrals-and-we-want-to-thank-them" subtype="text" className="form-control"/> <field type="radio-group" required="true" label="What is your preferred method of contact? Our preference is email for record keeping purposes during the decision making process." inline="true" name="what-is-your-preferred-method-of-contact-our-preference-is-email-for-record-keeping-purposes-during-the-decision-making-process"> <option label="Email" value="email">Email</option> <option label="Phone" value="phone">Phone</option> <option label="Text" value="text">Text</option> </field> <field type="header" subtype="h2" label="Where are you in the planning process?"/> <field type="radio-group" required="true" label="What kind of travel are you looking to plan?" name="radio-group-1614013669595"> <option label="Just started and open to suggestions" value="just-started-and-open-to-suggestions">Just started and open to suggestions</option> <option label="I know where I want to go, but need help with the research, planning and booking." value="i-know-where-i-want-to-go-but-need-help-with-the-research-planning-and-booking">I know where I want to go, but need help with the research, planning and booking.</option> <option label="I don't know where I want to go and am looking for your suggestions." value="i-dont-know-where-i-want-to-go-and-am-looking-for-your-suggestions">I don't know where I want to go and am looking for your suggestions.</option> </field> <field type="text" label="What are you most hoping the Stay Balanced Travel team will be able to do for you if we partner on this travel experience?" description="I'm not sure where to start; I have must do's but want suggestions and help with all the tedious details of booking and follow-up" name="what-are-you-most-hoping-the-stay-balanced-travel-team-will-be-able-to-do-for-you-if-we-partner-on-this-travel-experience" subtype="text" className="form-control"/> <field type="radio-group" required="true" label="Is this trip a special occasion?" name="what-kind-of-travel-are-you-looking-to-plan"> <option label="No - It's just time to for a getaway!" value="no-its-just-time-to-for-a-getaway">No - It's just time to for a getaway!</option> <option label="Birthday" value="birthday">Birthday</option> <option label="Family Celebration/Reunion" value="family-celebrationreunion">Family Celebration/Reunion</option> <option label="Wedding/Honeymoon" value="weddinghoneymoon">Wedding/Honeymoon</option> <option label="Friends Trip/Hobby Related or Fun" value="friends-triphobby-related-or-fun">Friends Trip/Hobby Related or Fun</option> <option label="Mile Stone Celebration (i.e. babymoon, graduation, new home) " value="mile-stone-celebration-ie-babymoon-graduation-new-home-">Mile Stone Celebration (i.e. babymoon, graduation, new home) </option> <option label="Annual Family Vancation" value="annual-family-vancation">Annual Family Vancation</option> <option label="Annual Re-Connection with Self/Significant Other" value="annual-reconnection-with-selfsignificant-other">Annual Re-Connection with Self/Significant Other</option> <option label="Anniversary" value="anniversary">Anniversary</option> <option label="Other" value="other">Other</option> </field> <field type="radio-group" label="How would you best like to meet for your initial 20-30&nbsp; minute complimentary consultation?*" description="Please note: We will have a follow up meeting which may be in person or zoom (your preference)." name="how-would-you-best-like-to-meet-for-your-initial-2030-minute-complimentary-consultation"> <option label="By Phone" value="by-phone">By Phone</option> <option label="Zoom Call" value="zoom-call">Zoom Call</option> </field> <field type="text" label="When are you planning to travel, and how long are you comfortable being away?" name="when-are-you-planning-to-travel-and-how-long-are-you-comfortable-being-away" subtype="text" className="form-control"/> <field type="date" 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="text" label="What is your preferred departure city or cities?" description="Where will you be flying from?" name="departure-city" subtype="text" className="form-control"/> <field type="radio-group" required="true" label="Will you be traveling with others?" inline="true" name="will-you-be-traveling-with-others"> <option label="Solo" value="solo">Solo</option> <option label="Couple" value="couple">Couple</option> <option label="Friends" value="friends">Friends</option> <option label="Family (same household)" value="family-same-household">Family (same household)</option> <option label="Small Group ( 10 people or less)" value="small-group-10-people-or-less">Small Group ( 10 people or less)</option> <option label="Large Group (11 or more)" value="large-group-11-or-more">Large Group (11 or more)</option> <option label="Other" value="other">Other</option> </field> <field type="textarea" label="Will you be traveling with others? Please list any travel companions and your relation to them. (before an accurate quote can be provided, I need first and last names of everyone traveling including dates of birth.To provide a quote resorts, cruises, and/or flights first and last names with dates of birth/ages will be needed. Most use dynamic pricing now which varies for ages of children.." description="John Jacob Smith 10/1/1985 Mary Ann Smith 11/15/1972" placeholder="EXAMPLE John Jacob Smith 10/1/1985 Mary Ann Smith 11/15/1972" name="to-provide-a-quote-resorts-cruises-andor-flights-first-and-last-names-with-dates-of-birthages-will-be-needed-most-use-dynamic-pricing-now-which-varies-for-ages-of-children" className="form-control"/> <field type="radio-group" required="true" label="Which of the following places are you considering for this travel experience?" inline="true" name="destination-or-experience-for-this-trip" other="true"> <option label="USA/Alaska/Hawaii/Puerto Rico" value="usaalaskahawaiipuerto-rico">USA/Alaska/Hawaii/Puerto Rico</option> <option label="South Pacific" value="south-pacific">South Pacific</option> <option label="Caribbean" value="caribbean">Caribbean</option> <option label="Mexico" value="mexico">Mexico</option> <option label="Europe" value="europe">Europe</option> <option label="Central America" value="central-america">Central America</option> <option label="South America" value="south-america">South America</option> <option label="Africa" value="africa">Africa</option> <option label="Asia" value="asia">Asia</option> <option label="Big Ship Cruise (1,000 Passengers +)" value="big-ship-cruise-1000-passengers-">Big Ship Cruise (1,000 Passengers +)</option> <option label="River Cruise (250 Passengers or Less)" value="river-cruise-250-passengers-or-less">River Cruise (250 Passengers or Less)</option> <option label="Small Luxury Criuse (150 Passengers or Less)" value="small-luxury-criuse-150-passengers-or-less">Small Luxury Criuse (150 Passengers or Less)</option> <option label="Antartica" value="antartica">Antartica</option> <option label="I'm Not SURE?" value="im-not-sure">I'm Not SURE?</option> </field> <field type="text" label="Specific Destination (Experience) or Do you have another destination not listed above in mind? Please let me know where." name="specific-destination-experience" subtype="text" className="form-control"/> <field type="radio-group" label="What best describes your accommodation&nbsp; preference?" inline="true" name="hotel-preference" other="true"> <option label="Luxury (5 star)" value="luxury-5-star">Luxury (5 star)</option> <option label="Premium (4 star)" value="premium-4-star">Premium (4 star)</option> <option label="Boutique (>100 rooms private, intimate) 3-4 star generally" value="boutique-100-rooms-private-intimate-34-star-generally">Boutique (>100 rooms private, intimate) 3-4 star generally</option> <option label="Moderate (3 star)" value="moderate-3-star">Moderate (3 star)</option> <option label="All-Inclusive (food, drinks, and activities)" value="allinclusive-food-drinks-and-activities">All-Inclusive (food, drinks, and activities)</option> </field> <field type="text" label="Have you traveled internationally or visited any of the places above? If so, I would love to hear your experiences. Where did you go? What were your highlights/ dislikes about your travel experience?" name="at-your-hotel-what-type-of-bed-configuration-per-room-do-you-require" subtype="text" className="form-control"/> <field type="checkbox-group" label="What do you normally like to do and experiences on vacation? (Check all applicable)" description="Check all that apply" inline="true" name="activity-preferences" other="true"> <option label="Beach and water" value="beach-water">Beach and water</option> <option label="Scuba or Snorkeling" value="scuba-or-snorkeling">Scuba or Snorkeling</option> <option label="Adventure activities" value="adventure-activities">Adventure activities</option> <option label="Golf" value="golf">Golf</option> <option label="Nightlife" value="nightlife">Nightlife</option> <option label="Arts, theater, and, shows" value="arts-theater-and-shows">Arts, theater, and, shows</option> <option label="Cycling-Fitness" value="cyclingfitness">Cycling-Fitness</option> <option label="Nature walks or hikes" value="nature-walks-or-hikes">Nature walks or hikes</option> <option label="Cooking or Culinary Experience" value="cooking-or-culinary-experience">Cooking or Culinary Experience</option> <option label="Cultural history of the destination" value="cultural-history-of-the-destination">Cultural history of the destination</option> <option label="Spa or wellness activities" value="spa-or-wellness-activities">Spa or wellness activities</option> <option label="Local shopping" value="local-shopping">Local shopping</option> </field> <field type="text" label="What would make this trip PERFECT for you?" description="Include in your budget flights transfers accommodation per person" name="what-would-make-this-trip-perfect-for-you" subtype="text" className="form-control"/> <field type="text" label="What do you want to do on THIS vacation? Please provide as much detail as possible." placeholder="see the ruins experience a cooking class experience an authentic farm to table with a local find unique locations in destination" name="must-dos" subtype="text" className="form-control"/> <field type="text" label="Deal Breakers or Pet Peeves?" description="Include in your budget flights transfers accommodation per person" name="deal-breakers-or-pet-peeves" subtype="text" className="form-control"/> <field type="header" subtype="h1" label="Budget for Travel Experience"/> <field type="text" label="What is the ideal vacation trip worth to you? For your proposal we work within a max $ per person per day or max hotel spend per day.&nbsp;" description="Include in your budget flights transfers accommodation per person" placeholder="example: ($3000-6000 per person for entire trip) or ($400-$500 per day per person)" name="what-is-this-experience-worth-to-you-in-order-to-quote-i-require-a-specific-range-or-max-per-person-" subtype="text" className="form-control"/> <field type="radio-group" required="true" label="It is extremely impossible to estimate exactly how much any trip will cost without discussing your unique preferences. Travel Experience packages include accommodations, private vs. group tours and private vs. public transportation, cultural experiences, and more! Which of these options best fit your investment for this travel experience?*&nbsp;" name="it-is-extremely-impossible-to-estimate-exactly-how-much-any-trip-will-cost-without-discussing-your-unique-preferences-travel-experience-packages-include-accommodations-private-vs-group-tours-and-private-vs-public-transportation-cultural-experiences-and-more-which-of-these-options-best-fit-your-investment-for-this-travel-experience-" other="true"> <option label="$7500 - $10000 Travel Experience" value="7500-10000-travel-experience">$7500 - $10000 Travel Experience</option> <option label="$10000 - $15000 Travel Experience" value="10000-15000-travel-experience">$10000 - $15000 Travel Experience</option> <option label="$15000 - $20000 Travel Experience" value="15000-20000-travel-experience">$15000 - $20000 Travel Experience</option> <option label="$20000 - $30000 Travel Experience" value="20000-30000-travel-experience">$20000 - $30000 Travel Experience</option> <option label="$30,000+ Ultra Luxe Travel Experience" value="30000-ultra-luxe-travel-experience">$30,000+ Ultra Luxe Travel Experience</option> </field> <field type="radio-group" label="Stay Balanced Travel&nbsp; is a certified Wanderlist Agency where we can provide this added service for our clients. Wanderlist is a virtual way to share, plan, and save for other future travel dreams. Are you interested in discussing your Wanderlist for the next 5 years? If so, where would you be interested in going?" inline="true" name="stay-balanced-travel-is-a-certified-wanderlist-agency-where-we-can-provide-this-added-service-for-our-clients-wanderlist-is-a-virtual-way-to-share-plan-and-save-for-other-future-travel-dreams-are-you-interested-in-discussing-your-wanderlist-for-the-next-5-years-if-so-where-would-you-be-interested-in-going" other="true"> <option label="United States - Hawaii/Alaska" value="united-states-hawaiialaska">United States - Hawaii/Alaska</option> <option label="Africa" value="africa">Africa</option> <option label="Antartica" value="antartica">Antartica</option> <option label="Central America" value="central-america">Central America</option> <option label="Europe" value="europe">Europe</option> <option label="Maldives" value="maldives">Maldives</option> <option label="South America" value="south-america">South America</option> <option label="Asia" value="asia">Asia</option> <option label="Return to a destination" value="return-to-a-destination">Return to a destination</option> <option label="None of the above or unsure & would like more information" value="none-of-the-above-or-unsure-would-like-more-information">None of the above or unsure & would like more information</option> </field> <field type="paragraph" subtype="p" label="By submitting this client inquiry form, you consent to receive travel-related content via email from both Stay Balanced Travel, Virtuoso, and have reviewed our website privacy policy."/> </fields> </form-template> </body> </html>
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