<html> <body> <form-template> <fields> <field type="header" subtype="h1" label="&nbsp;CLIENT INFORMATION"/> <field type="text" required="true" label="First name" name="first-name" subtype="text" className="form-control"/> <field type="text" label="Middle name" name="middle-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="Preferred name" 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="select" required="true" label="Preferred method of communication for the first initial conversation." name="preferred-method-of-communication" className="form-control"> <option label="Phone" value="phone" selected="selected">Phone</option> <option label="Email" value="email">Email</option> <option label="Text" value="text">Text</option> </field> <field type="text" required="true" label="Email" name="email" subtype="text" className="form-control"/> <field type="text" label="Street Address" name="address-line-1" subtype="text" className="form-control"/> <field type="text" label="City" name="address-city" subtype="text" className="form-control"/> <field type="text" label="State" name="address-state" subtype="text" className="form-control"/> <field type="text" label="Zip" name="address-zip" subtype="text" className="form-control"/> <field type="header" subtype="h1" label="ABOUT YOUR TRIP&nbsp;"/> <field type="checkbox-group" required="true" label="What vacation type are you looking to plan?&nbsp;" name="what-vacation-type-are-you-looking-to-plan-"> <option label="Walt Disney World (Orlando)" value="walt-disney-world-orlando" selected="selected">Walt Disney World (Orlando)</option> <option label="Disneyland (California)" value="disneyland-california">Disneyland (California)</option> <option label="Disneyland (Paris)" value="disneyland-paris">Disneyland (Paris)</option> <option label="Disney Cruise" value="disney-cruise">Disney Cruise</option> <option label="Adventures By Disney " value="adventures-by-disney-">Adventures By Disney </option> </field> <field type="date" required="true" label="When would you like to depart?&nbsp;" name="when-would-you-like-to-depart-" className="form-control"/> <field type="date" required="true" label="When would you like to return?&nbsp;" name="when-would-you-like-to-return-" className="form-control"/> <field type="select" required="true" label="Are your dates flexible?&nbsp;" name="are-your-dates-flexible-" className="form-control"> <option label="Yes- I am flexible based on availability and best dates" value="yes-i-am-flexible-based-on-availability-and-best-dates" selected="selected">Yes- I am flexible based on availability and best dates</option> <option label="No- I have specific dates that I must maintain" value="no-i-have-specific-dates-that-i-must-maintain">No- I have specific dates that I must maintain</option> </field> <field type="text" label="What is your departure city?&nbsp;" name="what-is-your-departure-city-" subtype="text" className="form-control"/> <field type="text" required="true" label="What is the reason for the trip?&nbsp;" name="what-is-the-reason-for-the-trip-" subtype="text" className="form-control"/> <field type="textarea" label="Will you be celebrating anything during this trip? If so, what is the celebration and what date would you like to celebrate?&nbsp;" name="will-you-be-celebrating-anything-during-this-trip-if-so-what-is-the-celebration-and-what-date-would-you-like-to-celebrate-" className="form-control"/> <field type="text" label="How many adults will be traveling?&nbsp;" name="how-many-adults-will-be-traveling-" subtype="text" className="form-control"/> <field type="text" label="How many children (if applicable)?&nbsp;" name="how-many-children-if-applicable-" subtype="text" className="form-control"/> <field type="textarea" label="Please list the ages of all children (at time of travel)&nbsp;" name="please-list-the-ages-of-all-children-at-time-of-travel-" className="form-control"/> <field type="textarea" label="If you will need flights, please list all names (including middle) and birthdays:&nbsp;" name="if-you-will-need-flights-please-list-all-names-including-middle-and-birthdays-" className="form-control"/> <field type="radio-group" required="true" label="At what phase of planning are you in?&nbsp;" name="at-what-phase-of-planning-are-you-in-"> <option label="We haven’t done a thing - HELP!" value="we-havent-done-a-thing-help">We haven’t done a thing - HELP!</option> <option label="We have dates, but we need everything else" value="we-have-dates-but-we-need-everything-else">We have dates, but we need everything else</option> <option label="Flights are all booked...now help us fill in the blanks!" value="flights-are-all-bookednow-help-us-fill-in-the-blanks">Flights are all booked...now help us fill in the blanks!</option> <option label="We have hotels and flights already booked, but we need park planning" value="we-have-hotels-and-flights-already-booked-but-we-need-park-planning">We have hotels and flights already booked, but we need park planning</option> </field> <field type="radio-group" required="true" label="What is your budget for all travelers? This just gives me a general starting point and can always be changed later." name="what-is-your-budget-for-all-travelers-this-just-gives-me-a-general-starting-point-and-can-always-be-changed-later"> <option label="$3,000 - $5,000" value="3000-5000">$3,000 - $5,000</option> <option label="$5, 000 - $7,500" value="5-000-7500">$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+" value="15000">$15,000+</option> </field> <field type="textarea" label="Will you be booking any portion of your trip with points?&nbsp;" name="will-you-be-booking-any-portion-of-your-trip-with-points-" className="form-control"/> <field type="checkbox-group" label="What travel components would you like us to assist you with?&nbsp;" name="what-travel-components-would-you-like-us-to-assist-you-with-"> <option label="Flights" value="flights" selected="selected">Flights</option> <option label="Park package" value="park-package">Park package</option> <option label="Accommodations" value="accommodations">Accommodations</option> <option label="Transportation (car rental, trains, etc.)" value="transportation-car-rental-trains-etc">Transportation (car rental, trains, etc.)</option> <option label="A la carte add-ons (Genie+, Park-Hopper, character meet and greets, dining reservations, etc.)" value="a-la-carte-addons-genie-parkhopper-character-meet-and-greets-dining-reservations-etc">A la carte add-ons (Genie+, Park-Hopper, character meet and greets, dining reservations, etc.)</option> <option label="Insurance" value="insurance">Insurance</option> <option label="Other" value="other">Other</option> </field> <field type="checkbox-group" label="What is your preferred accommodation? Please note that certain Disney options are only available to those in Deluxe on-property accommodations.&nbsp;" name="what-is-your-preferred-accommodation-please-note-that-certain-disney-options-are-only-available-to-those-in-deluxe-onproperty-accommodations-"> <option label="Economical (does not need to be on park property)" value="economical-does-not-need-to-be-on-park-property" selected="selected">Economical (does not need to be on park property)</option> <option label="Moderate (does not need to be on park property)" value="moderate-does-not-need-to-be-on-park-property">Moderate (does not need to be on park property)</option> <option label="Moderate (located on park property)" value="moderate-located-on-park-property">Moderate (located on park property)</option> <option label="Luxury (does not need to be on park property)" value="luxury-does-not-need-to-be-on-park-property">Luxury (does not need to be on park property)</option> <option label="Luxury (located on park property)" value="luxury-located-on-park-property">Luxury (located on park property)</option> </field> <field type="textarea" label="What are your amenity must-haves?&nbsp;" placeholder="i.e. bar on-site restaurant pool etc." name="what-are-your-amenity-musthaves-" className="form-control"/> <field type="checkbox-group" label="What experiences are you looking for? Check all that apply." name="what-experiences-are-you-looking-for-check-all-that-apply"> <option label="Genie+ " value="genie-" selected="selected">Genie+ </option> <option label="Park-hopper passes" value="parkhopper-passes">Park-hopper passes</option> <option label="Magic bands" value="magic-bands">Magic bands</option> <option label="Character breakfasts" value="character-breakfasts">Character breakfasts</option> <option label="On-property dining reservations" value="onproperty-dining-reservations">On-property dining reservations</option> <option label="Dining with an Imagineer" value="dining-with-an-imagineer">Dining with an Imagineer</option> <option label="VIP park guides" value="vip-park-guides">VIP park guides</option> <option label="Backstage tours" value="backstage-tours">Backstage tours</option> <option label="Memory Maker photo sessions" value="memory-maker-photo-sessions">Memory Maker photo sessions</option> <option label="Character meet & greets" value="character-meet-greets">Character meet & greets</option> <option label="Bibbidi Bobbidi Boutique" value="bibbidi-bobbidi-boutique">Bibbidi Bobbidi Boutique</option> </field> <field type="textarea" label="What are your “must have” experiences for this vacation?&nbsp;" name="what-are-your-must-have-experiences-for-this-vacation-" className="form-control"/> <field type="textarea" label="What are you most excited about for this vacation?&nbsp;" name="textarea-1657312170213" className="form-control"/> <field type="radio-group" label="Have you been to this/these theme park(s) before?&nbsp;" name="have-you-been-to-thisthese-theme-parks-before-"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="textarea" label="What else would you like me to know about your ideal vacation?&nbsp;" name="what-else-would-you-like-me-to-know-about-your-ideal-vacation-" className="form-control"/> <field type="textarea" label="Do any travelers have allergies that we should be aware of?&nbsp;" name="do-any-travelers-have-allergies-that-we-should-be-aware-of-" className="form-control"/> <field type="textarea" label="Are there any reduced mobility travelers in your party? If so, please describe the level of physical restrictions.&nbsp;" name="are-there-any-reduced-mobility-travelers-in-your-party-if-so-please-describe-the-level-of-physical-restrictions-" className="form-control"/> <field type="text" label="Who can we thank for referring you to us?&nbsp;" name="who-can-we-thank-for-referring-you-to-us-" subtype="text" className="form-control"/> <field type="checkbox-group" required="true" label="Are you ready to put down a deposit?&nbsp;" name="are-you-ready-to-put-down-a-deposit-"> <option label="Yes - once details are worked out" value="yes-once-details-are-worked-out" selected="selected">Yes - once details are worked out</option> <option label="Not right now, I just curious what the pricing is like" value="not-right-now-i-just-curious-what-the-pricing-is-like">Not right now, I just curious what the pricing is like</option> </field> <field type="select" required="true" label="Would you like to be subscribed to our company newsletter?&nbsp;" name="would-you-like-to-be-subscribed-to-our-company-newsletter-" className="form-control"> <option label="Yes- sign me up!" value="yes-sign-me-up" selected="selected">Yes- sign me up!</option> <option label="No, I get too many emails" value="no-i-get-too-many-emails">No, I get too many emails</option> </field> </fields> </form-template> </body> </html>
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