<html> <body> <form-template> <fields> <field type="header" subtype="h1" label="Your Info"/> <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="Preferred name" name="preferred-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="radio-group" required="true" label="Preferred Contact Method" name="preferred-contact-method"> <option label="Phone" value="phone">Phone</option> <option label="Email" value="email">Email</option> <option label="Text" value="text">Text</option> </field> <field type="text" required="true" label="Preferred Day and Time (Initial Chat)" name="preferred-day-and-time-initial-chat" subtype="text" className="form-control"/> <field type="text" required="true" label="How did you hear about us?&nbsp;" name="how-did-you-hear-about-us-" subtype="text" className="form-control"/> <field type="text" label="If referred by a friend/family member, what's their name?" name="if-referred-by-a-friendfamily-member-include-their-name-so-we-can-send-our-thanks" subtype="text" className="form-control"/> <field type="select" required="true" label="Who is your preferred travel advisor?" name="who-is-your-preferred-travel-advisor" className="form-control"> <option label="Alana" value="alana">Alana</option> <option label="Riquelmy (Riqui) " value="riquelmy-riqui-">Riquelmy (Riqui) </option> </field> <field type="header" subtype="h1" label="Trip Info"/> <field type="radio-group" required="true" label="What type of trip are you thinking of?&nbsp;" name="what-type-of-trip-are-you-thinking-of-"> <option label="All-Inclusive Resort" value="allinclusive-resort">All-Inclusive Resort</option> <option label="Cruise" value="cruise">Cruise</option> <option label="Custom Itinerary" value="custom-itinerary">Custom Itinerary</option> <option label="Escorted Tour" value="escorted-tour">Escorted Tour</option> <option label="Villa Rental" value="villa-rental">Villa Rental</option> </field> <field type="text" required="true" label="Where would you like to go?" description="Please let us know your top destination(s) (maximum of 2)" placeholder="ex: Tahiti" name="destination" subtype="text" className="form-control"/> <field type="date" required="true" 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="date" required="true" label="When would you like to return?" 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="text" required="true" label="What is your departure city?" description="Where will you be flying from?" name="departure-city" subtype="text" className="form-control"/> <field type="text" label="Preferred&nbsp; Airport?" description="If there is more than one airport in your departure city please specify your preference." name="preferred-airport" subtype="text" className="form-control"/> <field type="radio-group" required="true" label="Do you prefer non-stop flights?&nbsp;" name="do-you-prefer-nonstop-flights-"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> <option label="No Preference" value="no-preference">No Preference</option> <option label="Not Applicable - Purchasing My Own Flight" value="not-applicable-purchasing-my-own-flight">Not Applicable - Purchasing My Own Flight</option> </field> <field type="text" required="true" label="How many travelers?" name="number-of-travelers" subtype="text" className="form-control"/> <field type="checkbox-group" required="true" label="Traveler Details:" description="Check all that apply." name="traveler-details" other="true"> <option label="Infant/Toddler (0 - 1)" value="infanttoddler-0-1">Infant/Toddler (0 - 1)</option> <option label="Children (2-12)" value="children-212">Children (2-12)</option> <option label="Teens (13-17)" value="teens-1317">Teens (13-17)</option> <option label="Seniors (65+)" value="seniors-65">Seniors (65+)</option> <option label="Physical Accommodations" value="physical-accommodations">Physical Accommodations</option> <option label="Special Dietary Needs" value="special-dietary-needs">Special Dietary Needs</option> </field> <field type="text" label="How many children and ages at time of travel?&nbsp;" name="how-many-children-and-ages-at-time-of-travel-" subtype="text" className="form-control"/> <field type="radio-group" required="true" label="Is everyone in your travel party fully vaccinated against Covid-19?" description="Several destinations and hotels only allow vaccinated travelers" name="is-everyone-in-your-travel-party-fully-vaccinated-against-covid19"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="text" required="true" label="Do you have an idea of what you'd like to spend PER PERSON?&nbsp;" name="do-you-have-an-idea-of-what-youd-like-to-spend-per-person-" subtype="text" className="form-control"/> <field type="radio-group" required="true" label="Are you looking to pay over time?" description="We offer interest-free payment plans with low deposits." name="are-you-looking-to-pay-over-time"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="date" required="true" label="When will you be ready to make a deposit on your trip?" description="As prices and hotel availability are subject to change until receipt of deposit we want to send you the most up-to-date information." name="when-will-you-be-ready-to-make-a-deposit-on-your-trip" className="form-control"/> <field type="header" subtype="h1" label="Travel Preferences"/> <field type="radio-group" required="true" label="What best describes your hotel preference?" name="hotel-preference"> <option label="Economy" value="value">Economy</option> <option label="Moderate" value="moderate">Moderate</option> <option label="Luxury" value="luxury">Luxury</option> <option label="Boutique" value="boutique">Boutique</option> </field> <field type="radio-group" required="true" label="Bed Preference?" name="bed-preference"> <option label="King Bed" value="king-bed">King Bed</option> <option label="2 Double/Queen" value="2-double-queen">2 Double/Queen</option> <option label="Bunk Beds" value="bunk-beds">Bunk Beds</option> </field> <field type="radio-group" label="Preferred Room Type?&nbsp;" name="preferred-room-type-"> <option label="Garden View" value="garden-view">Garden View</option> <option label="Ocean View" value="ocean-view">Ocean View</option> <option label="Swim-Up " value="swimup-">Swim-Up </option> <option label="Butler Service" value="butler-service">Butler Service</option> </field> <field type="checkbox-group" required="true" label="What kind of vibe are you looking for?" description="Check all that apply." name="vibe-preference"> <option label="Adults Only" value="adults-only">Adults Only</option> <option label="Clothing Optional" value="clothing-optional">Clothing Optional</option> <option label="Family Friendly" value="family-friendly">Family Friendly</option> <option label="LGBTQ+ Friendly" value="lgbtq-friendly">LGBTQ+ Friendly</option> <option label="Off the Beaten Path" value="off-the-beaten-path">Off the Beaten Path</option> <option label="Party Atmosphere" value="party-atmosphere">Party Atmosphere</option> <option label="Rest and Relaxation" value="rest-and-relaxation">Rest and Relaxation</option> <option label="Romantic" value="romantic">Romantic</option> <option label="Sustainable Travel" value="sustainable-travel">Sustainable Travel</option> <option label="Swingers Spot" value="swingers-spot">Swingers Spot</option> <option label="Wellness" value="wellness">Wellness</option> </field> <field type="checkbox-group" required="true" label="What activities are you interested in?" description="Check all that apply" name="activity-preferences" other="true"> <option label="Adventure" value="adventure">Adventure</option> <option label="Arts and Theater" value="arts-and-theater">Arts and Theater</option> <option label="Beach and Water Sports" value="beach-and-water-sports">Beach and Water Sports</option> <option label="Casino" value="casino">Casino</option> <option label="Cultural Immersion" value="cultural-immersion">Cultural Immersion</option> <option label="Fitness" value="fitness">Fitness</option> <option label="Food and Wine" value="food-and-wine">Food and Wine</option> <option label="Golf" value="golf">Golf</option> <option label="Nightlife" value="nightlife">Nightlife</option> <option label="Scuba" value="scuba">Scuba</option> <option label="Spa" value="spa">Spa</option> <option label="None of the above" value="none-of-the-above">None of the above</option> </field> <field type="checkbox-group" required="true" label="Are you traveling for a special occasion?&nbsp;" name="are-you-traveling-for-a-special-occasion-" other="true"> <option label="Anniversary" value="anniversary">Anniversary</option> <option label="Bachelor/Bachelorette " value="bachelorbachelorette-">Bachelor/Bachelorette </option> <option label="Birthday" value="birthday">Birthday</option> <option label="Couples Trip" value="couples-trip">Couples Trip</option> <option label="Girls Getaway" value="girls-getaway">Girls Getaway</option> <option label="Graduation" value="graduation">Graduation</option> <option label="Honeymoon" value="honeymoon">Honeymoon</option> <option label="Family Reunion" value="family-reunion">Family Reunion</option> <option label="Not Applicable" value="not-applicable">Not Applicable</option> </field> <field type="text" label="If you've traveled in the last three years, where did you stay?" name="if-youve-traveled-in-the-last-three-years-where-did-you-stay" subtype="text" className="form-control"/> <field type="radio-group" required="true" label="If you answered the question above, did you enjoy your stay?" name="if-you-answered-the-question-above-did-you-enjoy-your-stay"> <option label="Yes, I loved it!" value="yes-i-loved-it">Yes, I loved it!</option> <option label="Sure, I liked it." value="sure-i-liked-it">Sure, I liked it.</option> <option label="Meh, it could have been better." value="meh-it-could-have-been-better">Meh, it could have been better.</option> <option label="Nope, I didn't care for it." value="nope-i-didnt-care-for-it">Nope, I didn't care for it.</option> <option label="Not at all, I hated it! " value="not-at-all-i-hated-it-">Not at all, I hated it! </option> <option label="Not Applicable" value="not-applicable">Not Applicable</option> </field> <field type="text" label="Anything you absolutely must do or see on this trip?" name="must-dos" subtype="text" className="form-control"/> <field type="textarea" label="What else would you like us to know?" description="No detail is too small." name="notes" className="form-control"/> </fields> </form-template> </body> </html>
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