<html> <body> <form-template> <fields> <field type="header" subtype="h1" label="CLIENT INFORMATION&nbsp;"/> <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" label="Phone number" name="phone-number" subtype="text" className="form-control"/> <field required="true" type="text" 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="text" label="Where would you like to go?&nbsp;" name="where-would-you-like-to-go-" subtype="text" className="form-control"/> <field type="date" label="When would you like to depart?&nbsp;" name="when-would-you-like-to-depart-" className="form-control"/> <field type="date" label="When would you like to return?&nbsp;" name="when-would-you-like-to-return-" className="form-control"/> <field type="radio-group" label="Are your dates flexible?&nbsp;" name="are-your-dates-flexible-"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</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="textarea" label="Is this vacation to celebrate anything special?&nbsp;" name="is-this-vacation-to-celebrate-anything-special-" className="form-control"/> <field type="textarea" label="Who will be traveling? Please list all full names (including middle) and birthdays ." name="who-will-be-traveling-please-list-all-full-names-including-middle-and-birthdays-" className="form-control"/> <field type="radio-group" label="At what phase of planning are you in?&nbsp;" name="at-what-phase-of-planning-are-you-in-"> <option label="I’m just beginning the planning process." value="im-just-beginning-the-planning-process">I’m just beginning the planning process.</option> <option label="We have dates, but no other details confirmed." value="we-have-dates-but-no-other-details-confirmed">We have dates, but no other details confirmed.</option> <option label="We have hotels and flights already booked." value="we-have-hotels-and-flights-already-booked">We have hotels and flights already booked.</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.&nbsp;" name="what-is-your-budget-for-all-travelers-this-just-gives-me-a-general-starting-point-and-can-always-be-changed-later-"> <option label="$7,500 - $10,000" value="7500-10000">$7,500 - $10,000</option> <option label="$10,000 to $15,000" value="10000-to-15000">$10,000 to $15,000</option> <option label="$15,000 to $20,000" value="15000-to-20000">$15,000 to $20,000</option> <option label="$20,000 to $25,000" value="20000-to-25000">$20,000 to $25,000</option> <option label="$25,000 to $35,000" value="25000-to-35000">$25,000 to $35,000</option> <option label="$35,000 +" value="35000-">$35,000 +</option> </field> <field type="textarea" label="Will you be booking any portion of your trip with points? If so, which pieces?&nbsp;" name="will-you-be-booking-any-portion-of-your-trip-with-points-if-so-which-pieces-" className="form-control"/> <field type="checkbox-group" label="What travel components would you like us to assist you with? Check all that apply.&nbsp;" name="what-travel-components-would-you-like-us-to-assist-you-with-check-all-that-apply-"> <option label="Flights" value="flights">Flights</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="Excursions & tours" value="excursions-tours">Excursions & tours</option> <option label="Insurance" value="insurance">Insurance</option> <option label="Other" value="other">Other</option> </field> <field type="radio-group" label="What best describes your desired accommodation style?&nbsp;" name="what-best-describes-your-desired-accommodation-style-"> <option label="Luxury and exclusive" value="luxury-and-exclusive">Luxury and exclusive</option> <option label="Boutique and charming" value="boutique-and-charming">Boutique and charming</option> <option label="Centrally located and functional" value="centrally-located-and-functional">Centrally located and functional</option> <option label="Destination resort" value="destination-resort">Destination resort</option> <option label="Other" value="other">Other</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 options best describe your travel priorities? Check all that apply.&nbsp;" name="what-options-best-describe-your-travel-priorities-check-all-that-apply-"> <option label="Local culture and education" value="local-culture-and-education">Local culture and education</option> <option label="Art and architecture" value="art-and-architecture">Art and architecture</option> <option label="Food and wine" value="food-and-wine">Food and wine</option> <option label="Adventure" value="adventure">Adventure</option> <option label="Dramatic views and landscapes" value="dramatic-views-and-landscapes">Dramatic views and landscapes</option> <option label="Spa and wellness" value="spa-and-wellness">Spa and wellness</option> <option label="Rest and relaxation" value="rest-and-relaxation">Rest and relaxation</option> </field> <field type="textarea" label="Is there anything else that you must do or see?&nbsp;" name="is-there-anything-else-that-you-must-do-or-see-" className="form-control"/> <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="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="select" 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">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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