<html> <body> <form-template> <fields> <field label="Custom Vacation Planning" subtype="h1" type="header"/> <field label="We carefully designcustom designed travel experiences based on your personal preferences. &nbsp;We will schedule a complimentary 20-30 minute consultation with you, but before our call, please complete this 5 minute survey to give us a starting point. Please be as detailed as possible as it really helps get things off on the right track!" subtype="p" type="paragraph"/> <field label="Client Information" subtype="h1" type="header"/> <field label="Full name" subtype="h2" type="header"/> <field label="Prefix" name="prefix" subtype="text" type="text" className="form-control"/> <field label="First name" name="first-name" required="true" subtype="text" type="text" className="form-control"/> <field label="Middle name" name="middle-name" subtype="text" type="text" className="form-control"/> <field label="Last name" name="last-name" required="true" subtype="text" type="text" className="form-control"/> <field label="Suffix" name="suffix" subtype="text" type="text" className="form-control"/> <field label="Preferred name" name="preferred-name" subtype="text" type="text" className="form-control"/> <field label="Address" subtype="h2" type="header"/> <field label="Line 1" name="address-line-1" subtype="text" type="text" className="form-control"/> <field label="Line 2" name="address-line-2" subtype="text" type="text" className="form-control"/> <field label="City" name="address-city" subtype="text" type="text" className="form-control"/> <field label="State" name="address-state" subtype="text" type="text" className="form-control"/> <field label="Zip" name="address-zip" subtype="text" type="text" className="form-control"/> <field label="Country" name="address-country" subtype="text" type="text" className="form-control"/> <field required="true" label="Email" name="email" subtype="text" type="text" className="form-control"/> <field label="Phone number" name="phone-number" subtype="text" type="text" className="form-control"/> <field description="A friend recommended you I saw a Facebook Ad, I subscribe to your weekly ezine, I saw your Virtuoso profile, etc." label="How did you hear about us? (many of our clients are personal referrals, so we like to know who to thank!)" name="how-did-you-hear-about-us-many-of-our-clients-are-personal-referrals-so-we-like-to-know-who-to-thank" subtype="text" type="text" className="form-control"/> <field label="Where are you in the planning process?" name="where-are-you-in-the-planning-process" type="checkbox-group"> <option label="Just getting started!" selected="selected" value="just-getting-started">Just getting started!</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 anxious to get your suggestions." value="i-dont-know-where-i-want-to-go-and-am-anxious-to-get-your-suggestions">I don't know where I want to go and am anxious to get your suggestions.</option> </field> <field label="Are you celebrating anything special on this trip?" name="are-you-celebrating-anything-special-on-this-trip" type="checkbox-group"> <option label="No- it's just time for a getaway" selected="selected" value="no-its-just-time-for-a-getaway">No- it's just time for a getaway</option> <option label="Birthday" value="birthday">Birthday</option> <option label="Anniversary" value="anniversary">Anniversary</option> <option label="Graduation" value="graduation">Graduation</option> <option label="Friends/Couples Getaway" value="friendscouples-getaway">Friends/Couples Getaway</option> <option label="Girls' Getaway" value="girls-getaway">Girls' Getaway</option> <option label="Guys' Trip" value="guys-trip">Guys' Trip</option> <option label="Honeymoon" value="honeymoon">Honeymoon</option> <option label="Other" value="other">Other</option> </field> <field label="How do you prefer to meet for our complimentary consultation?" name="how-do-you-prefer-to-meet-for-our-complimentary-consultation" required="true" type="checkbox-group"> <option label="By Phone" selected="selected" value="by-phone">By Phone</option> <option label="Zoom Call" value="zoom-call">Zoom Call</option> </field> <field label="Please note:&nbsp;" name="please-note-" subtype="text" type="text" value="We will have a follow up meeting which may be in person or zoom (your preference)." className="form-control"/> <field label="Trip Information" subtype="h3" type="header"/> <field description="(Check all that apply)" label="Where Would You Like To Go?" name="where-would-you-like-to-go" other="true" type="radio-group"> <option label="Africa" value="africa">Africa</option> <option label="Alaska" value="alaska">Alaska</option> <option label="Antarctica" value="antarctica">Antarctica</option> <option label="Asia" value="asia">Asia</option> <option label="Australia" value="australia">Australia</option> <option label="Canada" value="canada">Canada</option> <option label="Caribbean" value="caribbean">Caribbean</option> <option label="Central America" value="central-america">Central America</option> <option label="China" value="china">China</option> <option label="Continental USA" value="continental-usa">Continental USA</option> <option label="Egypt" value="egypt">Egypt</option> <option label="France" value="france">France</option> <option label="Galapagos Islands" value="galapagos-islands">Galapagos Islands</option> <option label="Germany" value="germany">Germany</option> <option label="Greece" value="greece">Greece</option> <option label="Hawaii" value="hawaii">Hawaii</option> <option label="Hong Kong" value="hong-kong">Hong Kong</option> <option label="Iceland" value="iceland">Iceland</option> <option label="Italy" value="italy">Italy</option> <option label="Mexico" value="mexico">Mexico</option> <option label="Middle East" value="middle-east">Middle East</option> <option label="New Zealand" value="new-zealand">New Zealand</option> <option label="Pacific Rim/Japan" value="pacific-rimjapan">Pacific Rim/Japan</option> <option label="Russia" value="russia">Russia</option> <option label="Scandanavia" value="scandanavia">Scandanavia</option> <option label="South America" value="south-america">South America</option> <option label="South Pacific" value="south-pacific">South Pacific</option> <option label="Spain" value="spain">Spain</option> <option label="UK/Ireland" value="ukireland">UK/Ireland</option> <option label="Other" value="other">Other</option> </field> <field 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="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" type="textarea" className="form-control"/> <field description="This just gives me a general idea of when you like to go; it can be changed later." label="When would you like to depart?" name="starting-at" type="date" className="form-control"/> <field description="This just gives me a general idea of when you like to return; it can be changed later." label="When would you like to return?" name="ending-at" type="date" className="form-control"/> <field label="Are your dates flexible?" name="dates-flexible" type="checkbox-group"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field description="Where will you be flying from?" label="What is your departure city?" name="departure-city" subtype="text" type="text" className="form-control"/> <field label="How many travelers?" name="number-of-travelers" type="text" value="1" className="form-control"/> <field 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)." name="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" subtype="text" type="text" className="form-control"/> <field description="This just gives me a general starting point and can always be changed later." label="What is your budget for all travelers?" name="budget" type="radio-group"> <option label="up to $3,000 Weekend Trip" value="up-to-3000-weekend-trip">up to $3,000 Weekend Trip</option> <option label="$5,000 to $10,000 Travel Experience" value="5000-to-10000-travel-experience">$5,000 to $10,000 Travel Experience</option> <option label="$10,000 to $15,000 Travel Experience" value="10000-to-15000-travel-experience">$10,000 to $15,000 Travel Experience</option> <option label="$15,000 to $20,000 Travel Experience" value="15000-to-20000-travel-experience">$15,000 to $20,000 Travel Experience</option> <option label="$20-,000 to $30,000 Travel Experience" value="20000-to-30000-travel-experience">$20-,000 to $30,000 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 label="What best describes your hotel preference?" name="hotel-preference" other="true" required="true" type="radio-group"> <option label="Luxury" value="luxury">Luxury</option> <option label="Moderate" value="moderate">Moderate</option> <option label="Boutique" value="boutique">Boutique</option> <option label="All Inclusive Resort (where available)" value="all-inclusive-resort-where-available">All Inclusive Resort (where available)</option> </field> <field description="Check all that apply." label="What kind of vibe are you looking for?" name="vibe-preference" other="true" type="checkbox-group"> <option label="Romantic escape" value="romantic-escape">Romantic escape</option> <option label="Rest and relaxation" value="rest-and-relaxation">Rest and relaxation</option> <option label="Food and wine" value="food-and-wine">Food and wine</option> <option label="Off the beaten path" value="off-the-beaten-path">Off the beaten path</option> <option label="Cultural Immersion" value="cultural-immersion">Cultural Immersion</option> <option label="Family friendly" value="family-friendly">Family friendly</option> <option label="Adventure/Active" value="adventureactive">Adventure/Active</option> <option label="Party" value="party">Party</option> </field> <field description="(Check One)" label="How often do you travel?" name="select-option-that-best-applies" required="true" type="select" className="form-control"> <option label="once a year" selected="selected" value="once-a-year">once a year</option> <option label="2-3x/year" value="23xyear">2-3x/year</option> <option label="4-5x/year" value="45xyear">4-5x/year</option> <option label="over 5x/year" value="over-5xyear">over 5x/year</option> </field> <field description="(Check all that apply)" label="Which of these helps define what makes you happy?" name="activity-preferences" other="true" required="true" type="checkbox-group"> <option label="Adventure activities" value="adventure-activities">Adventure activities</option> <option label="All-Inclusive" value="allinclusive">All-Inclusive</option> <option label="Arts and theater" value="arts-and-theater">Arts and theater</option> <option label="Ballooning" value="ballooning">Ballooning</option> <option label="Beach and water" value="beach-and-water">Beach and water</option> <option label="Cruise-Expedition" value="cruiseexpedition">Cruise-Expedition</option> <option label="Cruise-Ocean" value="cruiseocean">Cruise-Ocean</option> <option label="Cruise-River" value="cruiseriver">Cruise-River</option> <option label="Cruise-Small Ship" value="cruisesmall-ship">Cruise-Small Ship</option> <option label="Cruise-Large Ship" value="cruiselarge-ship">Cruise-Large Ship</option> <option label="Eco-Tourism" value="ecotourism">Eco-Tourism</option> <option label="Escorted Tours" value="escorted-tours">Escorted Tours</option> <option label="Fishing" value="fishing">Fishing</option> <option label="Gambling" value="gambling">Gambling</option> <option label="Gardens" value="gardens">Gardens</option> <option label="Golf" value="golf">Golf</option> <option label="Hiking" value="hiking">Hiking</option> <option label="History" value="history">History</option> <option label="Honeymoon/Anniversary" value="honeymoonanniversary">Honeymoon/Anniversary</option> <option label="Independent Traveler" value="independent-traveler">Independent Traveler</option> <option label="Nightlife" value="nightlife">Nightlife</option> <option label="Private Jet" value="private-jet">Private Jet</option> <option label="Rafting/Kayak" value="raftingkayak">Rafting/Kayak</option> <option label="Rail Travel" value="rail-travel">Rail Travel</option> <option label="Resorts" value="resorts">Resorts</option> <option label="Safari" value="safari">Safari</option> <option label="Sailing" value="sailing">Sailing</option> <option label="Scuba" value="scuba">Scuba</option> <option label="Shopping" value="shopping">Shopping</option> <option label="Snow Sports" value="snow-sports">Snow Sports</option> <option label="Spas" value="spas">Spas</option> <option label="Sporting Events" value="sporting-events">Sporting Events</option> <option label="Wildlife" value="wildlife">Wildlife</option> <option label="Equestrian" value="equestrian">Equestrian</option> <option label="Museums" value="museums">Museums</option> <option label="Private Jet" value="private-jet">Private Jet</option> <option label="Private Yacht" value="private-yacht">Private Yacht</option> </field> <field label="Is there anything else you absolutely must do or see?" name="anything-else-you-absolutely-must-do-or-see" rows="0" type="textarea" className="form-control"/> <field label="Our "preparing for travel" emails are sent one per household. To what email address address should we send them?" name="our-preparing-for-travel-emails-are-sent-one-per-household-to-what-email-address-address-should-we-send-them" subtype="text" type="text" className="form-control"/> <field label="Describe your favorite vacation and why it was so special" name="enter-your-answer-below" subtype="text" type="text" className="form-control"/> <field description="What else would you like me to know about your travel preferences?" label="Premiere Luxury Travel takes pride in curating vacations that inspire memories that last a lifetime. &nbsp;What would make this trip PERFECT for you?" name="notes" type="textarea" className="form-control"/> <field label="Premiere Luxury Travel can provide a service to our clients known as Wanderlist. 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?" name="premiere-luxury-travel-can-provide-a-service-to-our-clients-known-as-wanderlist-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" type="checkbox-group"> <option label="Africa" selected="selected" value="africa">Africa</option> <option label="Europe" value="europe">Europe</option> <option label="Australia" value="australia">Australia</option> <option label="South America" value="south-america">South America</option> <option label="South Pacific" value="south-pacific">South Pacific</option> <option label="Hawaii" value="hawaii">Hawaii</option> <option label="Other (please specify)" value="other-please-specify">Other (please specify)</option> </field> <field description="select one" label="COVID-19 Vaccination Status (ALL TRAVELERS)" name="covid19-vaccination-status-all-travelers" type="radio-group"> <option label="All Travelers Vaccinated" value="all-travelers-vaccinated">All Travelers Vaccinated</option> <option label="None of the Travelers are Vaccinated" value="none-of-the-travelers-are-vaccinated">None of the Travelers are Vaccinated</option> <option label="We aren't vaccinated yet, but will be 14 days or more before our trip!" value="we-arent-vaccinated-yet-but-will-be-14-days-or-more-before-our-trip">We aren't vaccinated yet, but will be 14 days or more before our trip!</option> <option label="At least one of the travelers is NOT vaccinated" value="at-least-one-of-the-travelers-is-not-vaccinated">At least one of the travelers is NOT vaccinated</option> </field> </fields> </form-template> </body> </html>
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