<html> <body> <form-template> <fields> <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="header" subtype="h2" label="Address"/> <field type="text" label="Line 1" name="address-line-1" subtype="text" className="form-control"/> <field type="text" label="Line 2" name="address-line-2" 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="text" label="Country" name="address-country" subtype="text" className="form-control"/> <field type="header" subtype="h2" label="Important Dates"/> <field type="date" label="Birthday" name="birthday" className="form-control"/> <field type="header" subtype="h2" label="Questions for your dream vacation"/> <field type="textarea" required="true" label="Who is traveling?" name="who-is-traveling" rows="4" className="form-control"/> <field type="textarea" label="If kids are included, what are their ages?" name="if-kids-are-included-what-are-their-ages" rows="1" className="form-control"/> <field type="text" required="true" label="Where would you like to go?" description="If you're not sure just give me a few destinations you're considering." placeholder="ex: Tahiti" name="destination" subtype="text" className="form-control"/> <field type="textarea" required="true" label="What is the occasion or reason for your trip?" name="what-is-the-occasion-or-reason-for-your-trip" rows="4" className="form-control"/> <field type="checkbox-group" required="true" label="What kind of experience are you looking for?" description="Check all that apply." name="vibe-preference" other="true"> <option label="Discovery" value="discovery">Discovery</option> <option label="Adventure" value="adventure">Adventure</option> <option label="Off the beaten path" value="off-the-beaten-path">Off the beaten path</option> <option label="Local culture" value="local-culture">Local culture</option> <option label="Rest and relaxation" value="rest-and-relaxation">Rest and relaxation</option> <option label="Romantic" value="romantic">Romantic</option> <option label="Food and wine" value="food-wine">Food and wine</option> <option label="Celebration" value="celebration">Celebration</option> <option label="Family friendly" value="family-friendly">Family friendly</option> <option label="Multigenerational" value="multigenerational">Multigenerational</option> <option label="Multi-Country" value="multicountry">Multi-Country</option> <option label="LBGT" value="lbgt">LBGT</option> </field> <field type="checkbox-group" required="true" label="Type of Travel" description="Choose all that apply" name="checkbox-group-1601744002714" other="true"> <option label="Land only (hotels & resorts)" value="land-only-hotels-resorts">Land only (hotels & resorts)</option> <option label="Small Private Group Tours" value="small-private-group-tours">Small Private Group Tours</option> <option label="Private Group Tours" value="private-group-tours">Private Group Tours</option> <option label="Private Group Custom Itinerary" value="private-group-custom-itinerary">Private Group Custom Itinerary</option> <option label="Safari" value="safari">Safari</option> <option label="River Cruising" value="river-cruising">River Cruising</option> <option label="Ocean Cruising" value="ocean-cruising">Ocean Cruising</option> <option label="Cruise & Land" value="cruise-land">Cruise & Land</option> <option label="Adventure" value="adventure">Adventure</option> <option label="Rail Journeys" value="rail-journeys">Rail Journeys</option> <option label="Escorted Tours (i.e. motorcoach)" value="escorted-tours-ie-motorcoach">Escorted Tours (i.e. motorcoach)</option> </field> <field type="textarea" required="true" label="What are your dates or the window of time when you can travel?" name="what-are-your-dates-or-the-window-of-time-when-you-can-travel" rows="4" className="form-control"/> <field type="checkbox-group" required="true" label="Are your dates flexible?" name="dates-flexible"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <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="radio-group" required="true" label="What is your budget for all travelers?" description="This just gives me a general starting point and can always be changed later." name="budget"> <option label="$1,500 to $2,500" value="1500-2500">$1,500 to $2,500</option> <option label="$2,500 to $4,500" value="2500-4500">$2,500 to $4,500</option> <option label="$4,500 to $6,500" value="4500-6500">$4,500 to $6,500</option> <option label="$6,500 to $8,500" value="6500-8500">$6,500 to $8,500</option> <option label="$8,500 to $10,000" value="8500-10000">$8,500 to $10,000</option> <option label="$10,000 to $15,000" value="10000-15000">$10,000 to $15,000</option> <option label="$15,000 to $20,000" value="15000-20000">$15,000 to $20,000</option> <option label="$25,000+" value="25000">$25,000+</option> </field> <field type="radio-group" required="true" label="What best describes your accommodation preference?" description="Check all that apply" name="hotel-preference" other="true"> <option label="Luxury Hotel/Resort (5-Star)" value="luxury-hotelresort-5star">Luxury Hotel/Resort (5-Star)</option> <option label="Deluxe Hotel (4-Star)" value="deluxe-hotel-4star">Deluxe Hotel (4-Star)</option> <option label="Boutique Hotel (3-5 Stars)" value="boutique-hotel-35-stars">Boutique Hotel (3-5 Stars)</option> <option label="Moderate Hotel and Below (0-2 Stars)" value="moderate-hotel-and-below-02-stars">Moderate Hotel and Below (0-2 Stars)</option> <option label="Private Villa, Castle, Estate" value="private-villa-castle-estate">Private Villa, Castle, Estate</option> <option label="All-Inclusive Resort" value="allinclusive-resort">All-Inclusive Resort</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="Authentic Local Culture" value="authentic-local-culture">Authentic Local Culture</option> <option label="Beach and sun" value="beach-and-sun">Beach and sun</option> <option label="Pool Lounging" value="pool-lounging">Pool Lounging</option> <option label="Local Cuisine" value="local-cuisine">Local Cuisine</option> <option label="Adventure activities (i.e. hiking, biking, skiing)" value="adventure-activities-ie-hiking-biking-skiing">Adventure activities (i.e. hiking, biking, skiing)</option> <option label="Sports (i.e. Golf)" value="sports-ie-golf">Sports (i.e. Golf)</option> <option label="Nightlife" value="nightlife">Nightlife</option> <option label="Arts and theater" value="art-theater">Arts and theater</option> <option label="History & Museums" value="history-museums">History & Museums</option> <option label="Shopping" value="shopping">Shopping</option> <option label="Photography" value="photography">Photography</option> <option label="Safari" value="safari">Safari</option> <option label="Genealogy" value="genealogy">Genealogy</option> </field> <field type="text" label="Anything you absolutely must do or see?" name="must-dos" subtype="text" className="form-control"/> <field type="textarea" label="What else would you like me to know?" description="What else would you like me to know about your travelers budget and/or travel preferences?" name="notes" className="form-control"/> </fields> </form-template> </body> </html>
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