<html> <body> <form-template> <fields> <field type="header" subtype="h2" label="Full name"/> <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" 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="h1" label="Let's get started!"/> <field type="text" required="true" label="How were you referred to Anytime Travel Agency" name="how-were-you-referred-to-anytime-travel-agency" subtype="text" className="form-control"/> <field type="text" label="Instagram Handle?" name="instagram-profile" subtype="text" className="form-control"/> <field type="radio-group" label="Have you worked with a travel advisor before?" name="have-you-worked-with-a-travel-advisor-before"> <option label="Yes!" value="yes">Yes!</option> <option label="I am a first-timer!" value="i-am-a-firsttimer">I am a first-timer!</option> </field> <field type="header" subtype="h1" label="Questions for your trip!"/> <field type="radio-group" label="Where are you in the planning process?" name="where-are-you-in-the-planning-process"> <option label="Just getting started." value="just-getting-started">Just getting started.</option> <option label="I have some ideas, but need help with research and planning." value="i-have-some-ideas-but-need-help-with-research-and-planning">I have some ideas, but need help with research and planning.</option> <option label="I know just what I want, but need help finalizing the details." value="i-know-just-what-i-want-but-need-help-finalizing-the-details">I know just what I want, but need help finalizing the details.</option> <option label="Other" value="other">Other</option> </field> <field type="text" label="Is the purpose of this trip to celebrate an occasion?" name="is-the-purpose-of-this-trip-to-celebrate-an-occasion" subtype="text" className="form-control"/> <field type="text" label="Preferred destinations?" description="If you are not sure just give me a few destinations you're considering." placeholder="Ex. Tahiti" name="preferred-destinations" subtype="text" className="form-control"/> <field type="date" label="Date Field" name="date-1666314858646" className="form-control"/> <field type="textarea" label="What is it about this destination that interests you?" name="what-is-it-about-this-destination-that-interests-you" className="form-control"/> <field type="date" required="true" label="Earliest you can Depart?&nbsp;" description="This give me a general idea of when you can depart. This can be changed later." name="earliest-you-can-depart-" className="form-control"/> <field type="date" required="true" label="Latest you can return?" description="This give me a general idea of when you need to return. This can be changed later." name="latest-you-can-return" className="form-control"/> <field type="text" label="How many nights would you like the trip to be?" name="how-many-nights-would-you-like-the-trip-to-be" subtype="text" className="form-control"/> <field type="textarea" required="true" label="Number of travelers and their ages?" name="number-of-travelers-and-their-ages" className="form-control"/> <field type="text" label="If you need air included, what is your departure city?" description="Where will you be flying from?" name="if-you-need-air-included-what-is-your-departure-city" subtype="text" className="form-control"/> <field type="text" label="Preferred airline(s) and class of service, if any?" name="preferred-airlines-and-class-of-service-if-any" subtype="text" className="form-control"/> <field type="radio-group" required="true" label="Do you want travel protection included in the package?" description="Emergencies are always a surprise." name="do-you-want-travel-protection-included-in-the-package"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> <option label="Not Yet" value="not-yet">Not Yet</option> </field> <field type="checkbox-group" label="Which of these are the top 3 priorities?" name="which-of-these-are-the-top-3-priorities"> <option label="Best experience for the money" value="best-experience-for-the-money">Best experience for the money</option> <option label="Authentic, immersive experiences" value="authentic-immersive-experiences">Authentic, immersive experiences</option> <option label="Just the highlights/main attractions" value="just-the-highlightsmain-attractions">Just the highlights/main attractions</option> <option label="Best accommodations" value="best-accommodations">Best accommodations</option> <option label="Basic accommodations: clean, safe, well-located" value="basic-accommodations-clean-safe-welllocated">Basic accommodations: clean, safe, well-located</option> <option label="Small, cozy hotel (more boutique)" value="small-cozy-hotel-more-boutique">Small, cozy hotel (more boutique)</option> <option label="Large property with on-site dining & amenities" value="large-property-with-onsite-dining-amenities">Large property with on-site dining & amenities</option> <option label="Guided tours" value="guided-tours">Guided tours</option> <option label="Just the tickets/ no guide" value="just-the-tickets-no-guide">Just the tickets/ no guide</option> <option label="Private tours" value="private-tours">Private tours</option> <option label="Easiest flight schedule" value="easiest-flight-schedule">Easiest flight schedule</option> </field> <field type="textarea" label="Are there any accommodation features or amenities that you would prefer to (or must) have?" name="are-there-any-accommodation-features-or-amenities-that-you-would-prefer-to-or-must-have" className="form-control"/> <field type="text" required="true" label="What is the price range you are comfortable with (total for all travelers)?" name="what-is-the-price-range-you-are-comfortable-with-total-for-all-travelers" subtype="text" className="form-control"/> <field type="header" subtype="h1" label="What type of trip are you interested in?"/> <field type="checkbox-group" required="true" label="Standard Booking Services" description="Check all that apply." name="standard-booking-services"> <option label="Hotel" value="hotel">Hotel</option> <option label="All Inclusive Resort (where available)" value="all-inclusive-resort-where-available">All Inclusive Resort (where available)</option> <option label="Cruise" value="cruise">Cruise</option> <option label="Rental Car" value="rental-car">Rental Car</option> <option label="Escorted Tour" value="escorted-tour">Escorted Tour</option> <option label="Rail Vacation" value="rail-vacation">Rail Vacation</option> <option label="Other" value="other">Other</option> </field> <field type="checkbox-group" required="true" label="What kind of vibe are you looking for?" description="Check all that apply." name="what-kind-of-vibe-are-you-looking-for"> <option label="Romantic" value="romantic">Romantic</option> <option label="Rest and Relaxation" value="rest-and-relaxation">Rest and Relaxation</option> <option label="Off the beaten path" value="off-the-beaten-path">Off the beaten path</option> <option label="Party" value="party">Party</option> <option label="Local Culture" value="local-culture">Local Culture</option> <option label="Family Friendly" value="family-friendly">Family Friendly</option> <option label="Food and Wine" value="food-and-wine">Food and Wine</option> <option label="Other" value="other">Other</option> </field> <field type="checkbox-group" required="true" label="What activities are you interested in?" description="Check all that apply." name="what-activities-are-you-interested-in"> <option label="Beach & Water" value="beach-water">Beach & Water</option> <option label="Gambling" value="gambling">Gambling</option> <option label="Scuba" value="scuba">Scuba</option> <option label="Adventure Activities" value="adventure-activities">Adventure Activities</option> <option label="Golf" value="golf">Golf</option> <option label="Nightife" value="nightife">Nightife</option> <option label="Arts and Theater" value="arts-and-theater">Arts and Theater</option> <option label="Other" value="other">Other</option> </field> <field type="text" label="Anything you absolutely must do or see?" name="anything-you-absolutely-must-do-or-see" subtype="text" className="form-control"/> <field type="header" subtype="h1" label="Package Pricing"/> <field type="paragraph" subtype="p" label="I work with many wholesalers who offer package prices which are great because you will usually pay significantly less than booking the accommodations flights and transportation separately. The payment schedules are often more flexible as well. It is important to note that the rules can be different for these contracted rates so if you have status with an airline or hotel brand and/or are looking to accrue points I need to know so that we can discuss your priorities."/> <field type="radio-group" label="Which is more important:" name="which-is-more-important"> <option label="Best Price" value="best-price">Best Price</option> <option label="Experience" value="experience">Experience</option> <option label="Loyalty program status/accruing points" value="loyalty-program-statusaccruing-points">Loyalty program status/accruing points</option> </field> <field type="paragraph" subtype="p" label="&nbsp;&nbsp;"/> <field type="checkbox-group" label="Would you like to receive our monthly newsletter? It will feature new blog posts, great deals and other stuff, travel related." name="would-you-like-to-receive-our-monthly-newsletter-it-will-feature-new-blog-posts-great-deals-and-other-stuff-travel-related"> <option label="Yes, sign me up." value="yes-sign-me-up">Yes, sign me up.</option> </field> </fields> </form-template> </body> </html>
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