Share your information with Priscilla Espinoza

Priscilla Espinoza

Pris Paradise Travel

<html>
  <body>
    <form-template>&#13;
	<fields>&#13;
		<field type="header" subtype="h2" label="Let’s Start Planning Your Trip"/>&#13;
		<field type="header" subtype="h1" label="Thank you for choosing Pris Paradise Travel. This short questionnaire helps me understand your travel needs so I can provide the best recommendations and next steps. Please complete all questions as accurately as possible."/>&#13;
		<field type="header" subtype="h2" label="TRAVELER INFORMATION"/>&#13;
		<field type="text" required="true" label="First name" name="first-name" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Middle name" name="middle-name" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Last name" name="last-name" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Suffix" name="suffix" subtype="text" className="form-control"/>&#13;
		<field required="true"  type="text" label="Email" name="email" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Phone number" name="phone-number" subtype="text" className="form-control"/>&#13;
		<field type="header" subtype="h2" label="TRIP DATES"/>&#13;
		<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"/>&#13;
		<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"/>&#13;
		<field type="checkbox-group" required="true" label="Are your dates flexible?" inline="true" name="dates-flexible">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
			<option label="Somewhat" value="somewhat">Somewhat</option>&#13;
		</field>&#13;
		<field type="header" subtype="h2" label="DESTINATION &amp;amp; TRAVEL STYLE"/>&#13;
		<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"/>&#13;
		<field type="text" required="true" label="Where would you like to go?" description="If you&#39;re not sure  just give me a few destinations you&#39;re considering." placeholder="ex: Tahiti" name="destination" subtype="text" className="form-control"/>&#13;
		<field type="checkbox-group" label="What kind of atmosphere or travel vibe would make this getaway feel perfect for you?" description="Check all that apply." inline="true" name="vibe-preference" other="true" className="field-hidden">&#13;
			<option label="Adventure" value="adventure">Adventure</option>&#13;
			<option label="Beach" value="beach">Beach</option>&#13;
			<option label="Cruise" value="cruise">Cruise</option>&#13;
			<option label="Family friendly" value="family-friendly">Family friendly</option>&#13;
			<option label="Local culture" value="local-culture">Local culture</option>&#13;
			<option label="Luxery" value="luxery">Luxery</option>&#13;
			<option label="Romantic" value="romantic">Romantic</option>&#13;
			<option label="Rest and relaxation" value="rest-and-relaxation">Rest and relaxation</option>&#13;
			<option label="Theme Parks" value="theme-parks">Theme Parks</option>&#13;
		</field>&#13;
		<field type="select" label="Which travel style do you prefer?" name="which-travel-style-do-you-prefer" className="form-control">&#13;
			<option label="All-inclusive" value="allinclusive">All-inclusive</option>&#13;
			<option label="Cruise Vacations" value="cruise-vacations">Cruise Vacations</option>&#13;
			<option label="Independent travel" value="independent-travel">Independent travel</option>&#13;
			<option label="Not sure yet" value="not-sure-yet">Not sure yet</option>&#13;
		</field>&#13;
		<field type="radio-group" label="What best describes your hotel preference?" inline="true" name="hotel-preference" other="true">&#13;
			<option label="Economy" value="value">Economy</option>&#13;
			<option label="Moderate" value="moderate">Moderate</option>&#13;
			<option label="Luxury" value="luxury">Luxury</option>&#13;
			<option label="Villa" value="villa">Villa</option>&#13;
			<option label="Boutique" value="boutique">Boutique</option>&#13;
		</field>&#13;
		<field type="clientLoyaltyPrograms" label="Loyalty Programs" name="loyalty-program" loyalty-program-note="*** This field allows your client to enter multiple loyalty program numbers (you only need one of these per form template) ***" className="form-control"/>&#13;
		<field type="checkbox-group" required="true" label="What activities are you interested in?" description="Check all that apply" inline="true" name="activity-preferences" other="true">&#13;
			<option label="Beach and water" value="beach-water">Beach and water</option>&#13;
			<option label="Gambling" value="gambling">Gambling</option>&#13;
			<option label="Scuba" value="scuba">Scuba</option>&#13;
			<option label="Adventure activities" value="adventure">Adventure activities</option>&#13;
			<option label="Golf" value="golf">Golf</option>&#13;
			<option label="Nightlife" value="nightlife">Nightlife</option>&#13;
			<option label="Arts and theater" value="art-theater">Arts and theater</option>&#13;
		</field>&#13;
		<field type="checkbox-group" label="Which of the following would you like included in your vacation package?" description="Select all options that interest you so I can create the best vacation experience for you." inline="true" name="which-of-the-following-would-you-like-included-in-your-vacation-package">&#13;
			<option label="Flights" value="flights">Flights</option>&#13;
			<option label="Hotel / Resort accommodations" value="hotel-resort-accommodations">Hotel / Resort accommodations</option>&#13;
			<option label="Rental car" value="rental-car">Rental car</option>&#13;
			<option label="Excursions / Activities" value="excursions-activities">Excursions / Activities</option>&#13;
			<option label="Airport or cruise transfers" value="airport-or-cruise-transfers">Airport or cruise transfers</option>&#13;
			<option label="Just the accommodations (no add-ons)" value="just-the-accommodations-no-addons">Just the accommodations (no add-ons)</option>&#13;
		</field>&#13;
		<field type="text" required="true" label="How many adults? (18 and older)" name="number-of-travelers" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="How many children and their ages at time of travel?" name="will-children-be-traveling-if-yes-list-their-ages-at-time-of-travel-" subtype="text" className="form-control"/>&#13;
		<field type="textarea" label="Full names and DOB of other travelers you are booking this trip for." name="full-names-and-dob-of-other-travelers-you-are-booking-this-trip-for" className="form-control"/>&#13;
		<field type="text" label="How many Rooms or Cruise Cabins do you want?&amp;nbsp;" name="how-many-rooms-or-cruise-cabins-do-you-want-" subtype="text" className="form-control field-hidden"/>&#13;
		<field type="checkbox-group" label="Room/Resort Info: If applicable&amp;nbsp;" inline="true" name="roomresort-info-if-applicable-" className="field-hidden">&#13;
			<option label="King Bed" value="king-bed">King Bed</option>&#13;
			<option label="Two Queen Beds" value="two-queen-beds">Two Queen Beds</option>&#13;
			<option label="Two Double Beds" value="two-double-beds">Two Double Beds</option>&#13;
			<option label="Twin Beds" value="twin-beds">Twin Beds</option>&#13;
			<option label="Sofa Bed / Rollaway (if available)" value="sofa-bed-rollaway-if-available">Sofa Bed / Rollaway (if available)</option>&#13;
			<option label="Mixed bed types across rooms" value="mixed-bed-types-across-rooms">Mixed bed types across rooms</option>&#13;
			<option label="No preference" value="no-preference">No preference</option>&#13;
		</field>&#13;
		<field type="checkbox-group" label="Cruise Info: If applicable&amp;nbsp;" inline="true" name="cruise-info-if-applicable-" other="true" className="field-hidden">&#13;
			<option label="Interior Cabin " value="interior-cabin-">Interior Cabin </option>&#13;
			<option label="Ocean View Cabin " value="ocean-view-cabin-">Ocean View Cabin </option>&#13;
			<option label="Balcony Cabin " value="balcony-cabin-">Balcony Cabin </option>&#13;
			<option label="Suite Cabin " value="suite-cabin-">Suite Cabin </option>&#13;
			<option label="Solo Cabin (Solo travels only) " value="solo-cabin-solo-travels-only-">Solo Cabin (Solo travels only) </option>&#13;
			<option label="Carnival Cruise " value="carnival-cruise-">Carnival Cruise </option>&#13;
			<option label="Norwegian Cruise " value="norwegian-cruise-">Norwegian Cruise </option>&#13;
			<option label="Royal Cruise " value="royal-cruise-">Royal Cruise </option>&#13;
			<option label="Other Cruise Line " value="other-cruise-line-">Other Cruise Line </option>&#13;
			<option label="Pre-Cruise Hotel Stay " value="precruise-hotel-stay-">Pre-Cruise Hotel Stay </option>&#13;
			<option label="Post-Cruise Hotel Stay " value="postcruise-hotel-stay-">Post-Cruise Hotel Stay </option>&#13;
			<option label="Excursions " value="excursions-">Excursions </option>&#13;
			<option label="Cruise Beverage Plan " value="cruise-beverage-plan-">Cruise Beverage Plan </option>&#13;
		</field>&#13;
		<field type="header" subtype="h2" label="BUDGET"/>&#13;
		<field type="text" required="true" label="What is your estimated budget per person for this trip?" description="(A specific number or range is required in order to begin research.)" name="what-is-your-budget-i-need-an-actual-number" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Anything you absolutely must do or see?" name="must-dos" subtype="text" className="form-control"/>&#13;
		<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"/>&#13;
		<field type="radio-group" required="true" label="ARE YOU TRAVEL READY?" inline="true" name="radio-group-1769390111938">&#13;
			<option label="Yes, Ready to book today" value="yes-ready-to-book-today">Yes, Ready to book today</option>&#13;
			<option label="I will be in 1 week" value="i-will-be-in-1-week">I will be in 1 week</option>&#13;
			<option label="I will be ready in a month" value="i-will-be-ready-in-a-month">I will be ready in a month</option>&#13;
			<option label="Just looking at my options" value="just-looking-at-my-options">Just looking at my options</option>&#13;
		</field>&#13;
	</fields>&#13;
</form-template>
  </body>
</html>