<html> <body> <form-template> <fields><field type="text" subtype="text" required="true" label="Email" className="form-control" name="email"></field> <field type="header" subtype="h2" label="Questions for your trip"/> <field type="paragraph" subtype="p" label="Thank you for considering my vacation planning services. By filling out this form, you allow me to efficiently narrow down the most suitable vacation options for you. I understand that preferences may change, and I am more than willing to make adjustments as needed. Your satisfaction is my top priority, and I look forward to assisting you in creating a memorable and tailored vacation experience."/> <field type="header" subtype="h2" label="Name&nbsp;"/> <field type="text" label="Prefix" name="prefix" subtype="text" className="form-control"/> <field type="text" label="Preferred name" name="preferred-name" subtype="text" className="form-control"/> <field type="text" required="true" label="First name (as it appears on your passport)" 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" label="Suffix" name="suffix" subtype="text" className="form-control"/> <field type="date" 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"/> <field type="date" 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"/> <field type="checkbox-group" 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="checkbox-group" label="Preferred Resorts&nbsp;" name="preferred-resorts-" other="true"> <option label="Sandals | Adults Only " value="sandals-adults-only-">Sandals | Adults Only </option> <option label="Beaches | Family Friendly " value="beaches-family-friendly-">Beaches | Family Friendly </option> <option label="Club Med | Family Friendly" value="club-med-family-friendly">Club Med | Family Friendly</option> <option label="Club Med | Adults Only | Turkoise Turks and Caicos " value="club-med-adults-only-turkoise-turks-and-caicos-">Club Med | Adults Only | Turkoise Turks and Caicos </option> <option label="Hyatt Zilara | Adults Only" value="hyatt-zilara-adults-only">Hyatt Zilara | Adults Only</option> <option label="Hyatt Ziva | Family Friendly" value="hyatt-ziva-family-friendly">Hyatt Ziva | Family Friendly</option> </field> <field type="checkbox-group" label="Preferred Locations&nbsp;" description="check all that interest you" name="preferred-locations-" other="true"> <option label="Sandals Antigua" value="sandals-antigua">Sandals Antigua</option> <option label="Sandals Barbados" value="sandals-barbados">Sandals Barbados</option> <option label="Sandals Saint Vincent " value="sandals-saint-vincent-">Sandals Saint Vincent </option> <option label="Sandals Curacao" value="sandals-curacao">Sandals Curacao</option> <option label="Sandals Grenada " value="sandals-grenada-">Sandals Grenada </option> <option label="Sandals Bahamas " value="sandals-bahamas-">Sandals Bahamas </option> <option label="Sandals Jamaica" value="sandals-jamaica">Sandals Jamaica</option> <option label="Sandals Saint Lucia " value="sandals-saint-lucia-">Sandals Saint Lucia </option> <option label="Beaches Turks and Caicos " value="beaches-turks-and-caicos-">Beaches Turks and Caicos </option> <option label="Beaches Negril, Jamaica" value="beaches-negril-jamaica">Beaches Negril, Jamaica</option> <option label="Beaches Ocho Rios, Jamaica" value="beaches-ocho-rios-jamaica">Beaches Ocho Rios, Jamaica</option> <option label="Club Med Cancun, Mexico" value="club-med-cancun-mexico">Club Med Cancun, Mexico</option> <option label="Club Med Punta Cana, DR" value="club-med-punta-cana-dr">Club Med Punta Cana, DR</option> <option label="Club Med Columbus Bahamas " value="club-med-columbus-bahamas-">Club Med Columbus Bahamas </option> <option label="Club Med Turkoise Adults Only " value="club-med-turkoise-adults-only-">Club Med Turkoise Adults Only </option> <option label="Club Med Locations Worldwide " value="club-med-locations-worldwide-">Club Med Locations Worldwide </option> <option label="Hyatt Ziva Cap Cana, Dominican Republic " value="hyatt-ziva-cap-cana-dominican-republic-">Hyatt Ziva Cap Cana, Dominican Republic </option> <option label="Hyatt Zilara Cap Cana, Dominican Republic " value="hyatt-zilara-cap-cana-dominican-republic-">Hyatt Zilara Cap Cana, Dominican Republic </option> </field> <field type="text" label="How many travelers? (If applicable, please provide ages of children at time of travel)" name="number-of-travelers" subtype="text" className="form-control"/> <field type="radio-group" 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" other="true"> <option label="$3,000-$5,000" value="30005000">$3,000-$5,000</option> <option label="$6,000-$8,000" value="60008000">$6,000-$8,000</option> <option label="$9,000-$11,000" value="900011000">$9,000-$11,000</option> <option label="$12,000- $15,000" value="12000-15000">$12,000- $15,000</option> <option label="$15,000-$20,000" value="1500020000">$15,000-$20,000</option> <option label="$20,000+" value="20000">$20,000+</option> </field> <field type="checkbox-group" label="Would you like flights included in the package?" name="would-you-like-flights-included-in-the-package"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="text" label="What is your departure city?" description="Where will you be flying from?" name="departure-city" subtype="text" className="form-control"/> <field type="checkbox-group" label="Flight Preferences&nbsp;" name="flight-preferences-"> <option label="Direct Flight Only " value="direct-flight-only-">Direct Flight Only </option> <option label="One Stop is ok" value="one-stop-is-ok">One Stop is ok</option> <option label="Least Expensive " value="least-expensive-">Least Expensive </option> <option label="Other- Please include any other flight preferences below" value="other-please-include-any-other-flight-preferences-below">Other- Please include any other flight preferences below</option> </field> <field type="checkbox-group" label="What kind of vibe are you looking for?" description="Check all that apply." name="vibe-preference" other="true"> <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-wine">Food and wine</option> <option label="Several dining options " value="several-dining-options-">Several dining options </option> <option label="Long walkable beach" value="long-walkable-beach">Long walkable beach</option> <option label="Swimmable ocean" value="swimmable-ocean">Swimmable ocean</option> </field> <field type="checkbox-group" label="What activities are you interested in?" description="Check all that apply" name="activity-preferences" other="true"> <option label="Beach and water" value="beach-water">Beach and water</option> <option label="Scuba" value="scuba">Scuba</option> <option label="Adventure activities" value="adventure">Adventure activities</option> <option label="Golf" value="golf">Golf</option> <option label="Nightlife" value="nightlife">Nightlife</option> <option label="Pools/swim up bars" value="poolsswim-up-bars">Pools/swim up bars</option> <option label="Snorkeling" value="snorkeling">Snorkeling</option> <option label="Yoga/wellness/meditation" value="yogawellnessmeditation">Yoga/wellness/meditation</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"/> <field type="checkbox-group" label="Are you:" name="are-you"> <option label="Police " value="police-">Police </option> <option label="Fire Fighter " value="fire-fighter-">Fire Fighter </option> <option label="Military" value="military">Military</option> <option label="FEMA personel" value="fema-personel">FEMA personel</option> </field> <field type="checkbox-group" label="Are you celebrating a special occation?&nbsp;" name="are-you-celebrating-a-special-occation-" other="true"> <option label="Birthday" value="birthday">Birthday</option> <option label="Anniversary" value="anniversary">Anniversary</option> <option label="Honeymoon" value="honeymoon">Honeymoon</option> <option label="Destination Wedding " value="destination-wedding-">Destination Wedding </option> </field> <field type="date" label="Wedding Anniversary (if applicable)" name="wedding-anniversary-if-appicable" className="form-control"/> <field type="checkbox-group" label="Distance to resort from airport" description="How far are you comfortable going from the airport?" name="distance-from-airport"> <option label="5-20 minutes" value="520-minutes">5-20 minutes</option> <option label="25-45 minutes " value="2545-minutes-">25-45 minutes </option> <option label="45-60 minutes " value="4560-minutes-">45-60 minutes </option> <option label="90+ minutes " value="90-minutes-">90+ minutes </option> <option label="Any" value="any">Any</option> </field> <field type="checkbox-group" label="Room Preferences&nbsp;" name="room-preferences-"> <option label="Oceanview" value="oceanview">Oceanview</option> <option label="Gardenview" value="gardenview">Gardenview</option> <option label="Least Expensive" value="least-expensive">Least Expensive</option> <option label="Balcony" value="balcony">Balcony</option> <option label="Walkout" value="walkout">Walkout</option> <option label="Tub/Pool on Patio/Balcony" value="tubpool-on-patiobalcony">Tub/Pool on Patio/Balcony</option> <option label="Swim Up Room" value="swim-up-room">Swim Up Room</option> <option label="Over the Water Bungalow/Villa" value="over-the-water-bungalowvilla">Over the Water Bungalow/Villa</option> </field> <field type="checkbox-group" label="How did you hear about Golden Times Travel?&nbsp;" name="how-did-you-hear-about-golden-times-travel-"> <option label="Wedding Expo" value="wedding-expo">Wedding Expo</option> <option label="Facebook" value="facebook">Facebook</option> <option label="Instagram" value="instagram">Instagram</option> <option label="Google" value="google">Google</option> <option label="Friend/Family " value="friendfamily-">Friend/Family </option> </field> <field type="text" label="Friend/family referrals name?&nbsp;" name="friendfamily-referrals-name-" subtype="text" className="form-control"/> </fields> </form-template> </body> </html>
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