<html> <body> <form-template> <fields> <field type="header" subtype="h1" label="Contact Details&nbsp;"/> <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="h1" label="About Your Trip"/> <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="text" required="true" label="Who will be traveling? Please provide legal names, date of births and relationship to each traveler" description="If you're not sure just give me a few destinations you're considering." name="text-1735523766211" subtype="text" className="form-control"/> <field type="text" required="true" label="What are your ideal travel dates? Are your travel dates flexible? Please be sure to note any restrictions" description="If you're not sure just give me a few destinations you're considering." name="text-1735523785032" subtype="text" className="form-control"/> <field type="checkbox-group" required="true" label="What is your budget for all travelers?" name="what-is-your-budget-for-all-travelers"> <option label="up to $5000" value="up-to-5000">up to $5000</option> <option label="$5000+" value="5000">$5000+</option> <option label="$10000+" value="10000">$10000+</option> <option label="$15000+" value="15000">$15000+</option> <option label="$20000+" value="20000">$20000+</option> <option label="$25000+" value="25000">$25000+</option> <option label="$30000+" value="30000">$30000+</option> <option label="$50000+" value="50000">$50000+</option> <option label="$100K+" value="100k">$100K+</option> <option label="Other " value="other-">Other </option> </field> <field type="text" required="true" label="Are flights included in the budget? If yes, what class of service do you wish to fly?&nbsp;" name="text-1734890450267" subtype="text" className="form-control"/> <field type="text" required="true" label="What is your departure city/airport?" description="Where will you be flying from?" name="departure-city" subtype="text" className="form-control"/> <field type="text" label="What is your reason for travel? Are you celebrating anything?" description="Where will you be flying from?" name="text-1735523547008" subtype="text" className="form-control"/> <field type="text" label="What research have you done? Is there anything you absolutely must do or see?" description="Where will you be flying from?" name="text-1735523572901" subtype="text" className="form-control"/> <field type="header" subtype="h1" label="Travel Style"/> <field type="radio-group" label="What do you normally spend per night on a hotel room or suite?&nbsp;" name="what-do-you-normally-spend-per-night-on-a-hotel-room-or-suite-"> <option label="under $500 a night" value="under-500-a-night">under $500 a night</option> <option label="$500+ a night" value="500-a-night">$500+ a night</option> <option label="$1000+ a night " value="1000-a-night-">$1000+ a night </option> <option label="$1500+ a night" value="1500-a-night">$1500+ a night</option> <option label="$2000+a night" value="2000a-night">$2000+a night</option> </field> <field type="radio-group" label="What best describes your hotel preference?&nbsp;" name="what-best-describes-your-hotel-preference-"> <option label="Best Value for Money" value="best-value-for-money">Best Value for Money</option> <option label="Moderate" value="moderate">Moderate</option> <option label="Luxury" value="luxury">Luxury</option> <option label="Ultra Luxe" value="ultra-luxe">Ultra Luxe</option> <option label="Boutique + Family Owned" value="boutique-family-owned">Boutique + Family Owned</option> <option label="Other (specific brand, etc.)" value="other-specific-brand-etc">Other (specific brand, etc.)</option> </field> <field type="text" label="What is important to you while traveling? Location, convenience, culture, food, etc." name="must-dos" subtype="text" className="form-control"/> <field type="text" label="What research have you done? Is there anything you absolutely must do or see?" name="text-1735523602062" subtype="text" className="form-control"/> <field type="text" label="Anything that will limit mobility or that may lead you to need extra assistance?&nbsp;" name="text-1735523804188" 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="header" subtype="h1" label="Final Details&nbsp;"/> <field type="radio-group" required="true" label="Which advisor would you like to work with?" name="radio-group-1735524345391"> <option label="Jules White" value="jules-white">Jules White</option> <option label="Ana Lopez" value="ana-lopez">Ana Lopez</option> <option label="Meredith Watkins" value="meredith-watkins">Meredith Watkins</option> <option label="Caitlyn Kotun" value="caitlyn-kotun">Caitlyn Kotun</option> <option label="Abby Barro" value="abby-barro">Abby Barro</option> <option label="Maddy Dezen" value="maddy-dezen">Maddy Dezen</option> <option label="Please match me with the advisor that is the best fit" value="please-match-me-with-the-advisor-that-is-the-best-fit">Please match me with the advisor that is the best fit</option> </field> <field type="radio-group" required="true" label="What kind of planning assistance are you looking for?&nbsp;" name="radio-group-1735524544904"> <option label="One stop hotel booking" value="one-stop-hotel-booking">One stop hotel booking</option> <option label="One stop hotel booking with an itinerary included" value="one-stop-hotel-booking-with-an-itinerary-included">One stop hotel booking with an itinerary included</option> <option label="Multi stop itinerary" value="multi-stop-itinerary">Multi stop itinerary</option> <option label="Overall advice with a given budget, dates, and interests" value="overall-advice-with-a-given-budget-dates-and-interests">Overall advice with a given budget, dates, and interests</option> <option label="River or ocean cruise" value="river-or-ocean-cruise">River or ocean cruise</option> <option label="Destination wedding or elopement" value="destination-wedding-or-elopement">Destination wedding or elopement</option> </field> <field type="text" required="true" label="How did you hear about My Hidden Jules Travel? Please let us know who to thank!" name="text-1735523821841" subtype="text" className="form-control"/> <field type="select" required="true" label="Would you like to be added to our monthly newsletter?&nbsp;" name="would-you-like-to-be-added-to-our-monthly-newsletter-" className="form-control"> <option label="Yes! " value="yes-">Yes! </option> <option label="No Thank You" value="no-thank-you">No Thank You</option> </field> </fields> </form-template> </body> </html>
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