Share your information with Geri Haugen

Geri Haugen

Adventures by Geri

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    <form-template>&#13;
	<fields><field type="text" subtype="text" required="true" label="First name" className="form-control" name="first-name"></field><field type="text" subtype="text" required="true" label="Last name" className="form-control" name="last-name"></field><field type="text" subtype="text" required="true" label="Email" className="form-control" name="email"></field>&#13;
		<field type="header" subtype="h2" label="Questions for your trip"/>&#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="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?" name="dates-flexible">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
		</field>&#13;
		<field type="text" required="true" label="What airport(s) are you willing to fly from?" description="Write N/A if flights are not needed." name="departure-city" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Do you have a preferred airline? If yes, what airline is it?" name="text-1780511916370" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Do you have a preferred class of airfare? If yes, what class is your preference?" description="economy, economy plus, business, 1st class, etc." name="text-1780512059165" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="How many travelers? Please include ages of children." description="This gives me an idea of how many to plan for; it can be changed later." name="number-of-travelers" subtype="text" className="form-control"/>&#13;
		<field type="radio-group" required="true" label="What is your ideal budget range for ALL travelers?" description="This just gives me a general starting point and can always be changed later." name="budget">&#13;
			<option label="&lt; than 2,000" value="-than-2000">&lt; than 2,000</option>&#13;
			<option label="$2,000 to $4,000" value="2000-to-4000">$2,000 to $4,000</option>&#13;
			<option label="$4,000 to $6,000" value="4000-to-6000">$4,000 to $6,000</option>&#13;
			<option label="$6,000 to $8,000" value="6000-to-8000">$6,000 to $8,000</option>&#13;
			<option label="$8,000+" value="8000">$8,000+</option>&#13;
		</field>&#13;
		<field type="radio-group" label="What best describes your travel category?" name="radio-group-1780512271604">&#13;
			<option label="Ultra Luxury" value="ultra-luxury">Ultra Luxury</option>&#13;
			<option label="Luxury" value="luxury">Luxury</option>&#13;
			<option label="Moderate" value="moderate">Moderate</option>&#13;
			<option label="Budget" value="budget">Budget</option>&#13;
		</field>&#13;
		<field type="radio-group" label="What best describes your accommodation preference?" name="hotel-preference" other="true" className="field-hidden">&#13;
			<option label="Modern " value="modern-">Modern </option>&#13;
			<option label="Boutique" value="boutique">Boutique</option>&#13;
			<option label="All-Inclusive" value="allinclusive">All-Inclusive</option>&#13;
			<option label="Cruise" value="cruise">Cruise</option>&#13;
		</field>&#13;
		<field type="checkbox-group" label="What kind of vibe are you looking for?" description="Check all that apply." name="vibe-preference" other="true">&#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="Off the beaten path" value="off-the-beaten-path">Off the beaten path</option>&#13;
			<option label="Party" value="party">Party</option>&#13;
			<option label="Local culture" value="local-culture">Local culture</option>&#13;
			<option label="Family friendly" value="family-friendly">Family friendly</option>&#13;
			<option label="Food and wine" value="food-wine">Food and wine</option>&#13;
		</field>&#13;
		<field type="checkbox-group" label="What activities are you interested in?" description="Check all that apply" 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;
			<option label="History" value="history">History</option>&#13;
		</field>&#13;
		<field type="textarea" label="Please share any other details that will help me personalize your travel experience." description="Any must see sites or other activities on your wish list. Do you have preferred airlines or hotels." name="notes" className="form-control"/>&#13;
		<field type="paragraph" subtype="p" label="I appreciate you sharing the details that will allow me to tailor your travel experience. This information is essential for me to begin building a personalized itinerary. I will contact you shortly to arrange a convenient time for a phone call to discuss additional specifics."/>&#13;
	</fields>&#13;
</form-template>
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