<html> <body> <form-template> <fields> <field type="header" subtype="h1" label="Traveler Information"/> <field type="text" required="true" label="First name" placeholder="John" name="first-name" subtype="text" className="form-control"/> <field type="text" required="true" label="Last name" placeholder="Smith" name="last-name" subtype="text" className="form-control"/> <field type="text" required="true" label="Preferred name" placeholder="Jack" name="preferred-name" subtype="text" className="form-control"/> <field type="text" required="true" label="Email" placeholder="arubavacationtips@gmail.com" name="email" subtype="text" className="form-control"/> <field type="text" required="true" label="Phone number" placeholder="111-867-5309" name="phone-number" subtype="text" className="form-control"/> <field type="header" subtype="h2" label="Address"/> <field type="text" required="true" label="Line 1" name="address-line-1" subtype="text" className="form-control"/> <field type="text" label="Line 2" placeholder="Apt #" name="address-line-2" subtype="text" className="form-control"/> <field type="text" required="true" label="City" name="address-city" subtype="text" className="form-control"/> <field type="text" required="true" label="State" name="address-state" subtype="text" className="form-control"/> <field type="text" required="true" label="Zip" name="address-zip" subtype="text" className="form-control"/> <field type="text" required="true" label="Country" name="address-country" subtype="text" className="form-control"/> <field type="header" subtype="h1" label="Additional Traveler Information"/> <field type="text" required="true" label="How many travelers?" name="number-of-travelers" subtype="text" className="form-control"/> <field type="textarea" label="Please list the full names of each person in your travel party AND their age at the time of travel. This also includes yourself:).&nbsp; If you'd like more than one room, please group everyone by how you'd like them to be broken up.*" placeholder="Jane Smith 44 John Smith 45 & Timmy Smith 12-room one. Robert Smith 50 Donna Smith 52-room 2." name="please-list-the-full-names-of-each-person-in-your-travel-party-and-their-age-at-the-time-of-travel-if-youd-like-more-than-one-room-please-group-everyone-by-how-youd-like-them-to-be-broken-up" className="form-control"/> <field type="radio-group" required="true" label="Do all parties have a valid passport that is good for 6 months after return date?" name="do-all-parties-have-a-valid-passport-that-is-good-for-6-months-after-return-date"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="header" subtype="h2" label="Questions for your trip"/> <field type="radio-group" required="true" label="Have you worked with a Travel Agent before?" name="have-you-worked-with-a-travel-agent-before"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <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: Aruba" name="destination" subtype="text" className="form-control"/> <field type="radio-group" required="true" label="Have you been to this destination before?" name="have-you-been-to-this-destination-before"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="date" required="true" label="When would you like to leave for your vacation?" 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" required="true" label="When would you like to come back from your vacation?" 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" required="true" 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="text" required="true" label="If your dates are flexible, tell me more....." placeholder="Are you looking for Sat-Sat a week 2 weeks within a certain month etc? An entire month?" name="if-your-dates-are-flexible-tell-me-more" subtype="text" className="form-control"/> <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="radio-group" required="true" 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"> <option label="$1,500 to $2,500" value="1500-2500">$1,500 to $2,500</option> <option label="$2,500 to $4,500" value="2500-4500">$2,500 to $4,500</option> <option label="$4,500 to $6,500" value="4500-6500">$4,500 to $6,500</option> <option label="$6,500 to $8,500" value="6500-8500">$6,500 to $8,500</option> <option label="$8,500 to $10,000" value="8500-10000">$8,500 to $10,000</option> <option label="$10,000+" value="10000">$10,000+</option> </field> <field type="radio-group" required="true" label="Does this budget include flights?" name="does-this-budget-include-flights"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="radio-group" required="true" label="Is your budget flexible if it means getting the vacation you REALLY want and deserve?" name="is-your-budget-flexible-if-it-means-getting-the-vacation-you-really-want-and-deserve"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="radio-group" label="What best describes your hotel preference?" name="hotel-preference" other="true"> <option label="Economy" value="value">Economy</option> <option label="Moderate" value="moderate">Moderate</option> <option label="Luxury" value="luxury">Luxury</option> <option label="Boutique" value="boutique">Boutique</option> </field> <field type="radio-group" required="true" label="Are you looking for All-Inclusive?" name="are-you-looking-for-allinclusive"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</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> </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="Gambling" value="gambling">Gambling</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="Arts and theater" value="art-theater">Arts and theater</option> </field> <field type="radio-group" required="true" label="Do you want to rent a car?" name="do-you-want-to-rent-a-car"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> <option label="Undecided-need more info" value="undecidedneed-more-info">Undecided-need more info</option> </field> <field type="textarea" required="true" label="Please describe the trip you are looking to take. The more detail you can provide, the better!" placeholder="I am looking for a mix of relaxation and adventure! Love being close to the beach! Pool is very important to me!" name="please-describe-the-trip-you-are-looking-to-take-the-more-detail-you-can-provide-the-better" className="form-control"/> <field type="textarea" required="true" label="What is important to you in your accommodations?" placeholder="Ocean view King bed Balcony Pool etc" name="what-is-important-to-you-in-your-accommodations" className="form-control"/> <field type="text" label="Anything you absolutely must do or see?" placeholder="Snorkel Trip Scuba Baby beach etc" 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?" placeholder="Anniversary Birthday celebrating something special?" name="notes" className="form-control"/> <field type="header" subtype="h1" label="Travel Insurance"/> <field type="radio-group" required="true" label="Would you like Travel Insurance included in your vacation? (Highly Recommended)" name="would-you-like-travel-insurance-included-in-your-vacation-highly-recommended"> <option label="Yes, Please include it in my quotes" value="yes-please-include-it-in-my-quotes">Yes, Please include it in my quotes</option> <option label="No, I do not wish to purchase travel insurance and assume all risk of that decision." value="no-i-do-not-wish-to-purchase-travel-insurance-and-assume-all-risk-of-that-decision">No, I do not wish to purchase travel insurance and assume all risk of that decision.</option> <option label="No, I will be purchasing travel insurance through an outside vendor on my own." value="no-i-will-be-purchasing-travel-insurance-through-an-outside-vendor-on-my-own">No, I will be purchasing travel insurance through an outside vendor on my own.</option> </field> <field type="header" subtype="h1" label="Booking Timeline"/> <field type="radio-group" label="Which of the following describes your booking timeline?" name="which-of-the-following-describes-your-booking-timeline"> <option label="We are ready to place a deposit for our vacation!" value="we-are-ready-to-place-a-deposit-for-our-vacation">We are ready to place a deposit for our vacation!</option> <option label="We will be ready to make the deposit in the next 2 weeks!" value="we-will-be-ready-to-make-the-deposit-in-the-next-2-weeks">We will be ready to make the deposit in the next 2 weeks!</option> <option label="Other" value="other">Other</option> </field> <field type="radio-group" required="true" label="How did you hear about me?" name="how-did-you-hear-about-me"> <option label="Tik Tok" value="tik-tok">Tik Tok</option> <option label="Facebook" value="facebook">Facebook</option> <option label="Instagram" value="instagram">Instagram</option> <option label="Twitter" value="twitter">Twitter</option> <option label="Youtube" value="youtube">Youtube</option> <option label="Arubavacationtips.org (My website)" value="arubavacationtipsorg-my-website">Arubavacationtips.org (My website)</option> <option label="Personal Referral" value="personal-referral">Personal Referral</option> </field> <field type="radio-group" required="true" label="Do you belong to any of the following groups?" name="do-you-belong-to-any-of-the-following-groups"> <option label="Repeat Client" value="repeat-client">Repeat Client</option> <option label="Veteran (Active duty or retired)" value="veteran-active-duty-or-retired">Veteran (Active duty or retired)</option> <option label="Florida Resident" value="florida-resident">Florida Resident</option> <option label="California Resident" value="california-resident">California Resident</option> <option label="Hawaii Resident" value="hawaii-resident">Hawaii Resident</option> <option label="UK Resident" value="uk-resident">UK Resident</option> <option label="Canadian Resident" value="canadian-resident">Canadian Resident</option> <option label="None" value="none">None</option> </field> <field type="paragraph" subtype="p" label="Thank you reaching out to me, and taking the time to fill out this travel survey to help me better understand what you are looking for in your next vacation. You can expect to receive your vacation proposal within 2 business days of submitting your form. If you do not hear from us, please feel free to reach out to me at arubavacationtips@gmail.com to ensure we received the form.&nbsp;"/> </fields> </form-template> </body> </html>
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