Lisa Dale

Point Me to Paradise

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		<field type="header" subtype="h2" label="Full name"/>&#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="Preferred name" name="preferred-name" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Email" name="email" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Phone number" name="phone-number" subtype="text" className="form-control"/>&#13;
		<field type="checkbox-group" required="true" label="How did you hear about my services?" name="how-did-you-hear-about-my-services">&#13;
			<option label="Facebook" value="facebook">Facebook</option>&#13;
			<option label="Instagram" value="instagram">Instagram</option>&#13;
			<option label="TikTok" value="tiktok">TikTok</option>&#13;
			<option label="Friend/Family" value="friendfamily">Friend/Family</option>&#13;
			<option label="Other" value="other">Other</option>&#13;
		</field>&#13;
		<field type="textarea" label="If you selected &quot;other&quot; please let me know how you found out about me." name="if-you-selected-other-please-let-me-know-how-you-found-out-about-me" className="form-control"/>&#13;
		<field type="text" required="true" label="How many rooms do you anticipate you will require for your trip?" description="Disney offers a wide variety of accommodations  occupancy allowances vary. Standard rooms generally hold 4 guests  some hold up to 5. Larger villa style accommodations can hold more guests." name="how-many-rooms-do-you-anticipate-you-will-require-for-your-trip" subtype="text" className="form-control"/>&#13;
		<field type="textarea" required="true" label="Please list travel party and ages of kids at time of trip for an accurate quote. It is not necessary to list adult ages. Please indicate which travelers will be sharing a room, if applicable.&amp;nbsp;" name="please-list-travel-party-and-ages-of-kids-at-time-of-trip-for-an-accurate-quote-it-is-not-necessary-to-list-adult-ages-" className="form-control"/>&#13;
		<field type="text" required="true" label="What are your travel dates? If flexible, please provide details.&amp;nbsp;" name="what-are-your-travel-dates-if-flexible-please-provide-details-" subtype="text" className="form-control"/>&#13;
		<field type="textarea" required="true" label="Is this trip a celebration for a special occasion?" name="is-this-trip-a-celebration-for-a-special-occasion" className="form-control"/>&#13;
		<field type="textarea" required="true" label="Do you plan to fly? Would you like for me to handle your flight and transfer arrangements?&amp;nbsp;" name="do-you-plan-to-fly-would-you-like-for-me-to-handle-your-flight-and-transfer-arrangements-" className="form-control"/>&#13;
		<field type="radio-group" required="true" label="Do you have a resort category in mind?" name="do-you-have-a-resort-category-in-mind">&#13;
			<option label="Disney  Value Resort" value="disney-value-resort">Disney  Value Resort</option>&#13;
			<option label="Disney Moderate Resort" value="disney-moderate-resort">Disney Moderate Resort</option>&#13;
			<option label="Disney Deluxe Resort" value="disney-deluxe-resort">Disney Deluxe Resort</option>&#13;
			<option label="Disney Villa Resort" value="disney-villa-resort">Disney Villa Resort</option>&#13;
			<option label="Not sure yet" value="not-sure-yet">Not sure yet</option>&#13;
		</field>&#13;
		<field type="text" label="If you have a specific resort in mind, please let me know here." name="if-you-have-a-specific-resort-in-mind-please-let-me-know-here" subtype="text" className="form-control"/>&#13;
		<field type="radio-group" required="true" label="Which of the following is most important to you when selecting a resort?" name="which-of-the-following-is-most-important-to-you-when-selecting-a-resort">&#13;
			<option label="Walking distance to parks" value="walking-distance-to-parks">Walking distance to parks</option>&#13;
			<option label="Pools with water slides" value="pools-with-water-slides">Pools with water slides</option>&#13;
			<option label="Fitness center" value="fitness-center">Fitness center</option>&#13;
			<option label="Distance to transportation" value="distance-to-transportation">Distance to transportation</option>&#13;
			<option label="Distance to a certain park" value="distance-to-a-certain-park">Distance to a certain park</option>&#13;
			<option label="Uniquely Disney themed rooms" value="uniquely-disney-themed-rooms">Uniquely Disney themed rooms</option>&#13;
			<option label="Close enough to see the Magic Kingdom fireworks" value="close-enough-to-see-the-magic-kingdom-fireworks">Close enough to see the Magic Kingdom fireworks</option>&#13;
			<option label="Monorail access" value="monorail-access">Monorail access</option>&#13;
			<option label="Boat transportation to the parks" value="boat-transportation-to-the-parks">Boat transportation to the parks</option>&#13;
			<option label="Skyliner transportation to the parks" value="skyliner-transportation-to-the-parks">Skyliner transportation to the parks</option>&#13;
			<option label="Recreational activities" value="recreational-activities">Recreational activities</option>&#13;
			<option label="Higher end accommodations" value="higher-end-accommodations">Higher end accommodations</option>&#13;
			<option label="Kitchen or kitchenette" value="kitchen-or-kitchenette">Kitchen or kitchenette</option>&#13;
			<option label="Separate sleeping areas" value="separate-sleeping-areas">Separate sleeping areas</option>&#13;
			<option label="Lowest rates" value="lowest-rates">Lowest rates</option>&#13;
		</field>&#13;
		<field type="radio-group" required="true" label="Which of the parks are you interested in visiting?" name="which-of-the-parks-are-you-interested-in-visiting">&#13;
			<option label="Magic Kingdom" value="magic-kingdom">Magic Kingdom</option>&#13;
			<option label="Animal Kingdom" value="animal-kingdom">Animal Kingdom</option>&#13;
			<option label="Hollywood Studios" value="hollywood-studios">Hollywood Studios</option>&#13;
			<option label="Epcot" value="epcot">Epcot</option>&#13;
			<option label="Blizzard Beach (water park)" value="blizzard-beach-water-park">Blizzard Beach (water park)</option>&#13;
			<option label="Typhoon Lagoon (water park)" value="typhoon-lagoon-water-park">Typhoon Lagoon (water park)</option>&#13;
			<option label="Not sure yet" value="not-sure-yet">Not sure yet</option>&#13;
		</field>&#13;
		<field type="textarea" required="true" label="How many days do you plan to spend visiting the parks?" name="how-many-days-do-you-plan-to-spend-visiting-the-parks" className="form-control"/>&#13;
		<field type="radio-group" required="true" label="Do you know what type of park tickets you are interested in?" name="do-you-know-what-type-of-park-tickets-you-are-interested-in">&#13;
			<option label="Disney Base Tickets- one park per day" value="disney-base-tickets-one-park-per-day">Disney Base Tickets- one park per day</option>&#13;
			<option label="Disney Park Hopper- Visit any of the 4 main parks in the  same day" value="disney-park-hopper-visit-any-of-the-4-main-parks-in-the-same-day">Disney Park Hopper- Visit any of the 4 main parks in the  same day</option>&#13;
			<option label="Disney Park Hopper Plus- Visit any of the 4 main parks in the  same day PLUS water parks" value="disney-park-hopper-plus-visit-any-of-the-4-main-parks-in-the-same-day-plus-water-parks">Disney Park Hopper Plus- Visit any of the 4 main parks in the  same day PLUS water parks</option>&#13;
			<option label="I don't know yet" value="i-dont-know-yet">I don't know yet</option>&#13;
		</field>&#13;
		<field type="radio-group" required="true" label="Are you interested in adding the dining plan?" description="Disney Dining Plans are prepaid meal packages that allow guests to enjoy meals and snacks across Disney World Resort restaurants." name="are-you-interested-in-adding-the-dining-plan">&#13;
			<option label="Yes, I am interested in the Quick Service Dining Plan" value="yes-i-am-interested-in-the-quick-service-dining-plan">Yes, I am interested in the Quick Service Dining Plan</option>&#13;
			<option label="Yes, I am interested in the Disney Dining Plan (with sit down dining options)" value="yes-i-am-interested-in-the-disney-dining-plan-with-sit-down-dining-options">Yes, I am interested in the Disney Dining Plan (with sit down dining options)</option>&#13;
			<option label="Not sure yet" value="not-sure-yet">Not sure yet</option>&#13;
			<option label="No" value="no">No</option>&#13;
		</field>&#13;
		<field type="radio-group" label="Are you interested in any special events held at the parks?" name="are-you-interested-in-any-special-events-held-at-the-parks">&#13;
			<option label="Mickey's Not So Scary Halloween Party" value="mickeys-not-so-scary-halloween-party">Mickey's Not So Scary Halloween Party</option>&#13;
			<option label="Mickey's Very Merry Christmas Party" value="mickeys-very-merry-christmas-party">Mickey's Very Merry Christmas Party</option>&#13;
			<option label="Disney After Hours (late night in the parks)" value="disney-after-hours-late-night-in-the-parks">Disney After Hours (late night in the parks)</option>&#13;
		</field>&#13;
		<field type="radio-group" required="true" label="Are you interested in adding the Memory Maker?" description="Disney Memory Maker is a photo package that allows you to download and share all your Disney PhotoPass photos and videos from your vacation  capturing every magical moment." name="are-you-interested-in-adding-the-memory-maker">&#13;
			<option label="Yes, I definitely want to add the Memory Maker" value="yes-i-definitely-want-to-add-the-memory-maker">Yes, I definitely want to add the Memory Maker</option>&#13;
			<option label="No, I don't want to add the Memory Maker" value="no-i-dont-want-to-add-the-memory-maker">No, I don't want to add the Memory Maker</option>&#13;
			<option label="I don't know what the Memory Maker is, please provide me more information" value="i-dont-know-what-the-memory-maker-is-please-provide-me-more-information">I don't know what the Memory Maker is, please provide me more information</option>&#13;
		</field>&#13;
		<field type="radio-group" label="Are you interested in adding travel insurance protection?" description="Travel insurance is essential for protecting your investment against unexpected disruptions like recent IT outages and unpredictable weather  ensuring you’re covered when plans go awry." name="are-you-interested-in-adding-travel-insurance-protection">&#13;
			<option label="Yes, I definitely want to add travel insurance protection" value="yes-i-definitely-want-to-add-travel-insurance-protection">Yes, I definitely want to add travel insurance protection</option>&#13;
			<option label="No, I decline adding travel insurance protection" value="no-i-decline-adding-travel-insurance-protection">No, I decline adding travel insurance protection</option>&#13;
			<option label="Maybe, I would like a quote and more information on travel insurance protection" value="maybe-i-would-like-a-quote-and-more-information-on-travel-insurance-protection">Maybe, I would like a quote and more information on travel insurance protection</option>&#13;
		</field>&#13;
		<field type="radio-group" required="true" label="How soon are you looking to book?&amp;nbsp;" description="I understand that any prices given to me are subject to change until booked and I am getting the lowest prices available. Using a travel agent/agency is  a free service that I do not have to pay for.  Disney requires a $200 deposit to book a reservation. I understand that I am NOT being charged a fee for using" name="how-soon-are-you-looking-to-book-">&#13;
			<option label="I am ready to book soon" value="i-am-ready-to-book-soon">I am ready to book soon</option>&#13;
			<option label="I am not sure if I am ready" value="i-am-not-sure-if-i-am-ready">I am not sure if I am ready</option>&#13;
		</field>&#13;
		<field type="radio-group" required="true" label="Does anyone in your party have any special conditions or considerations that I need to be aware of?" name="does-anyone-in-your-party-have-any-special-conditions-or-considerations-that-i-need-to-be-aware-of">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
		</field>&#13;
		<field type="textarea" label="While in the Orlando area, are there any other attractions or activities that you are interested in besides Disney?" name="while-in-the-orlando-area-are-there-any-other-attractions-or-activities-that-you-are-interested-in-besides-disney" className="form-control"/>&#13;
	</fields>&#13;
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