Lisa Dale

Point Me to Paradise

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	<fields>&#13;
		<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="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="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="text" required="true" label="Do you have a specific destination in mind?" name="if-you-have-a-specific-resort-in-mind-please-let-me-know-here" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="What is your preferred departure city?&amp;nbsp;" name="what-is-your-preferred-departure-port-" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="How many rooms will you require if staying in a hotel? If you prefer a condo or vacation rental, how large?&amp;nbsp;" description="Staterooms can typically accommodate 2  3 or 4 guests and in some instances up to 5 guests." name="how-many-staterooms-will-you-require" 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/accommodation." 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="Did you have any specific accommodations in mind? Certain hotel, condo, brand? All Inclusive?" name="did-you-have-any-specific-accommodations-in-mind-certain-hotel-condo-brand-all-inclusive" subtype="text" 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 need a vehicle rental?" name="do-you-need-a-vehicle-rental">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
			<option label="Maybe" value="maybe">Maybe</option>&#13;
		</field>&#13;
		<field type="radio-group" required="true" label="Are you interested in adding travel protection?&amp;nbsp;" 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="radio-group-1724887029639">&#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 don't want to protect my trip, I do not want travel insurance  protection" value="no-i-dont-want-to-protect-my-trip-i-do-not-want-travel-insurance-protection">No, I don't want to protect my trip, I do not want travel insurance  protection</option>&#13;
			<option label="I would like more information and pricing on travel insurance protection" value="i-would-like-more-information-and-pricing-on-travel-insurance-protection">I would like more information and pricing on travel insurance protection</option>&#13;
		</field>&#13;
		<field type="radio-group" label="Do you qualify for possible discounts?" name="do-you-qualify-for-possible-discounts">&#13;
			<option label="Military" value="military">Military</option>&#13;
			<option label="First Responder" value="first-responder">First Responder</option>&#13;
			<option label="Over 55" value="over-55">Over 55</option>&#13;
			<option label="Interline" value="interline">Interline</option>&#13;
			<option label="Firefighter" value="firefighter">Firefighter</option>&#13;
			<option label="EMT" value="emt">EMT</option>&#13;
			<option label="Teacher" value="teacher">Teacher</option>&#13;
			<option label="Past Guest" value="past-guest">Past Guest</option>&#13;
			<option label="Law Enforcement" value="law-enforcement">Law Enforcement</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. at the time of quote. Using a travel agent/agency is  a free service that I do not have to pay for." name="how-soon-are-you-looking-to-book-">&#13;
			<option label="I am ready to book soon within a week" value="i-am-ready-to-book-soon-within-a-week">I am ready to book soon within a week</option>&#13;
			<option label="Within a month" value="within-a-month">Within a month</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" label="Do you have a specific price point in mind for the trip? Per person.&amp;nbsp;" name="do-you-have-a-specific-price-point-in-mind-for-the-trip-per-person-">&#13;
			<option label="$500-$1000" value="5001000">$500-$1000</option>&#13;
			<option label="$1,001-$1,500" value="10011500">$1,001-$1,500</option>&#13;
			<option label="$1,501-$2,000" value="15012000">$1,501-$2,000</option>&#13;
			<option label="$2,001-$2,500" value="20012500">$2,001-$2,500</option>&#13;
			<option label="$2,500-$3000" value="25003000">$2,500-$3000</option>&#13;
			<option label="$3,001-$3,500" value="30013500">$3,001-$3,500</option>&#13;
			<option label="$3,501-$4,000" value="35014000">$3,501-$4,000</option>&#13;
			<option label="$4,001-$5,000" value="40015000">$4,001-$5,000</option>&#13;
			<option label="$5,001-$5,500" value="50015500">$5,001-$5,500</option>&#13;
			<option label="$5,501-$6,000" value="55016000">$5,501-$6,000</option>&#13;
			<option label="$6,001-$6,500" value="60016500">$6,001-$6,500</option>&#13;
			<option label="$6,501-$7,000" value="65017000">$6,501-$7,000</option>&#13;
			<option label="More than $7,000" value="more-than-7000">More than $7,000</option>&#13;
		</field>&#13;
		<field type="radio-group" required="true" label="Are you aware of our low price guarantee?&amp;nbsp;" name="are-you-aware-of-our-low-price-guarantee-">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
			<option label="That is awesome" value="that-is-awesome">That is awesome</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?" description="allergies  food sensitivities  medical conditions  etc" 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="Is there anything else you think I should know that might be helpful when planning your trip?" name="is-there-anything-else-you-think-i-should-know-that-might-be-helpful-when-planning-your-trip" className="form-control"/>&#13;
		<field type="radio-group" label="I love to getting to know my clients, learning about their likes and preferences. I would love to jump on a call with you at your convenience!&amp;nbsp;" name="i-love-to-getting-to-know-my-clients-learning-about-their-likes-and-preferences-i-would-love-to-jump-on-a-call-with-you-at-your-convenience-">&#13;
			<option label="Ok! Great" value="ok-great">Ok! Great</option>&#13;
			<option label="Sounds good!" value="sounds-good">Sounds good!</option>&#13;
		</field>&#13;
	</fields>&#13;
</form-template>
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