<html> <body> <form-template> <fields> <field type="header" subtype="h2" label="First, tell us about you"/> <field type="text" label="Prefix" name="prefix" subtype="text" className="form-control"/> <field type="text" required="true" label="First name" name="first-name" subtype="text" className="form-control"/> <field type="text" label="Middle name" name="middle-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" label="Suffix" name="suffix" subtype="text" className="form-control"/> <field type="text" label="Preferred name" name="preferred-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="radio-group" required="true" label="How would you prefer that we contact you?" name="radio-group-1788191379023"> <option label="Email" value="Cl">Email</option> <option label="Phone Call" value="phone-call">Phone Call</option> <option label="Text Message" value="text-message">Text Message</option> </field> <field type="text" label="What organization, community, company, or group are you representing?" name="text-1788216509221" subtype="text" className="form-control"/> <field type="radio-group" required="true" label="What best describes your group?" name="radio-group-1788208606923"> <option label="Retirement community" value="Retirement community">Retirement community</option> <option label="Corporate / Incentive" value="Corporate / Incentive">Corporate / Incentive</option> <option label="Club or organization" value="Club or organization">Club or organization</option> <option label="Family or Friends" value="Family or Friends">Family or Friends</option> <option label="Affinity / Special-interest Group" value="Affinity / Special-interest Group">Affinity / Special-interest Group</option> <option label="Church or Community Group" value="Church or Community Group">Church or Community Group</option> <option label="Other" value="Other">Other</option> </field> <field type="header" subtype="h2" label="Tell us about the group you’re imagining"/> <field type="radio-group" required="true" label="What kind of group trip are you considering?" name="radio-group-1788216555249"> <option label="Cruise / River Cruise" value="Cruise / River Cruise">Cruise / River Cruise</option> <option label="Resort / All-Inclusive" value="Resort / All-Inclusive">Resort / All-Inclusive</option> <option label="Guided or International Tour" value="Guided or International Tour">Guided or International Tour</option> <option label="Disney / Theme Park" value="Disney / Theme Park">Disney / Theme Park</option> <option label="Custom Land Itinerary" value="Custom Land Itinerary">Custom Land Itinerary</option> <option label="Other" value="Other">Other</option> <option label="Open to Suggestions" value="Open to Suggestions">Open to Suggestions</option> </field> <field type="radio-group" required="true" label="Approximately how many people might travel?" name="radio-group-1788216718179"> <option label="6–10" value="6–10">6–10</option> <option label="11–20" value="11–20">11–20</option> <option label="21–40" value="21–40">21–40</option> <option label="41–75" value="41–75">41–75</option> <option label="76–150" value="76–150">76–150</option> <option label="150+" value="150+">150+</option> <option label="Not sure yet" value="Not sure yet">Not sure yet</option> </field> <field type="text" label="Where are you thinking about going?" name="text-1788216823276" subtype="text" className="form-control"/> <field type="date" label="When would you like to depart?" name="date-1788216854915" className="form-control"/> <field type="date" label="When would you like to return?" name="date-1788216861991" className="form-control"/> <field type="radio-group" required="true" label="Are your dates flexible?" name="radio-group-1788216947635"> <option label="Yes" value="Yes">Yes</option> <option label="No" value="No">No</option> <option label="We haven't decided yet" value="We haven't decided yet">We haven't decided yet</option> </field> <field type="text" label="Where will most of the group be traveling from?" name="text-1788217004721" subtype="text" className="form-control"/> <field type="header" subtype="h2" label="A few more details about your group"/> <field type="radio-group" required="true" label="How do you expect the trip to be paid for?" name="radio-group-1788217458961"> <option label="Each traveler will pay their own way" value="Each traveler will pay their own way">Each traveler will pay their own way</option> <option label="The organization or community will pay all or part" value="The organization or community will pay all or part">The organization or community will pay all or part</option> <option label="A combination of both" value="A combination of both">A combination of both</option> <option label="We’re not sure yet" value="We’re not sure yet">We’re not sure yet</option> </field> <field type="radio-group" required="true" label="What approximate budget per traveler are you considering?" description="A rough estimate is perfectly fine—we’ll help refine it with you." name="radio-group-1788217454903"> <option label="Under $2,500" value="Under $2,500">Under $2,500</option> <option label="$2,500–$5,000" value="$2,500–$5,000">$2,500–$5,000</option> <option label="$5,000–$10,000" value="$5,000–$10,000">$5,000–$10,000</option> <option label="$10,000–$20,000" value="$10,000–$20,000">$10,000–$20,000</option> <option label="$20,000+" value="$20,000+">$20,000+</option> <option label="I’m not sure yet" value="I’m not sure yet">I’m not sure yet</option> </field> <field type="radio-group" required="true" label="What role will you have in deciding whether the group moves forward?" name="radio-group-1788217448743"> <option label="I’ll make the final decision" value="I’ll make the final decision">I’ll make the final decision</option> <option label="I’ll share the decision with others" value="I’ll share the decision with others">I’ll share the decision with others</option> <option label="I’m gathering information for another decision-maker" value="I’m gathering information for another decision-maker">I’m gathering information for another decision-maker</option> <option label="We’re still figuring that out" value="We’re still figuring that out">We’re still figuring that out</option> </field> <field type="radio-group" required="true" label="When would you ideally like to decide whether to move forward?" name="radio-group-1788217445372"> <option label="Within the next 30 days" value="Within the next 30 days">Within the next 30 days</option> <option label="Within 1–3 months" value="Within 1–3 months">Within 1–3 months</option> <option label="Within 3–6 months" value="Within 3–6 months">Within 3–6 months</option> <option label="More than 6 months from now" value="More than 6 months from now">More than 6 months from now</option> <option label="We’re just exploring right now" value="We’re just exploring right now">We’re just exploring right now</option> </field> <field type="textarea" label="What would make this trip especially successful for your group?" name="textarea-1788217473420" className="form-control"/> <field type="textarea" label="Are there any accessibility, mobility, dietary, or other needs we should keep in mind?" name="textarea-1788217476753" className="form-control"/> </fields> </form-template> </body> </html>
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