<html> <body> <form-template> <fields> <field type="header" subtype="h2" label="Questions for your trip"/> <field type="select" required="true" label="Which Road Trips With a View service are you interested in?" description="Select one" placeholder="Select One" name="which-road-trips-with-a-view-service-are-you-interested-in" className="form-control"> <option label="Full Trip (Includes Route, Lodging and Activity) Planning " value="full-trip-includes-route-lodging-and-activity-planning-">Full Trip (Includes Route, Lodging and Activity) Planning </option> <option label="Activity Only Planning " value="activity-only-planning-">Activity Only Planning </option> <option label="Lodging/Route Only Planning " value="lodgingroute-only-planning-">Lodging/Route Only Planning </option> <option label="Destination Recommendations (list of 3)" value="destination-recommendations-list-of-3">Destination Recommendations (list of 3)</option> <option label="Accommodation Recommendations (list of 3 per location)" value="accommodation-recommendations-list-of-3-per-location">Accommodation Recommendations (list of 3 per location)</option> <option label="Must-See To-do/Attractions Recommendations (list of 5)" value="mustsee-todoattractions-recommendations-list-of-5">Must-See To-do/Attractions Recommendations (list of 5)</option> <option label="All-Inclusive Resort Recommendations (list of 3)" value="allinclusive-resort-recommendations-list-of-3">All-Inclusive Resort Recommendations (list of 3)</option> <option label="Cruise Recommendations (list of 3)" value="cruise-recommendations-list-of-3">Cruise Recommendations (list of 3)</option> </field> <field type="checkbox-group" required="true" label="What type of trip are you interested in?" description="Check all that apply" name="what-type-of-trip-are-you-interested-in" other="true"> <option label="Roadtrips" value="roadtrips">Roadtrips</option> <option label="National Parks" value="national-parks">National Parks</option> <option label="Adventure" value="adventure">Adventure</option> <option label="Camping (Traditional Camping, Dispersed Camping, Van Life, and Overlanding)" value="camping-traditional-camping-dispersed-camping-van-life-and-overlanding">Camping (Traditional Camping, Dispersed Camping, Van Life, and Overlanding)</option> <option label="Off-The-Beaten Path" value="offthebeaten-path">Off-The-Beaten Path</option> <option label="Family" value="family">Family</option> <option label="Weekend Getaway" value="weekend-getaway">Weekend Getaway</option> <option label="Romantic" value="romantic">Romantic</option> <option label="Relaxing" value="relaxing">Relaxing</option> </field> <field type="checkbox-group" required="true" label="What is your travel style?" name="further-describe-your-travel-style"> <option label="On-The-Go/Fast Pace; See & Do as much as possible" value="onthegofast-pace-see-do-as-much-as-possible">On-The-Go/Fast Pace; See & Do as much as possible</option> <option label="Mix between On-The-Go & Relaxing" value="mix-between-onthego-relaxing">Mix between On-The-Go & Relaxing</option> <option label="Relaxing/Slow Pace" value="relaxingslow-pace">Relaxing/Slow Pace</option> </field> <field type="checkbox-group" required="true" label="What is your travel style vibe?" description="Check all that apply" name="what-is-your-travel-style-vibe" other="true"> <option label="Luxury" value="luxury">Luxury</option> <option label="Adventure" value="adventure">Adventure</option> <option label="Cultural" value="cultural">Cultural</option> <option label="Relaxation" value="relaxation">Relaxation</option> <option label="Budget" value="budget">Budget</option> <option label="Solo" value="solo">Solo</option> <option label="Family" value="family">Family</option> <option label="Historical" value="historical">Historical</option> <option label="Digital Nomad" value="digital-nomad">Digital Nomad</option> </field> <field type="text" required="true" label="Where would you like to go?" description="List one or many; If not sure just give me a few destinations you are considering" name="where-would-you-like-to-go" subtype="text" className="form-control"/> <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="when-would-you-like-to-depart" className="form-control"/> <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="when-would-you-like-to-return" className="form-control"/> <field type="radio-group" label="Are your dates flexible?" name="are-your-dates-flexible"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="text" label="How many max hours per day do you want to travel, if traveling by Car, RV, or Van?" name="how-many-max-hours-per-day-do-you-want-to-travel-if-traveling-by-car-rv-or-van" subtype="text" className="form-control"/> <field type="text" label="What is your departure city?" description="Where will you be leaving from?" name="what-is-your-departure-city" subtype="text" className="form-control"/> <field type="text" required="true" label="How many travelers" name="how-many-travelers" subtype="text" className="form-control"/> <field type="text" required="true" label="How many travelers are below the age of 18?" name="how-many-travelers-are-below-the-age-of-18" subtype="text" className="form-control"/> <field type="checkbox-group" required="true" label="What is your total budget for all travelers (accommodations, travel, &amp; attractions)?" description="This just gives me a general starting point and can always be changed later." name="what-is-your-budget-for-all-travelers" other="true"> <option label="$1,500 to $2,500" value="1500-to-2500">$1,500 to $2,500</option> <option label="$2,500 to $4,500" value="2500-to-4500">$2,500 to $4,500</option> <option label="$4,500 to $6,500" value="4500-to-6500">$4,500 to $6,500</option> <option label="$6,500 to $8,500" value="6500-to-8500">$6,500 to $8,500</option> <option label="$8,500 to $10,000" value="8500-to-10000">$8,500 to $10,000</option> <option label="$10,000+" value="10000">$10,000+</option> </field> <field type="text" required="true" label="What is your ideal nightly budget for accommodations?" name="what-is-your-ideal-nightly-budget-for-accommodations" subtype="text" className="form-control"/> <field type="checkbox-group" required="true" label="What kind of lodging do you prefer?" name="what-kind-of-lodging-do-you-prefer" other="true"> <option label="Resort" value="resort">Resort</option> <option label="Hotel" value="hotel">Hotel</option> <option label="Motel" value="motel">Motel</option> <option label="Vacation Rentals: AirBNB/VRBO" value="vacation-rentals-airbnbvrbo">Vacation Rentals: AirBNB/VRBO</option> <option label="Bed & Breakfast" value="bed-breakfast">Bed & Breakfast</option> <option label="Cabins" value="cabins">Cabins</option> <option label="Glamping" value="glamping">Glamping</option> <option label="Campground (RV/Tent);developed campgrounds to dispersed camping" value="campground-rvtentdeveloped-campgrounds-to-dispersed-camping">Campground (RV/Tent);developed campgrounds to dispersed camping</option> </field> <field type="radio-group" label="Further lodging preference" name="hotel-preference"> <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="checkbox-group" label="Food Choice&nbsp;" name="food-choice-" other="true"> <option label="Sit down restaurant" value="sit-down-restaurant">Sit down restaurant</option> <option label="Quick Serve restaurant" value="quick-serve-restaurant">Quick Serve restaurant</option> <option label="Fast-Food" value="fastfood">Fast-Food</option> <option label="Local Eats" value="local-eats">Local Eats</option> <option label="Fix your own" value="fix-your-own">Fix your own</option> </field> <field type="text" label="Food Allergies to be aware of" name="food-allergies-to-be-aware-of" subtype="text" className="form-control"/> <field type="checkbox-group" required="true" label="What activities are you interested in?" description="Check all that apply" name="what-activities-are-you-interested-in" other="true"> <option label="Adventure Activities (Off-roading, White water rafting, horseback riding, etc)" value="adventure-activities-offroading-white-water-rafting-horseback-riding-etc">Adventure Activities (Off-roading, White water rafting, horseback riding, etc)</option> <option label="Hiking" value="hiking">Hiking</option> <option label="Sight-Seeing" value="sightseeing">Sight-Seeing</option> <option label="Tours" value="tours">Tours</option> <option label="Beach and water" value="beach-and-water">Beach and water</option> <option label="Museums" value="museums">Museums</option> <option label="Arts and Theater" value="arts-and-theater">Arts and Theater</option> <option label="Kid-focused" value="kidfocused">Kid-focused</option> <option label="Nightlife" value="nightlife">Nightlife</option> <option label="Gambling" value="gambling">Gambling</option> <option label="Sports" value="sports">Sports</option> </field> <field type="checkbox-group" required="true" label="Are you interested in Travel Insurance?" name="are-you-interested-in-travel-insurance"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="text" label="Anything you absolutely must do or see?" 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?" name="notes" className="form-control"/> <field type="header" subtype="h2" label="Full name"/> <field type="text" required="true" label="First name" name="first-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" 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"/> </fields> </form-template> </body> </html>
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