TravelJoy

Samantha Glidden

Travelmation

Let's Travel!

Everywhere!

<html>
  <body>
    <form-template>&#13;
	<fields>&#13;
		<field type="header" subtype="h1" label="Let's travel, shall we?"/>&#13;
		<field type="text" required="true" label="First name" name="first-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" required="true" 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" label="Phone number" name="phone-number" subtype="text" className="form-control"/>&#13;
		<field type="header" subtype="h1" label="Questions for your trip"/>&#13;
		<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." name="where-would-you-like-to-go" subtype="text" className="form-control"/>&#13;
		<field type="checkbox-group" required="true" label="What are you looking for? Check all that apply." name="what-are-you-looking-for" other="true">&#13;
			<option label="Disney (FL or CA)" value="disney-fl-or-ca">Disney (FL or CA)</option>&#13;
			<option label="Universal Studios (FL or CA)" value="universal-studios-fl-or-ca">Universal Studios (FL or CA)</option>&#13;
			<option label="All Inclusive Resort" value="all-inclusive-resort">All Inclusive Resort</option>&#13;
			<option label="Cruise" value="cruise">Cruise</option>&#13;
			<option label="International destination(s)" value="international-destinations">International destination(s)</option>&#13;
			<option label="Honeymoon" value="honeymoon">Honeymoon</option>&#13;
			<option label="Group function (school, church, business, etc)" value="group-function-school-church-business-etc">Group function (school, church, business, etc)</option>&#13;
			<option label="Hotel only" value="hotel-only">Hotel only</option>&#13;
			<option label="Family friendly" value="family-friendly">Family friendly</option>&#13;
			<option label="Adult only" value="adult-only">Adult only</option>&#13;
		</field>&#13;
		<field type="date" required="true" label="When would you like to depart?" description="This just gives me a general idea of when you'd like to travel. This can be changed later." name="when-would-you-like-to-depart" className="form-control"/>&#13;
		<field type="date" required="true" label="When would you like to return?" description="This just gives me a general idea of when you'd like to travel. This can be changed later." name="when-would-you-like-to-return" className="form-control"/>&#13;
		<field type="radio-group" required="true" label="Are your dates flexible?" name="are-your-dates-flexible">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
		</field>&#13;
		<field type="radio-group" required="true" label="How soon are you looking to book?" name="how-soon-are-you-looking-to-book">&#13;
			<option label="ASAP" value="asap">ASAP</option>&#13;
			<option label="Within next 7-10 days" value="within-next-710-days">Within next 7-10 days</option>&#13;
			<option label="Within the next couple of months" value="within-the-next-couple-of-months">Within the next couple of months</option>&#13;
			<option label="Just considering options" value="just-considering-options">Just considering options</option>&#13;
		</field>&#13;
		<field type="text" label="What is your departure city/airport?" description="You can list multiple if preferred." name="what-is-your-departure-cityairport" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="How many travelers?" name="how-many-travelers" subtype="text" className="form-control"/>&#13;
		<field type="textarea" label="Ages of travelers (birthdays may be needed to formally move forward)" name="firstlast-name-of-travelers-with-birthdays" className="form-control"/>&#13;
		<field type="radio-group" required="true" label="What is your total budget?" name="what-is-your-total-budget" other="true">&#13;
			<option label="Under $1K" value="under-1k">Under $1K</option>&#13;
			<option label="$1K - $3K" value="1k-3k">$1K - $3K</option>&#13;
			<option label="$3K - $5K" value="3k-5k">$3K - $5K</option>&#13;
			<option label="$5K - $8K" value="5k-8k">$5K - $8K</option>&#13;
			<option label="$8K - $15K" value="8k-15k">$8K - $15K</option>&#13;
			<option label="$15K+" value="15k">$15K+</option>&#13;
		</field>&#13;
		<field type="radio-group" required="true" label="Does your budget INCLUDE airfare?" name="does-your-budget-include-airfare">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
		</field>&#13;
		<field type="checkbox-group" required="true" label="What is your hotel preference?" name="what-is-your-hotel-preference" other="true">&#13;
			<option label="Economy" value="economy">Economy</option>&#13;
			<option label="Moderate" value="moderate">Moderate</option>&#13;
			<option label="Luxury" value="luxury">Luxury</option>&#13;
			<option label="Boutique" value="boutique">Boutique</option>&#13;
		</field>&#13;
		<field type="text" required="true" label="Do you have any accessibility needs?" name="do-you-have-any-accessibility-needs" subtype="text" className="form-control"/>&#13;
		<field type="textarea" required="true" label="Anything else you'd like to share? Please provide any information of what you're looking to do. What kind of vibe are you feeling? Number of rooms? Special events?" name="anything-else-youd-like-to-share" className="form-control"/>&#13;
		<field type="text" required="true" label="Why are you choosing this destination? What is it that you can't wait to tell your family and friends about after this trip?" name="why-are-you-choosing-this-destination-what-is-it-that-you-cant-wait-to-tell-your-family-and-friends-about-after-this-trip" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="How did you hear about me? I love to give back to my referrals!" name="how-did-you-hear-about-me-i-love-to-give-back-to-my-referrals" subtype="text" className="form-control"/>&#13;
	</fields>&#13;
</form-template>
  </body>
</html>