TravelJoy

Nicole Smith

Travelmation

Let's Plan Your Trip!

<html>
  <body>
    <form-template>&#13;
	<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="header" subtype="h2" label="Questions for your trip"/>&#13;
		<field type="checkbox-group" label="I want to:" name="i-want-to" other="true">&#13;
			<option label="Book Now!" value="book-now">Book Now!</option>&#13;
			<option label="Get a Quote" value="get-a-quote">Get a Quote</option>&#13;
			<option label="Just Explore Options" value="just-explore-options">Just Explore Options</option>&#13;
		</field>&#13;
		<field type="text" label="Where would you like to go?" description="If you're not sure  just give me a few destinations you're considering." placeholder="ex: Tahiti" name="destination" subtype="text" className="form-control"/>&#13;
		<field type="date" 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="starting-at" className="form-control"/>&#13;
		<field type="date" 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="ending-at" className="form-control"/>&#13;
		<field type="checkbox-group" label="Are your dates flexible?" name="dates-flexible">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
		</field>&#13;
		<field type="checkbox-group" label="Will your trip require flights?" name="will-your-trip-require-flights">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
		</field>&#13;
		<field type="text" label="If so, where will you be flying from?" name="departure-city" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="How many adult travelers?" name="number-of-travelers" subtype="text" className="form-control"/>&#13;
		<field type="text" label="How many children travelers?" name="how-many-children-travelers" subtype="text" className="form-control"/>&#13;
		<field type="text" label="For any children traveling, please list their ages at the time of travel:" name="for-any-children-traveling-please-list-their-ages-at-the-time-of-travel" subtype="text" className="form-control"/>&#13;
		<field type="text" label="If more than one room is needed, please tell me how many rooms and how many adults/children in each room:" name="if-more-than-one-room-is-needed-please-tell-me-how-many-rooms-and-how-many-adultschildren-in-each-room" subtype="text" className="form-control"/>&#13;
		<field type="radio-group" required="true" label="What best describes your hotel preference?&amp;nbsp;" name="what-best-describes-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="radio-group" required="true" label="What is your budget per traveler?" description="This just gives me a general starting point and can always be changed later." name="budget">&#13;
			<option label="Budget Friendly: max $2K" value="budget-friendly-max-2k">Budget Friendly: max $2K</option>&#13;
			<option label="Moderate: max $3K-4K" value="moderate-max-3k4k">Moderate: max $3K-4K</option>&#13;
			<option label="Little Splurge: max $4K-6K" value="little-splurge-max-4k6k">Little Splurge: max $4K-6K</option>&#13;
			<option label="Luxury: max $6K-8K" value="luxury-max-6k8k">Luxury: max $6K-8K</option>&#13;
			<option label="Lets go big: $8k+" value="lets-go-big-8k">Lets go big: $8k+</option>&#13;
		</field>&#13;
		<field type="text" label="If you are flying out of the country to get to your destination, does everyone in your party have a passport? If yes, does it expire within 6 months after your trip?" name="if-you-are-flying-out-of-the-country-to-get-to-your-destination-does-everyone-in-your-party-have-a-passport-if-yes-does-it-expire-within-6-months-after-your-trip" subtype="text" className="form-control"/>&#13;
		<field type="textarea" label="What else would you like me to know? (Please list any specifics that will help me plan your trip)" description="What else would you like me to know about your traveler budget and/or travel preferences?" name="notes" className="form-control"/>&#13;
		<field type="radio-group" required="true" label="Are you currently working with another Travel Agent?" name="are-you-currently-working-with-another-travel-agent">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
			<option label="I have worked with one in the past but I am not working with them now." value="i-have-worked-with-one-in-the-past-but-i-am-not-working-with-them-now">I have worked with one in the past but I am not working with them now.</option>&#13;
		</field>&#13;
	</fields>&#13;
</form-template>
  </body>
</html>