TravelJoy

Peacock Travel Agency

Alesia Hawkins

Family Vacation

<form-template>
	<fields><field type="text" subtype="text" required="true" label="Last name" className="form-control" name="last-name"></field>
		<field type="header" subtype="h2" label="Peacock Vacations Membership Questionnaire"/>
		<field type="paragraph" subtype="blockquote" label="Thank you for considering Peacock Travel Agency.&amp;nbsp; We are dedicated to providing excellent, professional service to our clients.&amp;nbsp; We leave no detail undone in planning your trip so you can focus on having an amazing time!&amp;nbsp;&amp;nbsp;Please provide preliminary details for your vacation below.&amp;nbsp; We will review your information and follow up with you."/>
		<field type="radio-group" required="true" label="Select your Peacock Membership" name="select-your-peacock-membership">
			<option label="Silver (One Vacation)" value="silver-one-vacation">Silver (One Vacation)</option>
			<option label="Bronze (Two Vacations)" value="bronze-two-vacations">Bronze (Two Vacations)</option>
			<option label="Gold (Three Vacations)" value="gold-three-vacations">Gold (Three Vacations)</option>
		</field>
		<field type="header" subtype="h2" label="Contact Person's Information"/>
		<field type="text" required="true" label="Full Name" name="first-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="header" subtype="h2" label="Address"/>
		<field type="text" label="Line 1" name="address-line-1" subtype="text" className="form-control"/>
		<field type="text" label="Line 2" name="address-line-2" subtype="text" className="form-control"/>
		<field type="text" label="City" name="address-city" subtype="text" className="form-control"/>
		<field type="text" label="State" name="address-state" subtype="text" className="form-control"/>
		<field type="text" label="Zip" name="address-zip" subtype="text" className="form-control"/>
		<field type="text" required="true" label="What's the best time to contact you?" name="whats-the-best-time-to-contact-you" subtype="text" className="form-control"/>
		<field type="header" subtype="h1" label="General Information"/>
		<field type="text" label="Will you celebrate anything while on vacation (i.e., birthday/anniversary celebration, etc.)&amp;nbsp;" name="what-type-of-group-vacation-will-this-be-ie-reunion-celebration-familyfriends-girlsmen-vacation-etc" subtype="text" className="form-control"/>
		<field type="text" required="true" label="Where would you like to go?&amp;nbsp;" 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"/>
		<field type="radio-group" required="true" label="Type of vacation experience." name="what-type-of-vacation-experience-do-you-want" other="true">
			<option label="Cruise " value="cruise-">Cruise </option>
			<option label="Disney World" value="disney-world">Disney World</option>
			<option label="Disneyland" value="disneyland">Disneyland</option>
			<option label="Adults-Only, All-Inclusive Resort" value="adultsonly-allinclusive-resort">Adults-Only, All-Inclusive Resort</option>
			<option label="Adults-Only Resorts" value="adultsonly-resorts">Adults-Only Resorts</option>
			<option label="Family-Friendly, All-Inclusive Resort" value="familyfriendly-allinclusive-resort">Family-Friendly, All-Inclusive Resort</option>
			<option label="Family-Friendly Resort" value="familyfriendly-resort">Family-Friendly Resort</option>
			<option label="Hotel Only" value="hotel-only">Hotel Only</option>
		</field>
		<field type="text" required="true" label="How many nights?" name="how-many-nights" subtype="text" className="form-control"/>
		<field type="date" required="true" label="When would you like to leave?" name="when-would-you-like-to-leave" className="form-control"/>
		<field type="radio-group" label="Are your dates flexible?&amp;nbsp; Enter any flexible dates in &quot;Other&quot;." inline="true" name="are-the-dates-flexible" other="true">
			<option label="Yes" value="yes">Yes</option>
			<option label="No" value="no">No</option>
		</field>
		<field type="checkbox-group" required="true" label="Preferred resort/hotel or cruise line?&amp;nbsp; Enter your preference in &quot;Other&quot;." inline="true" name="whats-your-preferred-resorthotel-or-cruise-line-enter-your-preference-in-other" other="true">
			<option label="I'm flexible" value="im-flexible">I'm flexible</option>
		</field>
		<field type="text" required="true" label="How many rooms/staterooms are needed" name="how-many-roomsstaterooms-are-needed" subtype="text" className="form-control"/>
		<field type="text" required="true" label="How many travelers will be at least 18 years old at the time of travel" name="how-many-travelers-will-be-at-least-18-years-old-at-the-time-of-travel" subtype="text" className="form-control"/>
		<field type="text" required="true" label="How many travelers will be 13 to 17 years old at the time of travel" name="how-many-travelers-will-be-13-to-17-years-old-at-the-time-of-travel" subtype="text" className="form-control"/>
		<field type="text" required="true" label="How many travelers will be 4 to 12 years old at the time of travel" name="how-many-travelers-will-be-4-to-12-years-old-at-the-time-of-travel" subtype="text" className="form-control"/>
		<field type="text" required="true" label="How many travelers will be 0 to 3 years old at the time of travel" name="how-many-travelers-will-be-0-to-3-years-old-at-the-time-of-travel" subtype="text" className="form-control"/>
		<field type="text" required="true" label="How many people per room/stateroom?&amp;nbsp; Enter &quot;Unknown&quot; if this hasn't been determined." name="how-many-people-per-room" subtype="text" className="form-control"/>
		<field type="header" subtype="h1" label="CRUISES"/>
		<field type="checkbox-group" required="true" label="Preferred stateroom(s)?&amp;nbsp; Check all that apply." name="what-type-of-staterooms-do-you-prefer-check-all-that-apply" other="true">
			<option label="N/A" value="na">N/A</option>
			<option label="Inside" value="inside">Inside</option>
			<option label="Ocean View" value="ocean-view">Ocean View</option>
			<option label="Balcony" value="balcony">Balcony</option>
			<option label="Junior Suite" value="junior-suite">Junior Suite</option>
			<option label="Suite" value="suite">Suite</option>
			<option label="Most Cost-Effective Stateroom" value="most-costeffective-stateroom">Most Cost-Effective Stateroom</option>
		</field>
		<field type="header" subtype="h1" label="RESORTS/HOTELS"/>
		<field type="radio-group" required="true" label="What best describes your resort/hotel preference?" name="hotel-preference" other="true">
			<option label="N/A" value="na">N/A</option>
			<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" required="true" label="Preferred type(s) of rooms?&amp;nbsp; Check all that apply." name="what-type-of-rooms-do-you-prefer-check-all-that-apply">
			<option label="N/A" value="na">N/A</option>
			<option label="Double" value="double">Double</option>
			<option label="Queen" value="queen">Queen</option>
			<option label="King" value="king">King</option>
			<option label="Suite" value="suite">Suite</option>
			<option label="Most Cost-Effective Room" value="most-costeffective-room">Most Cost-Effective Room</option>
			<option label="Other" value="other">Other</option>
		</field>
		<field type="checkbox-group" required="true" label="Preferred resort/hotel view(s)?&amp;nbsp; Check all that apply." name="what-is-your-preferred-view-check-all-that-apply" other="true">
			<option label="N/A" value="na">N/A</option>
			<option label="Ocean/Beach View" value="oceanbeach-view">Ocean/Beach View</option>
			<option label="City View" value="city-view">City View</option>
			<option label="Most Cost-Effective View" value="most-costeffective-view">Most Cost-Effective View</option>
		</field>
		<field type="header" subtype="h1" label="Airfare"/>
		<field type="radio-group" required="true" label="Are airline tickets needed?&amp;nbsp;" inline="true" name="for-cruises-would-like-cruisearranged-airfare">
			<option label="Yes" value="yes">Yes</option>
			<option label="No" value="no">No</option>
		</field>
		<field type="radio-group" required="true" label="If yes, what's the preferred airline(s)?" name="whats-your-preferred-airlines" other="true">
			<option label="N/A" value="na">N/A</option>
			<option label="I'm Flexible" value="im-flexible">I'm Flexible</option>
			<option label="American" value="american">American</option>
			<option label="United" value="united">United</option>
			<option label="Southwest" value="southwest">Southwest</option>
			<option label="Delta" value="delta">Delta</option>
		</field>
		<field type="text" label="What time would you prefer to leave on your outbound flight?&amp;nbsp; Enter &quot;N/A&quot; if airline tickets aren't needed.&amp;nbsp;&amp;nbsp;" name="preferred-time-of-flight-departure" subtype="text" className="form-control"/>
		<field type="text" required="true" label="What's your preferred departure city/airport?&amp;nbsp; &amp;nbsp;Enter &quot;N/A&quot; if airline tickets are not needed.&amp;nbsp;" description="Where will you be flying from?" name="departure-city" subtype="text" className="form-control"/>
		<field type="text" required="true" label="What's your preferred arrival city/airport?&amp;nbsp; Enter &quot;N/A&quot; if airline tickets aren't needed?&amp;nbsp;&amp;nbsp;" name="whats-your-preferred-arrival-airport-enter-na-if-airline-tickets-are-not-needed-" subtype="text" className="form-control"/>
		<field type="text" label="What time would you prefer to leave on your inbound flight? Enter &quot;N/A&quot; if airline tickets aren't needed." name="what-time-would-you-prefer-to-leave-on-your-return-flight-enter-na-if-airline-tickets-arent-needed" subtype="text" className="form-control"/>
		<field type="header" subtype="h1" label="Budget"/>
		<field type="radio-group" required="true" label="What's the total budget for your entire party?&amp;nbsp; &amp;nbsp;You may enter the budget per person in &quot;Other&quot;." description="This just gives me a general starting point and can always be changed later." name="budget" other="true">
			<option label="$100 to $500" value="100-to-500">$100 to $500</option>
			<option label="$500 to $1,000" value="500-to-1000">$500 to $1,000</option>
			<option label="$1,000 to $1,500" value="1000-to-1500">$1,000 to $1,500</option>
			<option label="$1,500 to $2,500" value="1500-2500">$1,500 to $2,500</option>
			<option label="$2,500 to $4,500" value="2500-4500">$2,500 to $4,500</option>
			<option label="$4,500 to $6,500" value="4500-6500">$4,500 to $6,500</option>
			<option label="$6,500 to $8,500" value="6500-8500">$6,500 to $8,500</option>
			<option label="$8,500 to $10,000" value="8500-10000">$8,500 to $10,000</option>
			<option label="$10,000+" value="10000">$10,000+</option>
		</field>
		<field type="header" subtype="h1" label="Activities"/>
		<field type="checkbox-group" label="What kind of vibe are you looking for?&amp;nbsp; Check all that apply." description="Check all that apply." name="vibe-preference" other="true">
			<option label="Romantic" value="romantic">Romantic</option>
			<option label="Rest and relaxation" value="rest-and-relaxation">Rest and relaxation</option>
			<option label="Off the beaten path" value="off-the-beaten-path">Off the beaten path</option>
			<option label="Party" value="party">Party</option>
			<option label="Local culture" value="local-culture">Local culture</option>
			<option label="Family friendly" value="family-friendly">Family friendly</option>
			<option label="Food and wine" value="food-wine">Food and wine</option>
		</field>
		<field type="checkbox-group" label="What activities are your interested in?&amp;nbsp; Check all that apply." description="Check all that apply" name="activity-preferences" other="true">
			<option label="Beach and water" value="beach-water">Beach and water</option>
			<option label="Gambling" value="gambling">Gambling</option>
			<option label="Scuba" value="scuba">Scuba</option>
			<option label="Adventure activities" value="adventure">Adventure activities</option>
			<option label="Golf" value="golf">Golf</option>
			<option label="Nightlife" value="nightlife">Nightlife</option>
			<option label="Arts and theater" value="art-theater">Arts and theater</option>
		</field>
		<field type="header" subtype="h1" label="Other"/>
		<field type="radio-group" label="Does anyone in your party have dietary restrictions?&amp;nbsp; Enter dietary restrictions in &quot;Other&quot;." inline="true" name="do-any-travelers-have-dietary-restrictions-enter-dietary-restrictions-in-other" other="true">
			<option label="No" value="no">No</option>
			<option label="Not sure" value="not-sure">Not sure</option>
		</field>
		<field type="checkbox-group" label="Are any travelers a member of a Loyalty Program(s) for the preferred airline or hotel/resort?" name="are-any-travelers-a-member-of-a-loyalty-programs-for-your-preferred-airline-or-hotelresort" other="true">
			<option label="Yes, Airline Loyalty Program" value="yes-airline-loyalty-program">Yes, Airline Loyalty Program</option>
			<option label="Yes, Cruise or Hotel/Resort Loyalty Program" value="yes-cruise-or-hotelresort-loyalty-program">Yes, Cruise or Hotel/Resort Loyalty Program</option>
			<option label="No" value="no">No</option>
			<option label="Not sure" value="not-sure">Not sure</option>
		</field>
		<field type="checkbox-group" label="Are any travelers (check all that apply):" name="are-any-travelers-check-all-that-apply">
			<option label="Fire Department EMT" value="fire-department-emt">Fire Department EMT</option>
			<option label="U.S. Military" value="us-military">U.S. Military</option>
			<option label="Law Enforcement" value="law-enforcement">Law Enforcement</option>
			<option label="55+" value="55">55+</option>
		</field>
		<field type="text" label="Is there anything you must do or see?" name="must-dos" subtype="text" className="form-control"/>
		<field type="textarea" label="What else would you like Peacock Travel Agency to know that would make your vacation extra special?" name="notes" subtype="textarea" className="form-control"/>
	</fields>
</form-template>