<html> <body> <form-template> <fields><field type="text" subtype="text" required="true" label="Email" className="form-control" name="email"></field> <field type="header" subtype="h2" label="Questions for your trip"/> <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." placeholder="ex: Tahiti" name="destination" 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="starting-at" 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="ending-at" className="form-control"/> <field type="checkbox-group" label="Are your dates flexible?" name="dates-flexible"> <option label="Yes" value="yes">Yes</option> <option label="no" value="no">no</option> </field> <field type="text" required="true" label="How many Adults?" name="number-of-travelers" subtype="text" className="form-control"/> <field type="textarea" required="true" label="How many Children and how old are they? if none, put n/a" name="how-many-children-and-how-old-are-they-if-none-put-na" className="form-control"/> <field type="text" required="true" label="What is your departure city?" description="Where will you be flying from?" name="departure-city" subtype="text" className="form-control"/> <field type="checkbox-group" required="true" label="What components do you need?" name="what-components-do-you-need"> <option label="Flight" value="flight">Flight</option> <option label="Hotel" value="hotel">Hotel</option> <option label="Rental Car" value="rental-car">Rental Car</option> <option label="Excursions" value="excursions">Excursions</option> <option label="Cruise" value="cruise">Cruise</option> </field> <field type="textarea" required="true" label="What was your favorite vacation and why?" name="textarea-1681751176485" className="form-control"/> <field type="text" required="true" label="What was the worst vacation you ever had and why?" name="what-was-the-worst-vacation-you-ever-had-and-why" subtype="text" className="form-control"/> <field type="text" required="true" label="What made you consider taking this vacation?" name="what-made-you-consider-taking-this-vacation" subtype="text" className="form-control"/> <field type="textarea" required="true" label="What do you enjoy doing in your spare time?" name="what-do-you-enjoy-doing-in-your-spare-time" className="form-control"/> <field type="radio-group" required="true" label="What is your budget PER PERSON?" description="This just gives me a general starting point and can always be changed later." name="budget"> <option label="$500 to $1,000" value="500-to-1000">$500 to $1,000</option> <option label="$1,000 to $1500" value="1000-to-1500">$1,000 to $1500</option> <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="radio-group" required="true" label="Are You Deposit Ready?" description="Are you Deposit-Ready?" name="are-you-deposit-ready"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <field type="select" required="true" label="When do you anticipate being deposit ready?" name="when-do-you-anticipate-being-deposit-ready" className="form-control"> <option label="I am deposit ready" value="i-am-deposit-ready">I am deposit ready</option> <option label="less than one week" value="less-than-one-week">less than one week</option> <option label="1 to 2 weeks" value="1-to-2-weeks">1 to 2 weeks</option> <option label="1 to 3 months" value="1-to-3-months">1 to 3 months</option> <option label="3 months or more" value="3-months-or-more">3 months or more</option> </field> <field type="radio-group" label="What best describes your hotel preference?" name="hotel-preference" other="true"> <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="What kind of vibe are you looking for?" 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 you interested in?" 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="textarea" required="true" label="If you could do absolutely anything on your vacation, what would it be?" description="feel free to add anything else you think I need to know in this field as well." name="notes" className="form-control"/> <field type="header" subtype="h2" label="Address"/> <field type="text" required="true" 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" required="true" label="City" name="address-city" subtype="text" className="form-control"/> <field type="text" required="true" label="State" name="address-state" subtype="text" className="form-control"/> <field type="text" required="true" label="Zip" name="address-zip" subtype="text" className="form-control"/> <field type="text" label="Country" name="address-country" subtype="text" className="form-control"/> <field type="header" subtype="h2" label="Full name"/> <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="Favorite Color (s)" name="favorite-color-s" subtype="text" className="form-control"/> <field type="radio-group" required="true" label="How did you find me?" name="how-did-you-find-me"> <option label="Tik Tok" value="Tik Tok">Tik Tok</option> <option label="FaceBook" value="FaceBook">FaceBook</option> <option label="Instagram" value="Instagram">Instagram</option> <option label="Referred by a friend" value="referred-by-a-friend">Referred by a friend</option> <option label="On a trip " value="on-a-trip-">On a trip </option> </field> </fields> </form-template> </body> </html>
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