Share your information with Rachael Tadman

Rachael Tadman

Travelmation

<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" required="true" label="Last name" name="last-name" subtype="text" className="form-control"/>&#13;
		<field required="true"  type="text" 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="h2" label="Questions for your trip"/>&#13;
		<field type="text" label="Where would you like to go?" description="If you&#39;re not sure  just give me a few destinations you&#39;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;
			<option label="No" value="no">No</option>&#13;
		</field>&#13;
		<field type="text" label="What is your departure city?" description="Where will you be flying from?" name="departure-city" subtype="text" className="form-control"/>&#13;
		<field type="text" label="How many travelers?" name="number-of-travelers" subtype="text" className="form-control"/>&#13;
		<field type="text" label="What are you celebrating?" name="text-1785543336474" subtype="text" className="form-control"/>&#13;
		<field type="radio-group" label="If applicable, what best decribes your hotel preference?" name="hotel-preference" other="true">&#13;
			<option label="Value" value="the best price over comfort and ameneties">Value</option>&#13;
			<option label="Moderate" value="clean, safe hotel, good reputation">Moderate</option>&#13;
			<option label="Luxury" value="high end, personalized service">Luxury</option>&#13;
			<option label="Other" value="">Other</option>&#13;
		</field>&#13;
		<field type="text" label="Do you have a budget?" name="text-1785543395764" subtype="text" className="form-control"/>&#13;
		<field type="radio-group" label="Does your budget include flights?" name="radio-group-1785543451098">&#13;
			<option label="Yes" value="" selected="selected">Yes</option>&#13;
			<option label="No" value="">No</option>&#13;
		</field>&#13;
		<field type="text" label="Anything you absolutely must do or see?" name="must-dos" subtype="text" className="form-control"/>&#13;
		<field type="textarea" label="Who is coming with you?" description="Please list all travelers first/last names (if kids are included please list their ages)" name="textarea-1785543507490" className="form-control"/>&#13;
		<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"/>&#13;
		<field type="date" label="When would you like to book by?" name="date-1785543554441" className="form-control"/>&#13;
	</fields>&#13;
</form-template>
  </body>
</html>