Marissa Grad

travelhappier x SmartFlyer

<html>
  <body>
    <form-template>&#13;
	<fields>&#13;
		<field type="header" subtype="h1" label="Client Information"/>&#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="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="About Your Trip"/>&#13;
		<field type="text" label="I want to go to . . .&amp;nbsp;" description="If you're not sure  just give me a few destinations you're considering." placeholder="Paris  Tokyo  Maui" name="destination" subtype="text" className="form-control"/>&#13;
		<field type="date" label="I'd like to depart on . . .&amp;nbsp;" 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="I'd like to return on . . .&amp;nbsp;" 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="My dates are 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="My desired departure city is . . .&amp;nbsp;" description="Where will you be flying from?" name="departure-city" subtype="text" className="form-control"/>&#13;
		<field type="checkbox-group" label="I'd love your help with . . .&amp;nbsp;" name="id-love-your-help-with-" other="true">&#13;
			<option label="Flights (premium economy, business or first class)" value="flights-premium-economy-business-or-first-class">Flights (premium economy, business or first class)</option>&#13;
			<option label="Luxury and Upscale Accommodations " value="luxury-and-upscale-accommodations-">Luxury and Upscale Accommodations </option>&#13;
			<option label="Booking a cruise" value="booking-a-cruise">Booking a cruise</option>&#13;
			<option label="Planning a custom itinerary" value="planning-a-custom-itinerary">Planning a custom itinerary</option>&#13;
			<option label="Concierge services (making dining, spa, activity, or touring recommendations and reservations)" value="concierge-services-making-dining-spa-activity-or-touring-recommendations-and-reservations">Concierge services (making dining, spa, activity, or touring recommendations and reservations)</option>&#13;
			<option label="Booking an all-inclusive small group or private tour" value="booking-an-allinclusive-small-group-or-private-tour">Booking an all-inclusive small group or private tour</option>&#13;
		</field>&#13;
		<field type="text" label="If other, please explain" name="if-other-please-explain" 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="textarea" label="If some of your travelers are children, please list their ages at the time of travel" name="if-some-of-your-travelers-are-children-please-list-their-ages-at-the-time-of-travel" className="form-control"/>&#13;
		<field type="radio-group" label="If planning a full itinerary, what is your weekly budget for all travelers?" description="This gives us a general starting point but can always be changed later" name="what-is-your-total-trip-budget-for-all-travelers" other="true">&#13;
			<option label="$7,500-$10,000" value="750010000">$7,500-$10,000</option>&#13;
			<option label="$10,000-$15,000" value="1000015000">$10,000-$15,000</option>&#13;
			<option label="$15,000-20,000" value="1500020000">$15,000-20,000</option>&#13;
			<option label="$20,000-$30,000" value="2000030000">$20,000-$30,000</option>&#13;
			<option label="$30,000+" value="30000">$30,000+</option>&#13;
			<option label="I require a simple booking without additional planning" value="i-require-a-simple-booking-without-additional-planning">I require a simple booking without additional planning</option>&#13;
		</field>&#13;
		<field type="radio-group" label="What is your nightly budget for hotels (pre-tax and service charge, if any)" description="This just gives me a general starting point and can always be changed later." name="budget">&#13;
			<option label="$500-750" value="500750">$500-750</option>&#13;
			<option label="$750-1000" value="7501000">$750-1000</option>&#13;
			<option label="$1000-$1500" value="10001500">$1000-$1500</option>&#13;
			<option label="$1500-$2000" value="15002000">$1500-$2000</option>&#13;
			<option label="whatever it costs" value="whatever-it-costs">whatever it costs</option>&#13;
		</field>&#13;
		<field type="radio-group" label="What kind of accommodations do you prefer?" name="hotel-preference" other="true">&#13;
			<option label="luxury &amp; exclusive" value="luxury-exclusive">luxury &amp; exclusive</option>&#13;
			<option label="boutique, charming " value="boutique-charming-">boutique, charming </option>&#13;
			<option label="centrally located, functional" value="centrally-located-functional">centrally located, functional</option>&#13;
			<option label="large, internationally recognized chain" value="large-internationally-recognized-chain">large, internationally recognized chain</option>&#13;
			<option label="luxury villa or private rental" value="luxury-villa-or-private-rental">luxury villa or private rental</option>&#13;
		</field>&#13;
		<field type="text" label="Are you celebrating a special occasion?&amp;nbsp;" description="If yes  what?" name="are-you-celebrating-a-special-occasion-" subtype="text" className="form-control"/>&#13;
		<field type="radio-group" label="What phase of planning are you in? " name="what-phase-of-planning-are-you-in-">&#13;
			<option label="We're just beginning the planning process" value="were-just-beginning-the-planning-process">We're just beginning the planning process</option>&#13;
			<option label="We have dates, but no other details confirmed" value="we-have-dates-but-no-other-details-confirmed">We have dates, but no other details confirmed</option>&#13;
			<option label="I have flights but no hotels booked" value="i-have-flights-but-no-hotels-booked">I have flights but no hotels booked</option>&#13;
			<option label="We have hotels and flights already booked" value="we-have-hotels-and-flights-already-booked">We have hotels and flights already booked</option>&#13;
		</field>&#13;
		<field type="textarea" label="Anything else you'd like me to know?" name="notes" className="form-control"/>&#13;
	</fields>&#13;
</form-template>
  </body>
</html>