<html> <body> <form-template> <fields> <field type="header" subtype="h2" label="Your Info"/> <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="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="Questions for your trip"/> <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"/> <field type="text" 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="when-would-you-like-to-depart" subtype="text" className="form-control"/> <field type="text" 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="when-would-you-like-to-return" subtype="text" className="form-control"/> <field type="checkbox-group" label="Are your dates flexible?" name="dates-flexible"> <option label="Yes" value="yes">Yes</option> </field> <field type="text" label="How long will this trip be?" description="This just gives me a general idea of how long you'd like the trip to be; it can be changed later." name="how-long-will-this-trip-be" subtype="text" className="form-control"/> <field type="text" label="What is your departure city?" description="Where will you be flying from?" name="departure-city" subtype="text" className="form-control"/> <field type="text" label="How many travelers?" name="number-of-travelers" subtype="text" className="form-control"/> <field type="checkbox-group" label="Do all travelers have a current passport?" name="do-all-travelers-have-a-current-passport" other="true"> <option label="Yes" value="yes">Yes</option> <option label="Not everyone has one" value="not-everyone-has-one">Not everyone has one</option> <option label="We've applied/are planning to apply" value="weve-appliedare-planning-to-apply">We've applied/are planning to apply</option> <option label="No" value="no">No</option> </field> <field type="radio-group" label="What is your budget for all travelers?" description="This just gives me a general starting point and can always be changed later." name="budget"> <option label="Under $2,500" value="under-2500">Under $2,500</option> <option label="$2,500 to $5,000" value="2500-to-5000">$2,500 to $5,000</option> <option label="$5,000 to $8,500" value="5000-to-8500">$5,000 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="checkbox-group" label="What best describes your hotel preference?" name="what-best-describes-your-hotel-preference" other="true"> <option label="Economy" value="economy">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 activities" value="beach-and-water-activities">Beach and water activities</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> <option label="Museums" value="museums">Museums</option> <option label="Local cultural experiences" value="local-cultural-experiences">Local cultural experiences</option> <option label="Guided tours or classes" value="guided-tours-or-classes">Guided tours or classes</option> <option label="Hiking and outdoor activities" value="hiking-and-outdoor-activities">Hiking and outdoor activities</option> </field> <field type="text" label="Anything you absolutely must do or see?" name="must-dos" subtype="text" className="form-control"/> <field type="textarea" label="What else would you like me to know?" description="What else would you like me to know about your budget and/or travel preferences?" name="notes" className="form-control"/> </fields> </form-template> </body> </html>
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