Share your information with Carissa Hudson

Carissa Hudson

Hudson Travel

<html>
  <body>
    <form-template>&#13;
	<fields>&#13;
		<field type="header" subtype="h2" label="Questions for your trip"/>&#13;
		<field type="text" required="true" 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="select" required="true" label="Type of Travel?" description="Select what type of vacation is being created in drop down box below  if undecided please select other?" name="type-of-travel" className="form-control">&#13;
			<option label="Cruise" value="cruise">Cruise</option>&#13;
			<option label="Vacation Pacakage" value="vacation-pacakage">Vacation Pacakage</option>&#13;
			<option label="Other" value="other">Other</option>&#13;
		</field>&#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" required="true" 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" required="true" 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" required="true" label="How many travelers?" description="Please include adults and children ages ( if children are traveling)" name="number-of-travelers" subtype="text" className="form-control"/>&#13;
		<field type="radio-group" label="What best describes your travel preference?" description="If you don&#39;t have one please choose other" name="hotel-preference" other="true">&#13;
			<option label="Economy" value="value">Economy</option>&#13;
			<option label="Moderate" value="moderate">Moderate</option>&#13;
			<option label="Luxury" value="luxury">Luxury</option>&#13;
		</field>&#13;
		<field type="checkbox-group" label="What kind of vibe are you looking for?" description="Check all that apply." name="vibe-preference" other="true">&#13;
			<option label="Romantic" value="romantic">Romantic</option>&#13;
			<option label="Rest and relaxation" value="rest-and-relaxation">Rest and relaxation</option>&#13;
			<option label="Off the beaten path" value="off-the-beaten-path">Off the beaten path</option>&#13;
			<option label="Party" value="party">Party</option>&#13;
			<option label="Local culture" value="local-culture">Local culture</option>&#13;
			<option label="Family friendly" value="family-friendly">Family friendly</option>&#13;
			<option label="Food and wine" value="food-wine">Food and wine</option>&#13;
		</field>&#13;
		<field type="checkbox-group" label="What activities are you interested in?" description="Check all that apply" name="activity-preferences" other="true">&#13;
			<option label="Beach and water" value="beach-water">Beach and water</option>&#13;
			<option label="Gambling" value="gambling">Gambling</option>&#13;
			<option label="Scuba" value="scuba">Scuba</option>&#13;
			<option label="Adventure activities" value="adventure">Adventure activities</option>&#13;
			<option label="Golf" value="golf">Golf</option>&#13;
			<option label="Nightlife" value="nightlife">Nightlife</option>&#13;
			<option label="Arts and theater" value="art-theater">Arts and theater</option>&#13;
		</field>&#13;
		<field type="text" label="Anything you absolutely must do or see?" description="This will help me create a personalized quote." name="must-dos" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Anything you absolutely do not want to see or do?" description="What are you major hard stops or dislikes that should be taken into consideration?" name="text-1780931832695" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Are you celebrating anything special?" description="Birthdays, Anniversaries, Promotions etc" name="text-1780932123833" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Any special accommodations I need to know about?" description="Wheelchair accessible, Food allergies etc" name="text-1780931873095" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Are you deposit/ payment ready?" description="Once personalized quote is sent and agreed upon are you ready to reserve the vacation?" name="text-1754168480625" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Were you referred by someone?" description="Please give the first and last name of who referred you." name="text-1772630935620" subtype="text" className="form-control"/>&#13;
		<field type="header" subtype="h2" label="Client Information"/>&#13;
		<field type="text" label="Prefix" name="prefix" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="First name" name="first-name" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Middle name" name="middle-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" label="Suffix" name="suffix" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Email" name="email" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Phone number" name="phone-number" subtype="text" className="form-control"/>&#13;
	</fields>&#13;
</form-template>
  </body>
</html>