Share your information with Stephanie Bridges

Stephanie Bridges

<html>
  <body>
    <form-template>&#13;
	<fields>&#13;
		<field type="header" subtype="h2" label="Travel Planning Questionnaire"/>&#13;
		<field type="header" subtype="h3" label="Welcome!"/>&#13;
		<field type="paragraph" subtype="p" label="Thank you for considering Bridges Travel Co. to help plan your next adventure! Please complete this short questionnaire so I can begin creating a personalized vacation proposal just for you."/>&#13;
		<field type="header" subtype="h3" label="Contact Information"/>&#13;
		<field required="true"  type="text" label="First name" name="first-name" subtype="text" className="form-control"/>&#13;
		<field required="true"  type="text" label="Last name" name="last-name" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Preferred Name (optional)" name="preferred-name" subtype="text" className="form-control"/>&#13;
		<field required="true"  type="text" subtype="email" label="Email Address" name="email" className="form-control"/>&#13;
		<field type="text" subtype="tel" label="Phone Number" name="phone-number" className="form-control"/>&#13;
		<field type="radio-group" label="Preferred Method of Communication" name="preferred-method-of-communication" className="radio-group">&#13;
			<option label="Email" value="email">Email</option>&#13;
			<option label="Text" value="text">Text</option>&#13;
			<option label="Phone" value="phone">Phone</option>&#13;
		</field>&#13;
		<field type="header" subtype="h3" label="About Your Trip"/>&#13;
		<field type="checkbox-group" label="What type of vacation are you interested in?" name="vacation-type" other="true" className="checkbox-group">&#13;
			<option label="Cruise" value="cruise">Cruise</option>&#13;
			<option label="All-Inclusive Resort" value="all-inclusive-resort">All-Inclusive Resort</option>&#13;
			<option label="Disney Vacation" value="disney-vacation">Disney Vacation</option>&#13;
			<option label="Universal Orlando" value="universal-orlando">Universal Orlando</option>&#13;
			<option label="Hawaii" value="hawaii">Hawaii</option>&#13;
			<option label="Europe" value="europe">Europe</option>&#13;
			<option label="National Parks" value="national-parks">National Parks</option>&#13;
			<option label="Guided Tour" value="guided-tour">Guided Tour</option>&#13;
			<option label="Weekend Getaway" value="weekend-getaway">Weekend Getaway</option>&#13;
		</field>&#13;
		<field type="textarea" label="Where would you like to travel?" description="Do you have any destinations you&#39;re considering?" name="destination" className="form-control"/>&#13;
		<field type="checkbox-group" label="Is this trip celebrating a special occasion?" name="celebrating-occasion" other="true" className="checkbox-group">&#13;
			<option label="Birthday" value="birthday">Birthday</option>&#13;
			<option label="Anniversary" value="anniversary">Anniversary</option>&#13;
			<option label="Honeymoon" value="honeymoon">Honeymoon</option>&#13;
			<option label="Family Vacation" value="family-vacation">Family Vacation</option>&#13;
			<option label="Graduation" value="graduation">Graduation</option>&#13;
			<option label="Retirement" value="retirement">Retirement</option>&#13;
		</field>&#13;
		<field type="textarea" label="If yes, please tell me about it:" name="special-occasion-details" className="form-control"/>&#13;
		<field type="header" subtype="h3" label="Travel Details"/>&#13;
		<field type="textarea" label="Desired Travel Dates" name="desired-travel-dates" className="form-control"/>&#13;
		<field type="radio-group" label="Are your dates flexible?" name="dates-flexible" className="radio-group">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
		</field>&#13;
		<field type="text" label="Length of Trip" name="trip-length" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Departure Airport(s)" name="departure-airports" subtype="text" className="form-control"/>&#13;
		<field type="header" subtype="h3" label="Travelers"/>&#13;
		<field type="text" label="How many travelers?" name="number-of-travelers" subtype="text" className="form-control"/>&#13;
		<field type="textarea" label="Please list all Adults and Children (ages at travel), Anyone with mobility concerns or special accommodations?" name="traveler-list" className="form-control"/>&#13;
		<field type="header" subtype="h3" label="Budget"/>&#13;
		<field type="radio-group" label="What is your approximate vacation budget?" name="budget" className="radio-group">&#13;
			<option label="Under $2,000" value="under-2000">Under $2,000</option>&#13;
			<option label="$2,000-$4,000" value="2000-4000">$2,000-$4,000</option>&#13;
			<option label="$4,000-$6,000" value="4000-6000">$4,000-$6,000</option>&#13;
			<option label="$6,000-$8,000" value="6000-8000">$6,000-$8,000</option>&#13;
			<option label="$8,000+" value="8000-plus">$8,000+</option>&#13;
			<option label="Prefer not to say" value="prefer-not-to-say">Prefer not to say</option>&#13;
		</field>&#13;
		<field type="radio-group" label="Is this budget:" name="budget-type" className="radio-group">&#13;
			<option label="Per person" value="per-person">Per person</option>&#13;
			<option label="Total trip budget" value="total-trip-budget">Total trip budget</option>&#13;
		</field>&#13;
		<field type="header" subtype="h3" label="Travel Style"/>&#13;
		<field type="checkbox-group" label="What best describes your ideal vacation?" name="ideal-vacation-style" other="true" className="checkbox-group">&#13;
			<option label="Relaxing" value="relaxing">Relaxing</option>&#13;
			<option label="Adventure" value="adventure">Adventure</option>&#13;
			<option label="Sightseeing" value="sightseeing">Sightseeing</option>&#13;
			<option label="Luxury" value="luxury">Luxury</option>&#13;
			<option label="Family Fun" value="family-fun">Family Fun</option>&#13;
			<option label="Romantic" value="romantic">Romantic</option>&#13;
			<option label="Food &amp; Wine" value="food-and-wine">Food &amp; Wine</option>&#13;
			<option label="Theme Parks" value="theme-parks">Theme Parks</option>&#13;
			<option label="Nature" value="nature">Nature</option>&#13;
			<option label="Cultural Experiences" value="cultural-experiences">Cultural Experiences</option>&#13;
		</field>&#13;
		<field type="header" subtype="h3" label="Accommodations"/>&#13;
		<field type="text" label="Preferred room type (if known):" name="preferred-room-type" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Any hotel or cruise line preferences?" name="hotel-or-cruise-preferences" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Any brands you&#39;d like to avoid?" name="brands-to-avoid" subtype="text" className="form-control"/>&#13;
		<field type="header" subtype="h3" label="Extras"/>&#13;
		<field type="checkbox-group" label="Are you interested in help with:" name="extras-help" className="checkbox-group">&#13;
			<option label="Flights" value="flights">Flights</option>&#13;
			<option label="Hotels" value="hotels">Hotels</option>&#13;
			<option label="Cruises" value="cruises">Cruises</option>&#13;
			<option label="Transportation" value="transportation">Transportation</option>&#13;
			<option label="Travel Insurance" value="travel-insurance">Travel Insurance</option>&#13;
			<option label="Excursions &amp; Tours" value="excursions-and-tours">Excursions &amp; Tours</option>&#13;
			<option label="Dining Reservations" value="dining-reservations">Dining Reservations</option>&#13;
			<option label="Theme Park Planning" value="theme-park-planning">Theme Park Planning</option>&#13;
			<option label="Special Experiences" value="special-experiences">Special Experiences</option>&#13;
		</field>&#13;
		<field type="header" subtype="h3" label="Additional Information"/>&#13;
		<field type="textarea" label="Is there anything else you&#39;d like me to know while planning your trip?" name="additional-information" className="form-control"/>&#13;
		<field type="header" subtype="h3" label="Thank You!"/>&#13;
		<field type="paragraph" subtype="p" label="Thank you for taking the time to complete this inquiry form! I&#39;ll review your information and reach out within 1-2 business days to discuss your vacation and begin creating a personalized proposal.

I look forward to helping you connect your dreams to your destination!

Stephanie Bridges with Bridges Travel Co.- Connecting Dreams to Destination"/>&#13;
	</fields>&#13;
</form-template>
  </body>
</html>