<form-template> <fields> <field type="header" subtype="h2" label="Questions for your trip"/> <field type="header" subtype="h2" label="Full name"/> <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="Phone number" name="phone-number" subtype="text" className="form-control"/> <field type="text" required="true" label="Email" name="email" subtype="text" className="form-control"/> <field type="radio-group" required="true" label="Preferred method of communication" name="preferred-method-of-communication"> <option label="Email" value="email">Email</option> <option label="Phone" value="phone">Phone</option> </field> <field type="radio-group" required="true" label="Where would you like to go?" name="where-would-you-like-to-go" other="true"> <option label="Walt Disney World" value="walt-disney-world">Walt Disney World</option> <option label="Disneyland" value="disneyland">Disneyland</option> <option label="Universal Orlando Resort" value="universal-orlando-resort">Universal Orlando Resort</option> <option label="All-Inclusive Resort (Mexico/Caribbean)" value="allinclusive-resort-mexicocaribbean">All-Inclusive Resort (Mexico/Caribbean)</option> <option label="Hawaii" value="hawaii">Hawaii</option> <option label="Ocean Cruise" value="ocean-cruise">Ocean Cruise</option> <option label="Alaska Cruise" value="alaska-cruise">Alaska Cruise</option> <option label="River Cruise" value="river-cruise">River Cruise</option> <option label="Guided Group Tour" value="guided-group-tour">Guided Group Tour</option> <option label="Europe" value="europe">Europe</option> <option label="Private Custom Vacation Itinerary" value="private-custom-vacation-itinerary">Private Custom Vacation Itinerary</option> </field> <field type="date" required="true" 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"/> <field type="date" required="true" 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"/> <field type="checkbox-group" required="true" label="Are your dates flexible?" name="dates-flexible"> <option label="Yes" value="yes">Yes</option> <option label="No" value="no">No</option> </field> <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="radio-group" required="true" label="Purpose of Vacation" name="purpose-of-vacation" other="true"> <option label="Family Vacation" value="family-vacation">Family Vacation</option> <option label="Birthday" value="birthday">Birthday</option> <option label="Honeymoon" value="honeymoon">Honeymoon</option> <option label="Graduation" value="graduation">Graduation</option> <option label="Anniversary" value="anniversary">Anniversary</option> <option label="Family Reunion" value="family-reunion">Family Reunion</option> </field> <field type="textarea" required="true" label="Names and Dates of Birth for each traveler.&nbsp; Includes infants as well." name="names-and-dates-of-birth-for-each-traveler-includes-infants-as-well" subtype="textarea" className="form-control"/> <field type="radio-group" label="What best describes your hotel preference?" name="hotel-preference" other="true"> <option label="Value" value="value">Value</option> <option label="Moderate" value="moderate">Moderate</option> <option label="Deluxe" value="deluxe">Deluxe</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="Lots of activity" value="lots-of-activity">Lots of activity</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="Theme Park" value="theme-park">Theme Park</option> <option label="Beach and pool" value="beach-and-pool">Beach and pool</option> <option label="Scuba" value="scuba">Scuba</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> </field> <field type="text" label="Anything you absolutely must do or see?" name="must-dos" subtype="text" className="form-control"/> <field type="radio-group" required="true" 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" other="true"> <option label="$2,500 or less" value="2500-or-less">$2,500 or less</option> <option label="$6,000 or less" value="6000-or-less">$6,000 or less</option> <option label="$8,000 or less" value="8000-or-less">$8,000 or less</option> <option label="$10,000 or less" value="10000-or-less">$10,000 or less</option> <option label="$15,000+" value="15000">$15,000+</option> <option label="Whatever it takes" value="whatever-it-takes">Whatever it takes</option> </field> <field type="textarea" label="What else would you like us to know?&nbsp; Any special requests?" description="What else would you like me to know about your travelers budget and/or travel preferences?" name="notes" subtype="textarea" className="form-control"/> <field type="text" label="Please let us know who referred you so we can thank them!" name="please-let-us-know-who-referred-you-so-we-can-thank-them" subtype="text" className="form-control"/> </fields> </form-template>
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