Share your information with Christy Benton

Christy Benton

The Travel Escapes

<html>
  <body>
    <form-template>&#13;
	<fields>&#13;
		<field type="header" subtype="h2" label="Questions for your trip"/>&#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 required="true"  type="text" 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="text" required="true" label="Do you know where you would like to go (or need my help with suggestions)?" description="If you&#39;re not sure  just give me a few destinations you&#39;re considering." placeholder="ex: Caribbean  Disney,etc" name="destination" subtype="text" className="form-control"/>&#13;
		<field type="text" label="How many nights would you like the trip to be?" name="text-1749595396611" subtype="text" className="form-control"/>&#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" 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="Who will be going on this trip with you?" placeholder="ex: My Spouse  My son  Girls Trip  etc." name="text-1744049955432" 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="text" label="Ages of travelers?" name="text-1749595495337" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Is this trip for a special occasion?" description="Honeymoon  Anniversary?" name="departure-city" subtype="text" className="form-control"/>&#13;
		<field type="radio-group" label="What budget range (before flights)?" description="This just gives me a general starting point and can always be changed later." name="budget">&#13;
			<option label="$4000-$4500" value="40004500" selected="selected">$4000-$4500</option>&#13;
			<option label="$5000-$6500" value="50006500">$5000-$6500</option>&#13;
			<option label="$6500 to $8500" value="6500-to-8500">$6500 to $8500</option>&#13;
			<option label="$8500 to $10000" value="8500-to-10000">$8500 to $10000</option>&#13;
			<option label="$10,000+" value="10000">$10,000+</option>&#13;
		</field>&#13;
		<field type="select" label="Would you like me to quote current flight pricing for you?" name="would-you-like-me-to-include-flights-in-your-quotes" className="form-control">&#13;
			<option label="Yes, please quote flights" value="yes-please-quote-flights">Yes, please quote flights</option>&#13;
			<option label="No, we will book flights (we use points)" value="no-we-will-book-flights-we-use-points">No, we will book flights (we use points)</option>&#13;
			<option label="Maybe Later, just resort quote now" value="maybe-later-just-resort-quote-now">Maybe Later, just resort quote now</option>&#13;
			<option label="No flights need for this trip" value="no-flights-need-for-this-trip">No flights need for this trip</option>&#13;
		</field>&#13;
		<field type="text" label="What is your departure city?" description="Where will you be flying from?" name="text-1745609129467" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Are any traveler&#39;s military, police, or first responders" description="some resorts offer discounts for military and first responders" name="text-1761238272626" subtype="text" className="form-control"/>&#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;
			<option label="Vacation with Adult children" value="vacation-with-adult-children">Vacation with Adult children</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="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;
			<option label="Theme parks/Disney/Universal" value="theme-parksdisneyuniversal">Theme parks/Disney/Universal</option>&#13;
		</field>&#13;
		<field type="text" label="Anything you absolutely must do or see?" name="must-dos" subtype="text" className="form-control"/>&#13;
		<field type="textarea" label="What else would you like me to know? Describe what you envision for this trip." description="What else would you like me to know about your travelers  budget and/or travel preferences?" name="notes" rows="4" className="form-control"/>&#13;
	</fields>&#13;
</form-template>
  </body>
</html>