Share your information with Kate Eback

Kate Eback

Bellhop and Beyond

<html>
  <body>
    <form-template>&#13;
	<fields>&#13;
		<field type="header" subtype="h2" label="Full name"/>&#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 type="text" label="Preferred name" description="Please indicate if there is name you prefer to be referred to." name="preferred-name" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Email" placeholder="sample@example.com" 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="header" subtype="h2" label="Questions for your trip"/>&#13;
		<field type="text" required="true" label="Where would you like to go?" description="Please include main location of the trip. Other theme parks or locations can be added later." placeholder="ex. Walt Disney World  Florida" name="destination" subtype="text" className="form-control"/>&#13;
		<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"/>&#13;
		<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"/>&#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="How many total travelers?" description="Please use numericals (ex. 1  2  etc.)." name="number-of-travelers" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="How many adult travelers?" placeholder="Ex. 1, 2, etc. " name="text-1783893546032" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="How many child travelers and ages at time of travel?" placeholder="Ex. 2 children, ages 8 and 11" name="text-1783894151612" subtype="text" className="form-control"/>&#13;
		<field type="radio-group" required="true" label="What is your budget currently?" description="This just gives me a general starting point and can always be changed later." name="budget">&#13;
			<option label="$2,000 to $3,500" value="2000-to-3500">$2,000 to $3,500</option>&#13;
			<option label="$3,500 to $5,500" value="3500-to-5500">$3,500 to $5,500</option>&#13;
			<option label="$5,500 to $7,500" value="5500-to-7500">$5,500 to $7,500</option>&#13;
			<option label="$7,500 to $10,000" value="7500-to-10000">$7,500 to $10,000</option>&#13;
			<option label="$10,000+" value="10000">$10,000+</option>&#13;
		</field>&#13;
		<field type="radio-group" required="true" label="What best describes your hotel preference?" description="Value Resorts focus on affordability  Moderate Resorts balance price and amenities  and Deluxe Resorts provide the most luxurious accommodations and conveniences." name="hotel-preference">&#13;
			<option label="Value" value="value">Value</option>&#13;
			<option label="Moderate" value="moderate">Moderate</option>&#13;
			<option label="Deluxe" value="deluxe">Deluxe</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="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" required="true" label="What activities are you interested in?" description="Select al that apply." toggle="true" name="activity-preferences" other="true">&#13;
			<option label="Waterparks" value="waterparks">Waterparks</option>&#13;
			<option label="Classic Rides" value="classic-rides">Classic Rides</option>&#13;
			<option label="Thrill Seeking Rides" value="thrill-seeking-rides">Thrill Seeking Rides</option>&#13;
			<option label="Parades" value="parades">Parades</option>&#13;
			<option label="Fireworks" value="fireworks">Fireworks</option>&#13;
			<option label="Character Meet and Greets" value="character-meet-and-greets">Character Meet and Greets</option>&#13;
			<option label="Park Shows" value="park-shows">Park Shows</option>&#13;
			<option label="Pool/Resort Time" value="poolresort-time">Pool/Resort Time</option>&#13;
			<option label="Disney" value="disney">Disney</option>&#13;
			<option label="Star Wars" value="star-wars">Star Wars</option>&#13;
			<option label="Marvel" value="marvel">Marvel</option>&#13;
			<option label="Harry Potter" value="harry-potter">Harry Potter</option>&#13;
			<option label="Mario" value="mario">Mario</option>&#13;
			<option label="Universal" value="universal">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="text" label="Are there any questions, concerns, or requests I should take into consideration as I plan your visit? (Disability access, stroller questions, transportation concerns, etc.)" name="text-1783893957669" subtype="text" className="form-control"/>&#13;
		<field type="textarea" label="What else would you like me to know?" description="What else would you like me to know about your travelers  budget and/or travel preferences?" name="notes" className="form-control"/>&#13;
	</fields>&#13;
</form-template>
  </body>
</html>