Pressley Esquivel

My Live Love Travel

<html>
  <body>
    <form-template>
	<fields><field type="text" subtype="text" required="true" label="First name" className="form-control" name="first-name"></field><field type="text" subtype="text" required="true" label="Last name" className="form-control" name="last-name"></field><field type="text" subtype="text" required="true" label="Email" className="form-control" name="email"></field>
		<field label="Questions for your trip" subtype="h2" type="header"/>
		<field label="Phone number" name="phone-number" subtype="text" type="text" className="form-control"/>
		<field description="If you're not sure  just give me a few destinations you're considering." label="Where would you like to go?" name="destination" placeholder="ex: Tahiti" subtype="text" type="text" className="form-control"/>
		<field description="This just gives me a general idea of when you like to go; it can be changed later." label="When would you like to depart?" name="starting-at" type="date" className="form-control"/>
		<field description="This just gives me a general idea of when you like to return; it can be changed later." label="When would you like to return?" name="ending-at" type="date" className="form-control"/>
		<field label="Are your dates flexible?" name="dates-flexible" type="checkbox-group">
			<option label="Yes" value="yes">Yes</option>
		</field>
		<field description="Where will you be flying from?" label="What is your departure city?" name="departure-city" subtype="text" type="text" className="form-control"/>
		<field label="How many travelers?" name="number-of-travelers" type="text" className="form-control"/>
		<field label="What best describes your hotel preference?" name="hotel-preference" other="true" type="radio-group">
			<option label="Economy" value="value">Economy</option>
			<option label="Moderate" value="moderate">Moderate</option>
			<option label="Luxury" value="luxury">Luxury</option>
			<option label="Boutique" value="boutique">Boutique</option>
		</field>
		<field description="Check all that apply." label="What kind of vibe are you looking for?" name="vibe-preference" other="true" type="checkbox-group">
			<option label="Romantic" value="romantic">Romantic</option>
			<option label="Rest and relaxation" value="rest-and-relaxation">Rest and relaxation</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 description="Check all that apply" label="What activities are you interested in?" name="activity-preferences" other="true" type="checkbox-group">
			<option label="Beach and water" value="beach-water">Beach and water</option>
			<option label="Gambling" value="gambling">Gambling</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 label="Anything you absolutely must do or see?" name="must-dos" subtype="text" type="text" className="form-control"/>
		<field description="What else would you like me to know about your travelers  budget and/or travel preferences?" label="What else would you like me to know?" name="notes" subtype="textarea" type="textarea" className="form-control"/>
	</fields>
</form-template>
  </body>
</html>