Share your information with Emma Terwilliger

Emma Terwilliger

Tailor-Made Travel

<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 type="text" required="true" label="Email" name="email" 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="Where would you like to go?" description="If you&#39;re not sure  just give me a few destinations you&#39;re considering." placeholder="ex: Tahiti" name="destination" 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="text" label="What is your departure city?" description="Where will you be flying from?" name="departure-city" subtype="text" className="form-control"/>&#13;
		<field type="radio-group" 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">&#13;
			<option label="$1,500 to $2,500" value="1500-2500">$1,500 to $2,500</option>&#13;
			<option label="$2,500 to $4,500" value="2500-4500">$2,500 to $4,500</option>&#13;
			<option label="$4,500 to $6,500" value="4500-6500">$4,500 to $6,500</option>&#13;
			<option label="$6,500 to $8,500" value="6500-8500">$6,500 to $8,500</option>&#13;
			<option label="$8,500 to $10,000" value="8500-10000">$8,500 to $10,000</option>&#13;
			<option label="$10,000+" value="10000">$10,000+</option>&#13;
		</field>&#13;
		<field type="radio-group" label="Is there a traveler(s) that is Active Military or Veteran?" name="is-there-a-travelers-that-is-active-military-or-veteran">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="No">No</option>&#13;
		</field>&#13;
		<field type="radio-group" label="Will you want to book flights and transfers?" name="will-you-want-to-book-flights-and-transfers" other="true">&#13;
			<option label="Flights" value="flights">Flights</option>&#13;
			<option label="Transfers" value="transfers">Transfers</option>&#13;
			<option label="Flights and Transfers" value="flights-and-transfers">Flights and Transfers</option>&#13;
			<option label="Hotel or Cruise only" value="hotel-or-cruise-only">Hotel or Cruise only</option>&#13;
			<option label="All-Inclusive (flights, transfers, and resort)" value="allinclusive-flights-transfers-and-resort">All-Inclusive (flights, transfers, and resort)</option>&#13;
		</field>&#13;
		<field type="radio-group" required="true" label="Will you be wanting Travel Insurance?" name="will-you-be-wanting-travel-insurance">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
			<option label="Maybe. Id like more information." value="maybe-id-like-more-information">Maybe. Id like more information.</option>&#13;
		</field>&#13;
		<field type="radio-group" label="What type of trip are you looking for?" name="what-type-of-trip-are-you-looking-for" other="true">&#13;
			<option label="Custom Itinerary (FIT)" value="custom-itinerary-fit">Custom Itinerary (FIT)</option>&#13;
			<option label="Cruise" value="cruise">Cruise</option>&#13;
			<option label="Disney " value="disney-">Disney </option>&#13;
			<option label="Group" value="group">Group</option>&#13;
			<option label="All Inclusive" value="all-inclusive">All Inclusive</option>&#13;
			<option label="Family" value="family">Family</option>&#13;
			<option label="Adult Only" value="adult-only">Adult Only</option>&#13;
		</field>&#13;
		<field type="text" label="If more than one idea or you checked other, please tell us your travel your looking for." name="if-more-than-one-idea-or-you-checked-other-please-tell-us-your-travel-your-looking-for" subtype="text" className="form-control"/>&#13;
		<field type="text" label="If interested in a cruise, what is your preferred cruise line? Also, please indicate if you have cruised with them before." name="if-interested-in-a-cruise-what-is-your-preferred-cruise-line" subtype="text" className="form-control"/>&#13;
		<field type="radio-group" label="If choosing a cruise, please select the cabin you are interested in:" name="if-choosing-a-cruise-please-select-the-cabin-you-are-interested-in">&#13;
			<option label="Interior" value="interior">Interior</option>&#13;
			<option label="Ocean View " value="ocean-view-">Ocean View </option>&#13;
			<option label="Balcony" value="balcony">Balcony</option>&#13;
			<option label="Suite" value="suite">Suite</option>&#13;
			<option label="Accessible Cabin" value="accessible-cabin">Accessible Cabin</option>&#13;
			<option label="not sure yet- I'd love guidance!" value="not-sure-yet-id-love-guidance">not sure yet- I'd love guidance!</option>&#13;
		</field>&#13;
		<field type="radio-group" label="What best describes your hotel preference?" name="hotel-preference" other="true">&#13;
			<option label="Economy" value="value">Economy</option>&#13;
			<option label="Moderate" value="moderate">Moderate</option>&#13;
			<option label="Luxury" value="luxury">Luxury</option>&#13;
			<option label="Boutique" value="boutique">Boutique</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="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;
		</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="Gambling" value="gambling">Gambling</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;
		</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?" 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>