<form-template>
	<fields>
		<field type="header" subtype="h1" label="Customer Information Form"/>
		<field type="paragraph" subtype="p" label="Please complete as much information as possible. This will help me understand more about the type of trip you want to take and things that you want to do."/>
		<field type="header" subtype="h2" label="Full Name"/>
		<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" required="true" label="Email address" name="email" subtype="text" className="form-control"/>
		<field type="text" label="Phone number" name="phone-number" subtype="text" className="form-control"/>
		<field type="header" subtype="h2" label="Address"/>
		<field type="text" required="true" label="Line 1" name="address-line-1" subtype="text" className="form-control"/>
		<field type="text" label="Line 2" name="address-line-2" subtype="text" className="form-control"/>
		<field type="text" required="true" label="City" name="address-city" subtype="text" className="form-control"/>
		<field type="text" required="true" label="State" name="address-state" subtype="text" className="form-control"/>
		<field type="text" required="true" label="Zip" name="address-zip" subtype="text" className="form-control"/>
		<field type="text" required="true" label="Country" name="address-country" subtype="text" className="form-control"/>
		<field type="header" subtype="h3" label="Passport"/>
		<field type="checkbox-group" required="true" label="Do you have a passport?" inline="true" name="do-you-have-a-passport">
			<option label="Yes" value="yes">Yes</option>
			<option label="No" value="no">No</option>
		</field>
		<field type="date" label="If yes, when does your passport expire?" name="if-yes-when-does-your-passport-expire" className="form-control"/>
		<field type="header" subtype="h2" label="Questions for your trip"/>
		<field type="text" label="Where would you like to go?" description="If you're not sure  just give me a few destinations you're considering." placeholder="ex: Tahiti" name="destination" subtype="text" className="form-control"/>
		<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"/>
		<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"/>
		<field type="checkbox-group" 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="number" required="true" label="Number of Adults?" description="How many adults (including you) are going on this trip?" name="number-of-travelers" min="1" max="99" className="form-control"/>
		<field type="text" label="Number of Children &amp;amp; Ages?" description="How many children are going on this trip? Include the ages of the children." placeholder="ex: 2 children  ages 5 and 10" name="number-of-children-ages" subtype="text" className="form-control"/>
		<field type="checkbox-group" label="Number of Hotel Rooms?" description="How many hotel rooms do you need?" inline="true" name="number-of-hotel-rooms" other="true">
			<option label="1" value="1">1</option>
			<option label="2" value="2">2</option>
			<option label="3" value="3">3</option>
			<option label="4" value="4">4</option>
		</field>
		<field type="radio-group" label="How much would you like to spend?" description="This just gives me a general starting point and can always be changed later." name="budget" other="true">
			<option label="$1,500 to $2,500" value="1500-to-2500">$1,500 to $2,500</option>
			<option label="$2,500 to $4,500" value="2500-4500">$2,500 to $4,500</option>
			<option label="$4,500 to $6,500" value="4500-6500">$4,500 to $6,500</option>
			<option label="$6,500 to $8,500" value="6500-8500">$6,500 to $8,500</option>
			<option label="$8,500 to $10,000" value="8500-10000">$8,500 to $10,000</option>
			<option label="$10,000+" value="">$10,000+</option>
		</field>
		<field type="checkbox-group" label="Travel Insurance?" description="Travel Insurance is strongly recommended  but not required. If no Travel Insurance, Waiver form is required." inline="true" name="travel-insurance">
			<option label="Yes" value="yes">Yes</option>
			<option label="No" value="no">No</option>
			<option label="What is Travel Insurance?" value="what-is-travel-insurance">What is Travel Insurance?</option>
		</field>
		<field type="header" subtype="h2" label="Air Travel"/>
		<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="textarea" label="What airlines have you flown with and enjoyed?" name="what-airlines-have-you-flown-with-and-enjoyed" subtype="textarea" className="form-control"/>
		<field type="radio-group" label="Seat Preference" name="seat-preference">
			<option label="Business Class" value="business-class">Business Class</option>
			<option label="Economy" value="economy">Economy</option>
			<option label="Extra Leg Room/Premium" value="extra-leg-roompremium">Extra Leg Room/Premium</option>
			<option label="First Class" value="first-class">First Class</option>
		</field>
		<field type="select" label="Additional Seat Preferences" description="Please select your preferences for the options below. We will select your preferences if they are available." name="additional-seat-preferences" multiple="true" className="form-control">
			<option label="Aisle" value="aisle">Aisle</option>
			<option label="Bulkhead" value="bulkhead">Bulkhead</option>
			<option label="Forward" value="forward">Forward</option>
			<option label="Middle" value="middle">Middle</option>
			<option label="Window" value="window">Window</option>
			<option label="Wing" value="wing">Wing</option>
		</field>
		<field type="header" subtype="h2" label="Hotel/Resort/Villa"/>
		<field type="textarea" label="What hotels, resorts or villas have you stayed at and enjoyed?" description="If there are any you would like to stay at  list those as well." name="notes" subtype="textarea" className="form-control"/>
		<field type="radio-group" label="Bed preference" description="What kind of bed do you prefer?" inline="true" name="bed-preference">
			<option label="King" value="king">King</option>
			<option label="Queen" value="queen">Queen</option>
			<option label="2 Queens" value="2-queens">2 Queens</option>
			<option label="2 Doubles" value="2-doubles">2 Doubles</option>
		</field>
		<field type="checkbox-group" label="Do you belong to a loyalty program for any Hotel/Resort/Villa?" inline="true" name="do-you-belong-to-a-loyalty-program-for-any-hotelresortvilla">
			<option label="Yes" value="yes">Yes</option>
			<option label="No" value="no">No</option>
		</field>
		<field type="header" subtype="h2" label="Car Rental"/>
		<field type="checkbox-group" label="Do you need a rental?" inline="true" name="do-you-need-a-rental">
			<option label="Yes" value="yes">Yes</option>
			<option label="No" value="no">No</option>
		</field>
		<field type="text" label="Are you a member of a Frequent Renter Program?" placeholder="(Frequent Renter Program)" name="car-preferences" subtype="text" className="form-control"/>
		<field type="radio-group" label="Car Category" inline="true" name="car-category" other="true">
			<option label="Compact" value="compact">Compact</option>
			<option label="Mid Size" value="mid-size">Mid Size</option>
			<option label="Full Size" value="full-size">Full Size</option>
			<option label="Luxury" value="luxury">Luxury</option>
		</field>
		<field type="text" label="Add Ons:" name="add-ons" subtype="text" className="form-control"/>
		<field type="header" subtype="h2" label="Package Tour"/>
		<field type="text" label="Country or Countries of Interest:" name="country-or-countries-of-interest" subtype="text" className="form-control"/>
		<field type="radio-group" label="Tour Type" name="tour-type">
			<option label="Escorted" value="escorted">Escorted</option>
			<option label="Independent" value="independent">Independent</option>
		</field>
		<field type="text" label="Activity Level:" name="activity-level" subtype="text" className="form-control"/>
		<field type="header" subtype="h2" label="Other Information"/>
		<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="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="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 type="textarea" label="List activities that you enjoy while traveling." name="list-activities-that-you-enjoy-while-traveling" subtype="textarea" className="form-control"/>
		<field type="textarea" label="Is there anything that you absolutely must do or see?" name="textarea-1609902899344" subtype="textarea" className="form-control"/>
		<field type="textarea" label="Is there any additional information you would like to include?" name="is-there-any-additional-information-you-would-like-to-include" subtype="textarea" className="form-control"/>
	</fields>
</form-template>