<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 type="header" subtype="h2" label="Travel Interest Survey"/> <field type="paragraph" subtype="blockquote" label="Thanks so much for your interest in Whitacre Travel! Can you tell me a little bit about your travel interests?"/> <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> </field> <field type="textarea" label="Tell us more about your date flexibility..." name="tell-us-more-about-your-date-flexibility" className="form-control"/> <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="header" subtype="h2" label="What kind of trip are you thinking of?"/> <field type="paragraph" subtype="blockquote" label="Independent sightseeing?&nbsp; Guided tours?&nbsp; R &amp; R or constant nightlife?&nbsp; Tell us a little about where you'd like to go and what kind of experience you're interested in once you get there!"/> <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: London" name="destination" subtype="text" className="form-control"/> <field type="textarea" label="Want to elaborate on where your imagination is taking you?&nbsp; Tea time in London, or exploring the Irish countryside?" name="want-to-elaborate-on-where-your-imagination-is-taking-you-tea-time-in-london-or-exploring-the-irish-countryside" className="form-control"/> <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="Adventure activities" value="adventure">Adventure activities</option> <option label="Castles" value="castles">Castles</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> <option label="Outdoor (hiking, biking)" value="outdoor-hiking-biking">Outdoor (hiking, biking)</option> <option label="Historical Sites" value="historical-sites">Historical Sites</option> <option label="Beach and water" value="beach-water">Beach and water</option> <option label="Cathedrals" value="cathedrals">Cathedrals</option> <option label="Museums" value="museums">Museums</option> <option label="Winter Sports" value="winter-sports">Winter Sports</option> </field> <field type="header" subtype="h2" label="Booking Details"/> <field type="checkbox-group" label="What would you like included in your booking?" description="check all that apply!" inline="true" name="what-would-you-like-included-in-your-booking" other="true"> <option label="Air" value="air">Air</option> <option label="Airport Transfers" value="airport-transfers">Airport Transfers</option> <option label="Car Rental" value="car-rental">Car Rental</option> <option label="Rail" value="rail">Rail</option> <option label="Hotel/Resort" value="hotelresort">Hotel/Resort</option> <option label="Activities" value="activities">Activities</option> <option label="Meals Included" value="meals-included">Meals Included</option> <option label="Tips Included" value="tips-included">Tips Included</option> <option label="Group Tours" value="group-tours">Group Tours</option> <option label="Private Tours" value="private-tours">Private Tours</option> </field> <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"> <option label="Under $5,000" value="under-5000">Under $5,000</option> <option label="$5,000 to $10,000" value="5000-to-10000">$5,000 to $10,000</option> <option label="$10,000 to $50,000" value="10000-to-50000">$10,000 to $50,000</option> <option label="$50,000 to $100,000" value="50000-to-100000">$50,000 to $100,000</option> <option label="$100,000+" value="100000">$100,000+</option> </field> <field type="radio-group" label="What best describes your hotel preference?" name="hotel-preference" other="true"> <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 type="checkbox-group" label="View Preference?" name="view-preference" other="true"> <option label="City Views" value="city-views">City Views</option> <option label="Oceanview" value="oceanview">Oceanview</option> <option label="Oceanfront" value="oceanfront">Oceanfront</option> <option label="Garden" value="garden">Garden</option> </field> <field type="checkbox-group" label="If applicable, what size car rental will you need? Not sure? Read more on car rental sizes: http://traveltips.usatoday.com/rental-car-size-guide-107293.html" inline="true" name="if-applicable-what-size-car-rental-will-you-need" other="true"> <option label="Compact/Economy" value="compacteconomy">Compact/Economy</option> <option label="Standard" value="standard">Standard</option> <option label="Full Size" value="full-size">Full Size</option> <option label="SUV/Van/Pickup" value="suvvanpickup">SUV/Van/Pickup</option> <option label="Luxury" value="luxury">Luxury</option> </field> <field type="textarea" label="Anything else you'd like to share on your budget?" name="anything-else-youd-like-to-share-on-your-budget" className="form-control"/> <field type="header" subtype="h2" label="Party Details"/> <field type="text" label="How many travelers?" name="number-of-travelers" value="1" subtype="text" className="form-control"/> <field type="checkbox-group" label="Our party includes:" description="check all that apply!" inline="true" name="our-party-includes"> <option label="Infant/ Toddler" value="infant-toddler">Infant/ Toddler</option> <option label="Children (under 13)" value="children-under-13">Children (under 13)</option> <option label="Teens (13-19)" value="teens-1319">Teens (13-19)</option> <option label="Adults (20-59)" value="adults-2059">Adults (20-59)</option> <option label="Seniors (60+ years young)" value="seniors-60-years-young">Seniors (60+ years young)</option> <option label="People who require physical accommodations" value="people-who-require-physical-accommodations">People who require physical accommodations</option> <option label="Veterans/ Military" value="veterans-military">Veterans/ Military</option> <option label="Fire/ Police" value="fire-police">Fire/ Police</option> </field> <field type="checkbox-group" label="Traveling for a special occasion?" inline="true" name="traveling-for-a-special-occasion" other="true"> <option label="Birthday" value="birthday">Birthday</option> <option label="Anniversary" value="anniversary">Anniversary</option> <option label="Honeymoon" value="honeymoon">Honeymoon</option> <option label="Destination Wedding" value="destination-wedding">Destination Wedding</option> <option label="Destination Beachelor/Bachelorette Party" value="destination-beachelorbachelorette-party">Destination Beachelor/Bachelorette Party</option> <option label="Family Reunion" value="family-reunion">Family Reunion</option> <option label="Company Incentive/Reward Travel" value="company-incentivereward-travel">Company Incentive/Reward Travel</option> </field> <field type="textarea" label="Do you need a crib in your room or any other special accommodations?" name="do-you-need-a-crib-in-your-room-or-any-other-special-accommodations" className="form-control"/> <field type="textarea" label="How many children and what ages (at time of travel)?" name="how-many-children-and-what-ages-at-time-of-travel" className="form-control"/> <field type="textarea" label="How many teens and what ages (at time of travel)?" name="how-many-teens-and-what-ages-at-time-of-travel" className="form-control"/> <field type="textarea" label="How many seniors?" name="how-many-seniors" className="form-control"/> <field type="textarea" label="Please elaborate on the kind of accommodation your traveler(s) require? (Visual? Auditory? Mobility Issues/ wheelchair use?)" name="please-elaborate-on-the-kind-of-accommodation-your-travelers-require-visual-auditory-mobility-issues-wheelchair-use" className="form-control"/> <field type="header" subtype="h2" label="Final Thoughts"/> <field type="textarea" label="Are we missing anything? What else would you like us to know about your party, budget and/or travel preferences?" name="notes" className="form-control"/> <field type="select" label="I prefer to be contacted by" name="i-prefer-to-be-contacted-by" className="form-control"> <option label="Email" value="email">Email</option> <option label="Phone" value="phone">Phone</option> <option label="Text" value="text">Text</option> <option label="Any" value="any">Any</option> </field> <field type="text" label="Phone number (if you prefer phone or text contact)" name="phone-number" subtype="text" className="form-control"/> </fields> </form-template> </body> </html>
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