Share your information with Angela LaScalea-Lewis

Angela LaScalea-Lewis

Ak Freedom Travel

<html>
  <body>
    <form-template>&#13;
	<fields>&#13;
		<field type="header" subtype="h2" label="✈️Travel Planning Questionnaire 🚗"/>&#13;
		<field type="paragraph" subtype="p" label="Hello! I&#39;m so excited to help you plan your next getaway. To get started, please fill out this quick questionnaire-- your answers will help me create a trip that is perfectly tailored to your travel style and needs. Once I receive I will reach out with the next steps."/>&#13;
		<field type="header" subtype="h2" label="🏖️Basic Info"/>&#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="Suffix" name="suffix" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Preferred name" name="preferred-name" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Address" name="address-line-1" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="City" name="address-city" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="State" name="address-state" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Zip" name="address-zip" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Country" name="address-country" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Email" name="email" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Phone number" name="phone-number" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Birthday, Anniversary&amp;nbsp;" name="birthday-anniversary-" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="First and Last Name of all other Travelers (excluding yourseld)" name="first-and-last-name-of-all-other-travelers-excluding-yourseld" subtype="text" className="form-control"/>&#13;
		<field type="header" subtype="h2" label="🎟️Trip Details"/>&#13;
		<field type="text" label="Desired Destination(s):" name="desired-destinations" 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?" name="ending-at" className="form-control"/>&#13;
		<field type="checkbox-group" label="Are your dates flexible?" name="dates-flexible">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
		</field>&#13;
		<field type="text" required="true" label="How many nights would you like to stay?" name="departure-city" subtype="text" className="form-control"/>&#13;
		<field type="header" subtype="h2" label="🏨Accommodations&amp;nbsp;"/>&#13;
		<field type="radio-group" required="true" label="Where do you prefer to stay?" name="where-do-you-prefer-to-stay" other="true">&#13;
			<option label="Hotel" value="hotel">Hotel</option>&#13;
			<option label="Resort" value="resort">Resort</option>&#13;
			<option label="Vacation rental" value="vacation-rental">Vacation rental</option>&#13;
			<option label="Cruise" value="cruise">Cruise</option>&#13;
			<option label="All-Inclusive" value="allinclusive">All-Inclusive</option>&#13;
		</field>&#13;
		<field type="radio-group" required="true" label="What best describes your room preference?" name="hotel-preference" other="true">&#13;
			<option label="King bed" value="king-bed">King bed</option>&#13;
			<option label="Double bed" value="double-bed">Double bed</option>&#13;
			<option label="Suite" value="suite">Suite</option>&#13;
			<option label="Balcony" value="balcony">Balcony</option>&#13;
			<option label="Ocean view" value="ocean-view">Ocean view</option>&#13;
		</field>&#13;
		<field type="text" required="true" label="Budget range per night (or total budget)" name="budget-range-per-night-or-total-budget" subtype="text" className="form-control"/>&#13;
		<field type="header" subtype="h2" label="🍴Dining &amp;amp; Extras"/>&#13;
		<field type="text" label="Are you celebrating anything special (birthday, anniversary, first visit, etc.)?" name="are-you-celebrating-anything-special-birthday-anniversary-first-visit-etc" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Any dietary needs or preferences?" name="any-dietary-needs-or-preferences" subtype="text" className="form-control"/>&#13;
		<field type="header" subtype="h2" label="💫Final Touches"/>&#13;
		<field type="radio-group" label="What kind of vacation vibe are you going for?" name="what-kind-of-vacation-vibe-are-you-going-for">&#13;
			<option label="Relaxed and easygoing" value="relaxed-and-easygoing">Relaxed and easygoing</option>&#13;
			<option label="Full park days, see it all!" value="full-park-days-see-it-all">Full park days, see it all!</option>&#13;
			<option label="A mix of both" value="a-mix-of-both">A mix of both</option>&#13;
		</field>&#13;
		<field type="textarea" label="Is there anything else I should know to make this trip magical?" 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>