Share your information with Melissa Thornton

Melissa Thornton

Travel By Melissa

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  <body>
    <form-template>&#13;
	<fields><field type="text" subtype="text" required="true" label="Email" className="form-control" name="email"></field>&#13;
		<field type="header" subtype="h2" label="Questions for your trip"/>&#13;
		<field type="header" subtype="h2" label="Full name"/>&#13;
		<field type="text" label="Prefix" name="prefix" subtype="text" className="form-control"/>&#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="Preferred name" name="preferred-name" 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="radio-group" required="true" label="What planning stage are you in?" name="what-planning-stage-are-you-in">&#13;
			<option label="Just looking at options" value="just-looking-at-options">Just looking at options</option>&#13;
			<option label="Would like to book in next month or so" value="would-like-to-book-in-next-month-or-so">Would like to book in next month or so</option>&#13;
			<option label="Would like to book in next few weeks" value="would-like-to-book-in-next-few-weeks">Would like to book in next few weeks</option>&#13;
			<option label="I'm ready to book!" value="im-ready-to-book">I'm ready to book!</option>&#13;
		</field>&#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 would like to return; it can be changed later." 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;
			<option label="No" value="no">No</option>&#13;
		</field>&#13;
		<field type="radio-group" required="true" label="Do you need airline tickets?" name="do-you-need-airline-tickets">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
			<option label="Undecided" value="undecided">Undecided</option>&#13;
		</field>&#13;
		<field type="text" label="&amp;nbsp;What is your departure city?" description="Where will you be flying from?" name="departure-city" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="How many travelers?" name="number-of-travelers" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Are any of your travelers children?" name="are-any-of-your-travelers-children" subtype="text" className="form-control"/>&#13;
		<field type="text" label="If yes, what are their dates of birth?" name="if-yes-what-are-their-ages" subtype="text" className="form-control"/>&#13;
		<field type="radio-group" required="true" label="Do ALL travelers have a valid passport? (Does not expire within 6 months of travel)" name="do-all-travelers-have-a-valid-passport-does-not-expire-within-6-months-of-travel">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
		</field>&#13;
		<field type="radio-group" required="true" 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;
			<option label="Undecided" value="undecided">Undecided</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="radio-group" required="true" label="What room category would you prefer?" name="what-room-category-would-you-prefer">&#13;
			<option label="Standard Room" value="standard-room">Standard Room</option>&#13;
			<option label="Partial Ocean View" value="partial-ocean-view">Partial Ocean View</option>&#13;
			<option label="Ocean View" value="ocean-view">Ocean View</option>&#13;
			<option label="Elevated Experience (Elite, Preferred)" value="elevated-experience-elite-preferred">Elevated Experience (Elite, Preferred)</option>&#13;
		</field>&#13;
		<field type="checkbox-group" label="What kind of vibe are you looking for? (you can select multiple options)" 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;
			<option label="Adults-only" value="adultsonly">Adults-only</option>&#13;
		</field>&#13;
		<field type="text" label="If you selected other above,&amp;nbsp; please elaborate" name="if-you-selected-other-above-please-elaborate" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Anything you absolutely must do or see? Excursions you want to do?" name="must-dos" subtype="text" className="form-control"/>&#13;
		<field type="textarea" label="What else would you like me to know? Is your trip for a special occasion?" description="What else would you like me to know about your travelers  budget and/or travel preferences?" name="notes" className="form-control"/>&#13;
		<field type="radio-group" label="How did you hear about Travel By Melissa?" name="how-did-you-hear-about-travel-by-melissa">&#13;
			<option label="Facebook Group" value="facebook-group">Facebook Group</option>&#13;
			<option label="Google Search" value="google-search">Google Search</option>&#13;
			<option label="Facebook Ad" value="facebook-ad">Facebook Ad</option>&#13;
			<option label="Friend or Family Referral" value="friend-or-family-referral">Friend or Family Referral</option>&#13;
			<option label="Other" value="other">Other</option>&#13;
		</field>&#13;
		<field type="textarea" label="Where have you stayed that you enjoyed? What did you like about it?" name="textarea-1748714300385" className="form-control"/>&#13;
	</fields>&#13;
</form-template>
  </body>
</html>