Share your information with Suzanne Stowe

Suzanne Stowe

<html>
  <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="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="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="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="text" label="How many travelers?" name="number-of-travelers" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Ages of each traveler at time of travel" name="text-1745782376382" subtype="text" className="form-control"/>&#13;
		<field type="radio-group" label="What is your budget overall?" 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="What best describes your hotel preference?" name="hotel-preference" other="true">&#13;
			<option label="Value" value="value">Value</option>&#13;
			<option label="Moderate" value="moderate">Moderate</option>&#13;
			<option label="Deluxe" value="deluxe">Deluxe</option>&#13;
			<option label="Deluxe Villa" value="deluxe-villa">Deluxe Villa</option>&#13;
			<option label="Cruise" value="cruise">Cruise</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 property" value="off-property">Off property</option>&#13;
			<option label="On property" value="on-property">On property</option>&#13;
			<option label="Family friendly" value="family-friendly">Family friendly</option>&#13;
			<option label="Sophisticated decor" value="sophisticated-decor">Sophisticated decor</option>&#13;
			<option label="Disney theming" value="disney-theming">Disney theming</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="Pools" value="pools">Pools</option>&#13;
			<option label="Character dining" value="character-dining">Character dining</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="Shopping" value="shopping">Shopping</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;
		<field type="text" label="How many days would you like to spend at the parks?" name="text-1755992083631" subtype="text" className="form-control"/>&#13;
		<field type="radio-group" required="true" label="How much do you know about Disney?" name="radio-group-1764533714824">&#13;
			<option label="Nothing, I need all the help! " value="nothing-i-need-all-the-help-">Nothing, I need all the help! </option>&#13;
			<option label="A little but I've never been before" value="a-little-but-ive-never-been-before">A little but I've never been before</option>&#13;
			<option label="I'm a pro! " value="im-a-pro-">I'm a pro! </option>&#13;
			<option label="I don't even know what I don't know" value="i-dont-even-know-what-i-dont-know">I don't even know what I don't know</option>&#13;
		</field>&#13;
		<field type="checkbox-group" label="Are you interested in park hopping (multiple parks per day)?" name="checkbox-group-1767830115007">&#13;
			<option label="Yes!" value="yes">Yes!</option>&#13;
			<option label="No, just one park per day" value="no-just-one-park-per-day">No, just one park per day</option>&#13;
			<option label="I’m not sure! " value="im-not-sure-">I’m not sure! </option>&#13;
		</field>&#13;
	</fields>&#13;
</form-template>
  </body>
</html>