<form-template>
	<fields>
		<field type="text" required="true" label="First name" name="first-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" name="email" subtype="text" className="form-control"/>
		<field type="text" required="true" label="Phone number" name="phone-number" subtype="text" className="form-control"/>
		<field type="header" subtype="h2" label="Questions for your trip"/>
		<field type="text" required="true" 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="where-would-you-like-to-go" subtype="text" className="form-control"/>
		<field type="text" required="true" label="What is the reason for this trip?" description="Anniversary  birthday  holiday  family reunion  just a getaway?" name="what-is-the-reason-for-this-trip" subtype="text" className="form-control"/>
		<field type="date" required="true" label="When would you like to depart?" description="This gives me a general idea of when you'd like to go; it can be changed later." name="when-would-you-like-to-depart" className="form-control"/>
		<field type="date" required="true" label="When would you like to return?" description="This gives me a general idea of when you'd like to go; it can be changed later." name="when-would-you-like-to-return" className="form-control"/>
		<field type="checkbox-group" label="Are your dates flexible?&amp;nbsp;" name="are-your-dates-flexible-">
			<option label="Yes" value="yes">Yes</option>
			<option label="No" value="no">No</option>
		</field>
		<field type="text" required="true" label="What is your departure airport?" description="Where will you be flying from?" name="what-is-your-departure-city" subtype="text" className="form-control"/>
		<field type="checkbox-group" required="true" label="What class do you prefer to fly?&amp;nbsp;" name="what-class-do-you-prefer-to-fly-">
			<option label="Business" value="business">Business</option>
			<option label="Premium Economy/Comfort" value="premium-economycomfort">Premium Economy/Comfort</option>
			<option label="Coach" value="coach">Coach</option>
		</field>
		<field type="text" required="true" label="Please provide names of all travelers and ages of children if applicable.&amp;nbsp;" name="how-many-travelers-" subtype="text" className="form-control"/>
		<field type="checkbox-group" required="true" label="What is your budget for all travelers, land only?&amp;nbsp;" description="This just gives me a general starting point and can always be changed later. Please give me your budget for land only (hotels, transfers and tours). Air should not be included." name="what-is-your-budget-for-all-travelers-">
			<option label="$10,000 to $12,000" value="10000-to-12000">$10,000 to $12,000</option>
			<option label="$12,000 to $15,000" value="12000-to-15000">$12,000 to $15,000</option>
			<option label="$15,000 too $20,000" value="15000-too-20000">$15,000 too $20,000</option>
			<option label="$20,000+" value="20000">$20,000+</option>
		</field>
		<field type="radio-group" required="true" label="What best describes your hotel preference?" name="hotel-preference" other="true">
			<option label="Moderate (4 star)" value="moderate-4-star">Moderate (4 star)</option>
			<option label="Boutique (4 + star)" value="boutique-4-star">Boutique (4 + star)</option>
			<option label="Luxury (5 star)" value="luxury-5-star">Luxury (5 star)</option>
		</field>
		<field type="radio-group" required="true" label="Bed preference" description="rooming arrangement and bed sizes that work best for your family" name="bed-preference" other="true">
			<option label="King" value="king">King</option>
			<option label="2 Double/Queen" value="2-doublequeen">2 Double/Queen</option>
			<option label="Connecting Rooms" value="connecting-rooms">Connecting Rooms</option>
			<option label="1 Bedroom Suite" value="1-bedroom-suite">1 Bedroom Suite</option>
			<option label="2 Bedroom Suite" value="2-bedroom-suite">2 Bedroom Suite</option>
		</field>
		<field type="text" required="true" label="What is your most essential hotel amenity or service?" description="Breakfast  spa  pool  fine dining  complimentary house car service etc." name="what-is-your-most-essential-hotel-amenity-or-service" subtype="text" className="form-control"/>
		<field type="checkbox-group" required="true" 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>
			<option label="Active " value="active-">Active </option>
			<option label="Adventure" value="adventure">Adventure</option>
		</field>
		<field type="checkbox-group" required="true" label="Which of these peaks your interest or helps define what makes you happy?" description="Check all that apply" name="activity-preferences" other="true">
			<option label="Beach and water" value="beach-and-water">Beach and water</option>
			<option label="Adventure activities" value="adventure">Adventure activities</option>
			<option label="Arts and theater" value="art-theater">Arts and theater</option>
			<option label="Adult Education" value="adult-education">Adult Education</option>
			<option label="Archaeology" value="archaeology">Archaeology</option>
			<option label="Ballooning" value="ballooning">Ballooning</option>
			<option label="Birding" value="birding">Birding</option>
			<option label="Climbing" value="climbing">Climbing</option>
			<option label="Cruise - Barge" value="cruise-barge">Cruise - Barge</option>
			<option label="Cruise - Expedition" value="cruise-expedition">Cruise - Expedition</option>
			<option label="Cruise -Ocean" value="cruise-ocean">Cruise -Ocean</option>
			<option label="Cruise - River" value="cruise-river">Cruise - River</option>
			<option label="Culture" value="culture">Culture</option>
			<option label="Escorted Tours" value="escorted-tours">Escorted Tours</option>
			<option label="Extreme Sports" value="extreme-sports">Extreme Sports</option>
			<option label="Family Travel" value="family-travel">Family Travel</option>
			<option label="Fishing" value="fishing">Fishing</option>
			<option label="Food/Wine" value="foodwine">Food/Wine</option>
			<option label="Gaming" value="gaming">Gaming</option>
			<option label="Gardens" value="gardens">Gardens</option>
			<option label="Golf" value="golf">Golf</option>
			<option label="Health &amp; Fitness" value="health-fitness">Health &amp; Fitness</option>
			<option label="Hiking" value="hiking">Hiking</option>
			<option label="History" value="history">History</option>
			<option label="Honeymoon" value="honeymoon">Honeymoon</option>
			<option label="Anniversary" value="anniversary">Anniversary</option>
			<option label="Hotels/Resorts" value="hotelsresorts">Hotels/Resorts</option>
			<option label="Multi-gen" value="multigen">Multi-gen</option>
			<option label="Music" value="music">Music</option>
			<option label="Naturalist" value="naturalist">Naturalist</option>
			<option label="Photography" value="photography">Photography</option>
			<option label="Private Jet" value="private-jet">Private Jet</option>
			<option label="Rafting/Kayak" value="raftingkayak">Rafting/Kayak</option>
			<option label="Rail Travel" value="rail-travel">Rail Travel</option>
			<option label="Ranch/Lodges" value="ranchlodges">Ranch/Lodges</option>
			<option label="Safari" value="safari">Safari</option>
			<option label="Sailing" value="sailing">Sailing</option>
			<option label="Snow Sports" value="snow-sports">Snow Sports</option>
			<option label="Spa" value="spa">Spa</option>
			<option label="Space Travel" value="space-travel">Space Travel</option>
			<option label="Sporting Events" value="sporting-events">Sporting Events</option>
			<option label="Sports Enthusiast" value="sports-enthusiast">Sports Enthusiast</option>
			<option label="Tennis" value="tennis">Tennis</option>
			<option label="Walking" value="walking">Walking</option>
			<option label="Watersports" value="watersports">Watersports</option>
			<option label="Wildlife" value="wildlife">Wildlife</option>
		</field>
		<field type="textarea" required="true" label="What experiences do you find most rewarding, fulfilling and memorable when you travel?" name="what-experiences-do-you-find-most-rewarding-fulfilling-and-memorable-when-you-travel" className="form-control"/>
		<field type="textarea" required="true" label="What is your most fond travel memory and why?" name="what-is-your-most-fond-travel-memory-and-why" className="form-control"/>
		<field type="text" required="true" label="Provide five words that describe your perfect vacation:" name="provide-five-words-that-describe-your-perfect-vacation" subtype="text" className="form-control"/>
		<field type="textarea" required="true" label="Briefly describe what influences your travel decisions:" name="briefly-describe-what-influences-your-travel-decisions" className="form-control"/>
		<field type="textarea" required="true" label="Ways that you and your travel companion(s) differ in how you like to spend your days:" name="ways-that-you-and-your-travel-companions-differ-in-how-you-like-to-spend-your-days" className="form-control"/>
		<field type="textarea" required="true" label="When you have a free day how do you like to spend your time?" description="Cooking  reading  watching movies  shopping  working out etc." name="when-you-have-a-free-day-how-do-you-like-to-spend-your-time" className="form-control"/>
		<field type="text" required="true" label="How would you describe your personal style?" name="how-would-you-describe-your-personal-style" subtype="text" className="form-control"/>
		<field type="text" required="true" label="What is your biggest travel pet peeve?" name="what-is-your-biggest-travel-pet-peeve" subtype="text" className="form-control"/>
		<field type="text" required="true" label="Is there anything you find unsettling?" description="small planes  insects  crowds etc" name="is-there-anything-you-find-unsettling" subtype="text" className="form-control"/>
		<field type="radio-group" required="true" label="On a scale of 1-5 (5 being most important) please rate your priority for a beautiful hotel" inline="true" name="on-a-scale-of-15-5-being-most-important-please-rate-your-priority-for-a-beautiful-hotel">
			<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>
			<option label="5" value="5">5</option>
		</field>
		<field type="radio-group" required="true" label="On a scale of 1-5 (5 being most important) please rate your priority for cultural immersion:" inline="true" name="on-a-scale-of-15-5-being-most-important-please-rate-your-priority-for-cultural-immersion">
			<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>
			<option label="5" value="5">5</option>
		</field>
		<field type="radio-group" required="true" label="On a scale of 1-5 (5 being most important) please rate your priority for perfect weather" inline="true" name="on-a-scale-of-15-5-being-most-important-please-rate-your-priority-for-perfect-weather">
			<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>
			<option label="5" value="5">5</option>
		</field>
		<field type="radio-group" required="true" label="On a scale of 1-5 (5 being most important) please rate your priority for world class dining experiences" inline="true" name="on-a-scale-of-15-5-being-most-important-please-rate-your-priority-for-world-class-dining-experiences">
			<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>
			<option label="5" value="5">5</option>
		</field>
		<field type="radio-group" required="true" label="On a scale of 1-5 (5 being most important) please rate your priority for spa, wellness &amp;amp; relaxation" inline="true" name="on-a-scale-of-15-5-being-most-important-please-rate-your-priority-for-spa-wellness-relaxation">
			<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>
			<option label="5" value="5">5</option>
		</field>
		<field type="checkbox-group" required="true" label="When &quot;touring&quot;:" name="when-touring">
			<option label="You enjoy having a guide who can show you the important sites without having to navigate on your own" value="you-enjoy-having-a-guide-who-can-show-you-the-important-sites-without-having-to-navigate-on-your-own">You enjoy having a guide who can show you the important sites without having to navigate on your own</option>
			<option label="You like to rent a car and use maps/guidebooks to find  your way and don't mind &quot;getting lost&quot; as it's part of the experience" value="you-like-to-rent-a-car-and-use-mapsguidebooks-to-find-your-way-and-dont-mind-getting-lost-as-its-part-of-the-experience">You like to rent a car and use maps/guidebooks to find  your way and don't mind "getting lost" as it's part of the experience</option>
		</field>
		<field type="checkbox-group" required="true" label="What level of activity do you prefer and what is your fitness level?" name="what-level-of-activity-do-you-prefer-and-what-is-your-fitness-level">
			<option label="Minimal" value="minimal">Minimal</option>
			<option label="Moderate" value="moderate">Moderate</option>
			<option label="Active" value="active">Active</option>
			<option label="Very Active" value="very-active">Very Active</option>
		</field>
		<field type="textarea" required="true" label="How many hours a day would you be comfortable out walking?" description="Would you mind walking 1 hour to a fascinating village or beautiful waterfall  and then walking 1 hour back? Would 2 hours in each direction be too much?" name="how-many-hours-a-day-would-you-be-comfortable-out-walking" className="form-control"/>
		<field type="checkbox-group" required="true" label="Which of the following statements describes you best?" name="which-of-the-following-statements-describes-you-best">
			<option label="Cold beer in flip flops" value="cold-beer-in-flip-flops">Cold beer in flip flops</option>
			<option label="Sport coat with a great bottle of wine" value="sport-coat-with-a-great-bottle-of-wine">Sport coat with a great bottle of wine</option>
			<option label="Other" value="other">Other</option>
		</field>
		<field type="textarea" required="true" label="Where do you dream of traveling?" description="List all destinations/countries you want to visit" name="where-do-you-dream-of-traveling" className="form-control"/>
		<field type="text" required="true" label="Favorite beverages (both alcoholic and non-alcoholic):" name="favorite-beverages-both-alcoholic-and-nonalcoholic" subtype="text" className="form-control"/>
		<field type="textarea" required="true" label="What are your hobbies?" description="Shopping/collecting/photography/cooking/music" name="what-are-your-hobbies" className="form-control"/>
		<field type="textarea" required="true" label="If traveling with children what are their favorite subjects/hobbies/interests?" name="if-traveling-with-children-what-are-their-favorite-subjectshobbiesinterests" className="form-control"/>
		<field type="text" required="true" label="What is your favorite indulgence?" name="what-is-your-favorite-indulgence" subtype="text" className="form-control"/>
		<field type="textarea" required="true" label="What is your most memorable meal (details please!)" name="what-is-your-most-memorable-meal-details-please" className="form-control"/>
		<field type="textarea" required="true" label="What else would you like me to know? Please, share any details you feel would be helpful when we collaborate on your travel plans. My aim is to provide the highest level of personalized service possible!" description="What else would you like me to know about your travelers  budget and/or travel preferences?" name="notes" className="form-control"/>
		<field type="checkbox-group" required="true" label="Sign up to receive exclusive offers, and all the latest travel news and inspiration right to your inbox." description="We won't send you spam. Unsubscribe at any time." inline="true" name="sign-up-to-receive-exclusive-offers-and-all-the-latest-travel-news-and-inspiration-right-to-your-inbox">
			<option label="Yes" value="yes">Yes</option>
			<option label="No" value="no">No</option>
		</field>
	</fields>
</form-template>