<form-template>
	<fields>
		<field type="header" subtype="h2" label="Full name"/>
		<field type="text" label="Prefix" name="prefix" subtype="text" className="form-control"/>
		<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" label="Preferred name" name="preferred-name" subtype="text" className="form-control"/>
		<field required="true"  type="text" label="Email" name="email" subtype="text" className="form-control"/>
		<field type="text" label="Phone number" name="phone-number" subtype="text" className="form-control"/>
		<field type="header" subtype="h1" label="Questions about your goals with group travel:"/>
		<field type="radio-group" label="Which of the following describes you best?" description="*Choose one" name="which-of-the-following-describes-you-best">
			<option label="Travel Ambassador: I want to travel with a group of my friends  and earn a free trip for myself" value="travel-ambassador-i-want-to-travel-with-a-group-of-my-friends-and-earn-a-free-trip-for-myself" selected="true">Travel Ambassador: I want to travel with a group of my friends  and earn a free trip for myself</option>
			<option label="Business Leader: I want to take a group of people that follow my business to encourage brand loyalty, connections, and generate revenue" value="business-leader-i-want-to-take-a-group-of-people-that-follow-my-business-to-encourage-brand-loyalty-connections-and-generate-revenue">Business Leader: I want to take a group of people that follow my business to encourage brand loyalty, connections, and generate revenue</option>
			<option label="Non-profit Leader: I want to take a group of people who care about my non-profit's cause to encourage giving,  build bonds, and raise funds for my cause" value="nonprofit-leader-i-want-to-take-a-group-of-people-who-care-about-my-nonprofits-cause-to-encourage-giving-build-bonds-and-raise-funds-for-my-cause">Non-profit Leader: I want to take a group of people who care about my non-profit's cause to encourage giving,  build bonds, and raise funds for my cause</option>
			<option label="Affinity Group Leader: I want to take a group of people  who share an interest in a hobby/passion to see the world with like-minded people, while  earning a free trip for myself" value="affinity-group-leader-i-want-to-take-a-group-of-people-who-share-an-interest-in-a-hobbypassion-to-see-the-world-with-likeminded-people-while-earning-a-free-trip-for-myself">Affinity Group Leader: I want to take a group of people  who share an interest in a hobby/passion to see the world with like-minded people, while  earning a free trip for myself</option>
			<option label="Family or Group Reunion Leader:  I want to reunite my family and/or group  and would love the benefits of group travel including  discounts and exclusive activities" value="family-or-group-reunion-leader-i-want-to-reunite-my-family-andor-group-and-would-love-the-benefits-of-group-travel-including-discounts-and-exclusive-activities">Family or Group Reunion Leader:  I want to reunite my family and/or group  and would love the benefits of group travel including  discounts and exclusive activities</option>
			<option label="Business Meetings or Incentive Trip Leader: I want to take my employees on a trip for team-building, business meetings, or to provide an incentive for top-performing teams in my business" value="business-meetings-or-incentive-trip-leader-i-want-to-take-my-employees-on-a-trip-for-teambuilding-business-meetings-or-to-provide-an-incentive-for-topperforming-teams-in-my-business">Business Meetings or Incentive Trip Leader: I want to take my employees on a trip for team-building, business meetings, or to provide an incentive for top-performing teams in my business</option>
		</field>
		<field type="text" label="Where would you like to go?" description="You can throw out ideas or if you're not sure  say &quot;I don't know&quot;" name="where-would-you-like-to-go" subtype="text" className="form-control"/>
		<field type="date" label="When would you like to go?" description="If you aren't sure  leave this one blank. Group travel is most successful with at least 6-12 months notice." name="when-would-you-like-to-go" className="form-control"/>
		<field type="text" label="Do you have an estimated number of people traveling with you? &amp;nbsp;If so, how many?" name="do-you-have-an-estimated-number-of-people-traveling-with-you-if-so-how-many" subtype="text" className="form-control"/>
		<field type="select" label="Will you be the single point of contact for this group or do you need assistance in coordinating with each individual traveler?" name="will-you-be-the-single-point-of-contact-for-this-group-or-do-you-need-assistance-in-coordinating-with-each-individual-traveler" className="form-control">
			<option label="I'll be the single point of contact" value="ill-be-the-single-point-of-contact" selected="true">I'll be the single point of contact</option>
			<option label="I need help coordinating with each individual traveler" value="i-need-help-coordinating-with-each-individual-traveler">I need help coordinating with each individual traveler</option>
			<option label="I'm not sure.  Let's discuss" value="im-not-sure-lets-discuss">I'm not sure.  Let's discuss</option>
		</field>
		<field type="textarea" label="Tell me more about your goals. What is your vision? What do you love about travel? How will you encourage people to travel with you? Provide any details you'd like me to know." name="tell-me-more-about-your-goals-what-is-your-vision-what-do-you-love-about-travel-how-will-you-encourage-people-to-travel-with-you-provide-any-details-youd-like-me-to-know" subtype="textarea" className="form-control"/>
	</fields>
</form-template>