<form-template>
	<fields>
		<field type="header" subtype="h1" label="Client Information"/>
		<field type="header" subtype="h2" label="Full name"/>
		<field type="text" required="true" label="First name" name="first-name" subtype="text" className="form-control"/>
		<field type="text" label="Middle name" name="middle-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="Suffix" name="suffix" 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="h1" label="About your trip"/>
		<field type="text" required="true" label="Where would you like to go (it's okay if you're not sure)" name="where-would-you-like-to-go" subtype="text" className="form-control"/>
		<field type="date" label="When would you like to depart" name="when-would-you-like-to-depart" className="form-control"/>
		<field type="date" label="When would you like to return" name="when-would-you-like-to-return" className="form-control"/>
		<field type="checkbox-group" label="Are your dates flexible?" name="are-your-dates-flexible">
			<option label="Yes" value="yes">Yes</option>
			<option label="No" value="no">No</option>
		</field>
		<field type="text" label="What is your departure city?" name="what-is-your-departure-city" subtype="text" className="form-control"/>
		<field type="text" label="Is this vacation to celebrate anything special?" name="is-this-vacation-to-celebrate-anything-special" subtype="text" className="form-control"/>
		<field type="textarea" label="Who will be traveling?&amp;nbsp; Please list all full name and relationship." name="who-will-be-traveling-please-list-all-full-names-including-middle-and-birthdays" className="form-control"/>
		<field type="checkbox-group" label="At what phase of planning are you in?" name="at-what-phase-of-planning-are-you-in">
			<option label="I'm just beginning the planning process" value="im-just-beginning-the-planning-process">I'm just beginning the planning process</option>
			<option label="We have dates, but no other details confirmed" value="we-have-dates-but-no-other-details-confirmed">We have dates, but no other details confirmed</option>
			<option label="We have hotels and flights already booked" value="we-have-hotels-and-flights-already-booked">We have hotels and flights already booked</option>
		</field>
		<field type="radio-group" label="What is your budget for all travelers?" description="This just gives me a general starting point and can always be changed later." name="what-is-your-budget-for-all-travelers">
			<option label="$3.000 - $5,000" value="3000-5000">$3.000 - $5,000</option>
			<option label="$5,000 - $7,500" value="5000-7500">$5,000 - $7,500</option>
			<option label="$7,500 - $10,000" value="7500-10000">$7,500 - $10,000</option>
			<option label="$10,000 - $15,000" value="10000-15000">$10,000 - $15,000</option>
			<option label="$15,000+" value="15000">$15,000+</option>
		</field>
		<field type="textarea" label="Will you be booking any portion of your trip with points?" description="If so  which pieces?" name="will-you-be-booking-any-portion-of-your-trip-with-points" className="form-control"/>
		<field type="checkbox-group" label="What travel components would you like me to assist you with?" description="Check all that apply" name="what-travel-components-would-you-like-us-to-assist-you-with">
			<option label="Flights" value="flights">Flights</option>
			<option label="Accommodations" value="accommodations">Accommodations</option>
			<option label="Transportation (car rental, trains, etc.)" value="transportation-car-rental-trains-etc">Transportation (car rental, trains, etc.)</option>
			<option label="Excursions &amp; tours" value="excursions-tours">Excursions &amp; tours</option>
			<option label="Insurance" value="insurance">Insurance</option>
			<option label="Other" value="other">Other</option>
		</field>
		<field type="radio-group" label="What best describes your desired accommodation style?" name="what-best-describes-your-desired-accommodation-style">
			<option label="Luxury &amp; exclusive" value="luxury-exclusive">Luxury &amp; exclusive</option>
			<option label="Boutique &amp; charming" value="boutique-charming">Boutique &amp; charming</option>
			<option label="Centrally located &amp; functional" value="centrally-located-functional">Centrally located &amp; functional</option>
			<option label="Large resort" value="large-resort">Large resort</option>
			<option label="Other" value="other">Other</option>
		</field>
		<field type="textarea" label="What are your amenity must-haves?" description="Is there anything that you would want your hotels to have (i.e.  bar  on-site restaurant  pool  etc.)?" name="what-are-your-amenity-musthaves" className="form-control"/>
		<field type="checkbox-group" label="What options best describe your travel priorities?" description="Check all that apply." name="what-options-best-describe-your-travel-priorities">
			<option label="Local culture &amp; education" value="local-culture-education">Local culture &amp; education</option>
			<option label="Art &amp; architecture" value="art-architecture">Art &amp; architecture</option>
			<option label="Food &amp; wine" value="food-wine">Food &amp; wine</option>
			<option label="Adventure" value="adventure">Adventure</option>
			<option label="Dramatic views &amp; landscapes" value="dramatic-views-landscapes">Dramatic views &amp; landscapes</option>
			<option label="Spa &amp; wellness" value="spa-wellness">Spa &amp; wellness</option>
			<option label="Rest &amp; relaxation" value="rest-relaxation">Rest &amp; relaxation</option>
		</field>
		<field type="text" label="Is there anything else that you &quot;must do&quot; or see?" name="is-there-anything-else-that-you-must-do-or-see" subtype="text" className="form-control"/>
		<field type="textarea" label="What else would you like me to know about your ideal vacation?" name="what-else-would-you-like-me-to-know-about-your-ideal-vacation" className="form-control"/>
		<field type="text" label="Do any travelers have allergies that we should be aware of?" description="We will do our best to accommodate" name="do-any-travelers-have-allergies-that-we-should-be-aware-of" subtype="text" className="form-control"/>
		<field type="text" label="Who can I thank for referring you to me?" name="who-can-we-thank-for-referring-you-to-us" subtype="text" className="form-control"/>
		<field type="checkbox-group" label="Would you like to be subscribed to our company newsletter? (1 x month)" name="would-you-like-to-be-subscribed-to-our-company-newsletter">
			<option label="Yes - sign me up!" value="yes-sign-me-up">Yes - sign me up!</option>
			<option label="No, I get too many emails" value="no-i-get-too-many-emails">No, I get too many emails</option>
		</field>
	</fields>
</form-template>