Share your information with Erica Wright

Erica Wright

Leave the Room Travel

<html>
  <body>
    <form-template>&#13;
	<fields><field type="text" subtype="text" required="true" label="First name" className="form-control" name="first-name"></field><field type="text" subtype="text" required="true" label="Last name" className="form-control" name="last-name"></field><field type="text" subtype="text" required="true" label="Email" className="form-control" name="email"></field>&#13;
		<field type="header" subtype="h2" label="Tell Me About Your Honeymoon"/>&#13;
		<field type="text" required="true" 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" required="true" 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" required="true" 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="select" required="true" label="Are your dates flexible?" name="are-your-dates-flexible" className="form-control">&#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="Are you open to destination suggestions?" name="are-you-open-to-destination-suggestions">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No, we already have a destination in mind" value="no-we-already-have-a-destination-in-mind">No, we already have a destination in mind</option>&#13;
		</field>&#13;
		<field type="text" required="true" label="What is your departure city?" description="Where will you be flying from?" name="departure-city" subtype="text" className="form-control"/>&#13;
		<field type="radio-group" required="true" label="What total investment range feels comfortable for your honeymoon?" description="This just gives me a general starting point and can always be changed later." name="budget">&#13;
			<option label="$3,000 – $5,000" value="3000-5000">$3,000 – $5,000</option>&#13;
			<option label="$5,000 – $8,000" value="5000-8000">$5,000 – $8,000</option>&#13;
			<option label="$8,000 – $12,000" value="8000-12000">$8,000 – $12,000</option>&#13;
			<option label="$12,000 – $18,000" value="12000-18000">$12,000 – $18,000</option>&#13;
			<option label="$18,000+" value="18000">$18,000+</option>&#13;
		</field>&#13;
		<field type="radio-group" required="true" label="What type of accommodations do you prefer?" name="hotel-preference" other="true">&#13;
			<option label="Economy" value="value">Economy</option>&#13;
			<option label="Boutique hotels" value="boutique-hotels">Boutique hotels</option>&#13;
			<option label="Luxury resorts" value="luxury-resorts">Luxury resorts</option>&#13;
			<option label="Private villas" value="private-villas">Private villas</option>&#13;
			<option label="Private villas" value="private-villas">Private villas</option>&#13;
			<option label="All-inclusive resorts" value="allinclusive-resorts">All-inclusive resorts</option>&#13;
		</field>&#13;
		<field type="checkbox-group" required="true" label="What kind of honeymoon experience are you dreaming about?" description="Check all that apply." name="vibe-preference" other="true">&#13;
			<option label="Romantic and relaxing" value="romantic-and-relaxing">Romantic and relaxing</option>&#13;
			<option label="Beach and sunshine" value="beach-and-sunshine">Beach and sunshine</option>&#13;
			<option label="Adventure and exploring" value="adventure-and-exploring">Adventure and exploring</option>&#13;
			<option label="Food and wine" value="food-and-wine">Food and wine</option>&#13;
			<option label="Culture and history" value="culture-and-history">Culture and history</option>&#13;
			<option label="Off the beaten path" value="off-the-beaten-path">Off the beaten path</option>&#13;
			<option label="A mix of everything" value="a-mix-of-everything">A mix of everything</option>&#13;
		</field>&#13;
		<field type="select" required="true" label="Are there any experiences you would love to include?" name="are-there-any-experiences-you-would-love-to-include" multiple="multiple" className="form-control">&#13;
			<option label="Private boat day" value="private-boat-day">Private boat day</option>&#13;
			<option label="Wine tasting" value="wine-tasting">Wine tasting</option>&#13;
			<option label="Spa experiences" value="spa-experiences">Spa experiences</option>&#13;
			<option label="Adventure excursions" value="adventure-excursions">Adventure excursions</option>&#13;
			<option label="Cultural tours" value="cultural-tours">Cultural tours</option>&#13;
			<option label="Cooking classes" value="cooking-classes">Cooking classes</option>&#13;
			<option label="Surprise experiences" value="surprise-experiences">Surprise experiences</option>&#13;
		</field>&#13;
		<field type="date" required="true" label="When is your wedding date?" name="when-is-your-wedding-date" className="form-control"/>&#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="Is there anything else you&#39;d like me to know while planning your honeymoon?" description="What else would you like me to know about your travelers  budget and/or travel preferences?" name="notes" className="form-control"/>&#13;
	</fields>&#13;
</form-template>
  </body>
</html>