Share your information with Eric Johnson

Eric Johnson

Destination Vacation

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    <form-template>&#13;
	<fields>&#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" required="true" label="Email" name="email" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Phone number" name="phone-number" subtype="text" className="form-control"/>&#13;
		<field type="date" required="true" label="Birthday" name="birthday" className="form-control"/>&#13;
		<field type="header" subtype="h2" label="Let&#39;s find the best cruise for YOU!"/>&#13;
		<field type="radio-group" label="Is this your first cruise?" name="is-this-your-first-cruise">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
			<option label="I'm a cruise PRO!" value="im-a-cruise-pro">I'm a cruise PRO!</option>&#13;
		</field>&#13;
		<field type="checkbox-group" label="The purpose of this cruise vacation is:" name="the-purpose-of-this-cruise-vacation-is">&#13;
			<option label="Making Memories w/ Family and/or friends" value="making-memories-w-family-andor-friends">Making Memories w/ Family and/or friends</option>&#13;
			<option label="Romance" value="romance">Romance</option>&#13;
			<option label="Just For Fun!" value="just-for-fun">Just For Fun!</option>&#13;
			<option label="Relax &amp; Recharge (Spa?)" value="relax-recharge-spa">Relax &amp; Recharge (Spa?)</option>&#13;
			<option label="Celebrating a Special Occasion" value="celebrating-a-special-occasion">Celebrating a Special Occasion</option>&#13;
		</field>&#13;
		<field type="text" label="Where would you like to go? It can be a description like &quot;tropical&quot; or if there&#39;s a certain port you must visit, please share it here." placeholder="ex: Tahiti" name="preferred-destinations" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Which cruise lines have you sailed with before?" name="cruise-lines-youve-sailed-before" subtype="text" className="form-control"/>&#13;
		<field type="checkbox-group" label="Are any of these important?" inline="true" name="are-any-of-these-important" other="true">&#13;
			<option label="Casino" value="casino">Casino</option>&#13;
			<option label="Babysitting" value="babysitting">Babysitting</option>&#13;
			<option label="Kids/Teen Club" value="kidsteen-club">Kids/Teen Club</option>&#13;
			<option label="Sports court" value="sports-court">Sports court</option>&#13;
			<option label="Lots of specialty dining venues" value="lots-of-specialty-dining-venues">Lots of specialty dining venues</option>&#13;
			<option label="Rock wall" value="rock-wall">Rock wall</option>&#13;
			<option label="Zipline" value="zipline">Zipline</option>&#13;
			<option label="Flow Rider" value="flow-rider">Flow Rider</option>&#13;
			<option label="Water slide" value="water-slide">Water slide</option>&#13;
			<option label="Go-carts" value="gocarts">Go-carts</option>&#13;
			<option label="Adults-only pool" value="adultsonly-pool">Adults-only pool</option>&#13;
			<option label="Outdoor movies" value="outdoor-movies">Outdoor movies</option>&#13;
			<option label="Spa" value="spa">Spa</option>&#13;
			<option label="Nightly shows" value="nightly-shows">Nightly shows</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 the beaten path" value="off-the-beaten-path">Off the beaten path</option>&#13;
			<option label="Party" value="party">Party</option>&#13;
			<option label="Local culture" value="local-culture">Local culture</option>&#13;
			<option label="Family friendly" value="family-friendly">Family friendly</option>&#13;
			<option label="Food and wine" value="food-wine">Food and wine</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="Beach and water" value="beach-water">Beach and water</option>&#13;
			<option label="Gambling" value="gambling">Gambling</option>&#13;
			<option label="Scuba" value="scuba">Scuba</option>&#13;
			<option label="Adventure activities" value="adventure">Adventure activities</option>&#13;
			<option label="Nightlife" value="nightlife">Nightlife</option>&#13;
			<option label="Arts and theater" value="art-theater">Arts and theater</option>&#13;
			<option label="Golf" value="golf">Golf</option>&#13;
		</field>&#13;
		<field type="checkbox-group" label="What type of cabin are you interested in?&amp;nbsp;" name="what-type-of-cabin-are-you-interested-in-" other="true">&#13;
			<option label="Suite" value="suite">Suite</option>&#13;
			<option label="Ocean View Balcony" value="ocean-view-balcony">Ocean View Balcony</option>&#13;
			<option label="Interior Balcony (inside ship view)" value="interior-balcony-inside-ship-view">Interior Balcony (inside ship view)</option>&#13;
			<option label="Ocean View" value="ocean-view">Ocean View</option>&#13;
			<option label="Inside Stateroom" value="inside-stateroom">Inside Stateroom</option>&#13;
		</field>&#13;
		<field type="text" required="true" label="What is the price range you are comfortable with? Please specify if it is per person or total." name="what-is-the-price-range-you-are-comfortable-with-please-specify-if-it-is-per-person-or-total" subtype="text" className="form-control"/>&#13;
		<field type="header" subtype="h1" label="Practical Information"/>&#13;
		<field type="date" label="Earliest you can 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="Latest you can 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;
		</field>&#13;
		<field type="text" label="How many nights would you like the cruise to be (can be a range)?" name="how-many-nights-would-you-like-the-cruise-to-be-can-be-a-range" subtype="text" className="form-control"/>&#13;
		<field type="textarea" label="Number of cabins and location preferences - Do they need to connect, or is side-by-side or just nearby ok?" name="number-of-cabins-and-location-preferences" className="form-control"/>&#13;
		<field type="textarea" label="Number of travelers and their ages?" name="number-of-travelers-and-their-ages" className="form-control"/>&#13;
		<field type="radio-group" required="true" label="Is everyone in your party a US citizen?" description="If not  we need to know so that we can advise you properly" name="is-everyone-in-your-party-a-us-citizen" other="true">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
		</field>&#13;
		<field type="checkbox-group" label="Promotions you qualify for (if available):" name="promotions-you-qualify-for-if-available" other="true">&#13;
			<option label="Senior (55 or older)" value="senior-55-or-older">Senior (55 or older)</option>&#13;
			<option label="Military" value="military">Military</option>&#13;
			<option label="Fire/EMT/Law Enforcement" value="fireemtlaw-enforcement">Fire/EMT/Law Enforcement</option>&#13;
			<option label="Teacher" value="teacher">Teacher</option>&#13;
		</field>&#13;
		<field type="text" label="What state do you live in?" name="what-state-do-you-live-in" subtype="text" className="form-control"/>&#13;
		<field type="header" subtype="h1" label="Thank you for reaching out. I look forward to working with you. You will hear back from me very soon with our next steps in planning your vacation."/>&#13;
	</fields>&#13;
</form-template>
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