<div class="row">
<div class="col-lg-6 col-md-6 col-sm-12 col-xs-12">
<div class="form-row">
<label>Name <span>*</span></label>
[text* Name]
</div>
</div>
<div class="col-lg-6 col-md-6 col-sm-12 col-xs-12">
<div class="form-row">
<label>E-mail <span>*</span></label>
[email* email]
</div>
</div>

<div class="col-lg-6 col-md-6 col-sm-12 col-xs-12">
<div class="form-row">
<label>Phone <span>*</span></label>
[tel Phone]
</div>
</div>

<div class="col-lg-6 col-md-6 col-sm-12 col-xs-12">
<div class="form-row">
<label>Subject <span>*</span></label>
[text* Subject]
</div>
</div>
<div class="col-lg-12 col-md-12 col-sm-12 col-xs-12">
<div class="form-row">
<label>Message <span>*</span></label>
[textarea message]
</div>
</div>
<div class="col-lg-12 col-md-12 col-sm-12 col-xs-12">
<div class="form-row last button">
[submit "Make an Appoinment"]
</div>
</div>
</div>