<div class="row"><div class="col-lg-6 col-md-6 col-sm-12 col-xs-12"><div class="form-row"><label>Name </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 </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 </label>[select AreYouaNewClient "Yes" "No"]</div></div><div class="col-lg-12 col-md-12 col-sm-12 col-xs-12"><div class="form-row"><label>Message </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>