HealthyNibblers/services.html at master · kingimperfection/HealthyNibblers · GitHub

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<!DOCTYPE html>
<html>
    <div id = "head"> </div>
    <body id="sevb">
        <script src="https://ajax.googleapis.com/ajax/libs/jquery/3.2.0/jquery.min.js"></script>
        <script src="script.js"></script>
        <div id = "bar"> </div>
        <div class="space"> </div>
        <div id="forum">
        <form action="https://formspree.io/ibiramontes.student@hsfi.us"
      method="POST">

        <h1 id="cnt"> Contact me! </h1>
            <label>  First Name </label>
                <input type="text" name="name">
                <br> </br>
            <label> Last Name</label>
                <input type="text" name= "name>
                <br> </br>
            <label> Your Email </label>
                <input type="email" name="_replyto">
                <br> </br>
            <label>  Age </label>
                <input type="text" name="name">
                <br> </br>
            <p>  What are your current eating habits?  </p>
                <input class="form-control type="text" name="name">
            <p>  What are your current concerns? </p>
                <input class="form-control type="text" name="name">
            <p>  Are there any diseases that may impact your diet? (ex: Diabetes,Crohns,etc.) </p>
                <input class="form-control type="text" name="name"
            <p>  Is there any other info you want to provide? </p>
                <input class="form-control type="text" name="name">
            <br> </br>
            <input id= "button" type="submit" value="Send">
        </form>
        </div>
    </body>
</html>