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43 lines (36 loc) · 1.35 KB
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<!DOCTYPE html>
<html lang="en">
<head>
<meta charset="UTF-8">
<meta name="viewport" content="width=device-width, initial-scale=1.0">
<link rel="stylesheet" href="counseliing-style.css">
<title>Contact Us</title>
</head>
<body>
<header>
<h1>Contact Us</h1>
</header>
<main>
<section class="contact-form">
<h2>Contact Form</h2>
<p>Please fill out the form below to get in touch with us:</p>
<form action="#" method="post">
<label for="name">Name:</label>
<input type="text" id="name" name="name" required>
<label for="age">Age:</label>
<input type="number" id="age" name="age" required>
<label for="mobile">Mobile Number:</label>
<input type="tel" id="mobile" name="mobile" required>
<label for="email">Email:</label>
<input type="email" id="email" name="email" required>
<label for="question">Why do you think you need counselling</label>
<textarea id="question" name="question" rows="4" required></textarea>
<button type="submit">Submit</button>
</form>
</section>
</main>
<footer>
<p>© 2023 Your Website</p>
</footer>
</body>
</html>