@extends('layout.app')
@section('content')


    <section class="respont-sec">
        <div class="container">
            <div class="row">
                <div class="col-md-6">
                    <div class="respont-box">
                        <h3>Lorem Ipsum is simply dummy</h3>
                        <h6><img src="images/respintimg1.png" class="img-fluid" alt=""> 21 Ann St,United States <span>$256 /Month</span></h6>
                        <ul class="respont-list">
                            <li><a href="">Lorem Ipsum<span>Dhruv</span></a></li>
                            <li><a href="">Lorem Ipsum<span>info@email.com</span></a></li>
                            <li><a href="">Lorem Ipsum<span>01-1234-5678-90</span></a></li>
                        </ul>
                        <ul class="respont-type">
                            <li><a href="">Ad Types <span>Dhruv</span></a></li>
                            <li><a href="">Gender<span>Male/female</span></a></li>
                            <li><a href="">Types<span>404 cheats</span></a></li>
                            <li><a href="">Move in <span>15 Aug 2025</span></a></li>
                        </ul>
                    </div>
                </div>
                <div class="col-md-6">
                    <div class="respont-wrapp">
                        <form class="respont-form">
                            <div class="row align-items-center justify-content-between">
                                <div class="col-md-12">
                                    <div class="form-group">
                                        <input type="text" class="form-control" placeholder="Your Name *">
                                    </div>
                                </div>
                                <div class="col-md-12">
                                    <div class="form-group">
                                        <input type="text" class="form-control" placeholder="Your Email Address*">
                                    </div>
                                </div>
                                <div class="col-md-12">
                                    <div class="repont-main">
                                        <div class="form-group">
                                            <select class="form-control">
                                                <option>+01</option>
                                                <option>+01</option>
                                                <option>+01</option>
                                                <option>+01</option>
                                                <option>+01</option>
                                            </select>
                                        </div>
                                        <div class="form-group">
                                            <input type="text" class="form-control" placeholder="Contact Number*">
                                        </div>
                                    </div>
                                </div>
                                <div class="col-md-6">
                                    <div class="form-group">
                                        <input type="date" class="form-control" placeholder="08/15/2024">
                                    </div>
                                </div>
                                <div class="col-md-6">
                                    <div class="form-group">
                                        <input type="text" class="form-control" placeholder="Quote Your Prices">
                                    </div>
                                </div>
                                <div class="col-md-12">
                                    <div class="form-group">
                                        <textarea type="text" class="form-control" placeholder="Lorem ipsum dolor sit amet..."></textarea>
                                    </div>
                                </div>
                                <div class="col-md-12">
                                    <p>Lorem ipsum dolor sit amet, consectetur adipiscing elit. Vivamus pretium nulla quis erat dapibus,
                                        varius hendrerit neque suscipit. </p>
                                </div>
                                <div class="col-md-6">
                                    <div class="form-flex">
                                        <input type="checkbox" class="check">
                                        <span> Lorem ipsum dolor sit amet, consectetur adipiscing elit.</span>
                                    </div>
                                </div>
                                <div class="col-md-4">
                                    <button class="themeBtn">Send Response</button>
                                </div>
                            </div>
                        </form>
                    </div>
                </div>
            </div>
        </div>
    </section>



@endsection