<div class="row">
	<div class="col-md-12">
		<label>Your e-mail</label>
		[email* your-email placeholder "hello@smilepure.com"]
	</div>
	<div class="col-md-12">
		<label>Your Question </label>
		[textarea your-question placeholder "Write your question"]
	</div>
	<div class="col-md-12">
		[submit "Submit"]
	</div>
</div>