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encuesta.html
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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">
<meta name="description" content="">
<meta name="author" content="">
<title>Green Curry</title>
<!-- core CSS -->
<link href='images/favicon.ico' type='img/x=icon' rel="shortcut icon">
<link rel="stylesheet" href="css/animate.min.css">
<link rel="stylesheet" href="css/bootstrap.min.css">
<link rel="stylesheet" href="css/font-awesome.min.css">
<link rel="stylesheet" href="css/encuesta.css">
</head><!--/head-->
<body id="page-top" class="homepage">
<header id="header">
<nav class="navbar navbar-default navbar-fixed-top templatemo-nav">
<div class="container">
<div class="navbar-header">
<a class="navbar-brand">
<img src="images/logo-nav.png" alt="Green Curry" title="Green Curry" class="img-responsive logo">
</a>
</div>
</div><!--/.container-->
</nav><!--/nav-->
</header><!--/header-->
<section id="contact">
<div class="container ">
<div class="row">
<div class="col-lg-12">
<form name="sentMessage" id="contactForm" novalidate>
<div class="row contact-caja">
<div class="col-md-6">
<p class="lead-contacto">¿Qué te parece nuestra relación precio-calidad?</p>
<div class="form-group">
<input type="text" class="form-control" placeholder="Sugerencia" id="name" required data-validation-required-message="Por favor ingrese su nombre.">
<p class="help-block text-danger"></p>
</div>
<p class="lead-contacto">¿Qué tan rica te parece nuestra comida?</p>
<div class="form-group">
<input type="email" class="form-control" placeholder="Sugerimos que agregar o quitar" id="email" required data-validation-required-message="Por favor ingrese su dirección de email.">
<p class="help-block text-danger"></p>
</div>
<p class="lead-contacto">¿Que tan bien te atendimos hoy? </p>
<div class="form-group">
<input type="tel" class="form-control" placeholder="¿Qué cambiarías?" id="phone" required data-validation-required-message="Por favor ingrese su número telefónico.">
<p class="help-block text-danger"></p>
</div>
<p class="lead-contacto">¿Que tanto te gusta nuestro local? </p>
<div class="form-group">
<input type="tel" class="form-control" placeholder="¿Qué te gustaría encontrar?" id="phone" required data-validation-required-message="Por favor ingrese su número telefónico.">
<p class="help-block text-danger"></p>
</div>
<p class="lead-contacto">¿Que tanto te gusta nuestro local? </p>
<div class="form-group">
<textarea class="form-control" placeholder="¿Te gustaría contarnos algo?" id="message" required data-validation-required-message="Escriba su mensaje."></textarea>
<p class="help-block text-danger"></p>
</div>
</div>
<div class="clearfix"></div>
<div class="col-lg-12 center">
<div id="success"></div>
<button type="submit" class=" btn btn-primary btn-lg">Enviar</button>
</div>
</div>
</form>
</div>
</div>
</div>
</section>
<footer id="copyright">
<div class="row">
<div class=" col-sm-6">
<ul class="social wow fadeIn">
<li><a href="https://www.facebook.com/GreenCurryBsAs/?fref=ts" target="_blank" class="fa fa-facebook fa-2x fb"></a></li>
<li><a href="https://twitter.com/greencurrybsas" target="_blank" class="fa fa-twitter fa-2x tw"></a></li>
<li><a href="https://www.instagram.com/greencurrybsas/" target="_blank" class="fa fa-instagram fa-2x is"></a></li>
</ul>
</div>
<div class="col-sm-6">
<p class="wow fadeIn" data-wow-offset="50" data-wow-delay="0.3s">
Copyright © 2016 Green Curry</p>
</div>
</div>
</footer>
<script src="js/jquery.js"></script>
<script src="js/bootstrap.min.js"></script>
<script src="js/jquery.prettyPhoto.js"></script>
<script src="js/jquery.isotope.min.js"></script>
<script src="js/main.js"></script>
<script src="js/wow.min.js"></script>
<script src="js/jqBootstrapValidation.js"></script>
<script src="js/contact_me.js"></script>
</body>
</html>