<div class="wpforms-container wpforms-container-full" id="wpforms-59019"><form id="wpforms-form-59019" class="wpforms-validate wpforms-form" data-formid="59019" method="post" enctype="multipart/form-data" action="/vendor/sargent-farms-delivery/" data-token="7ac5db549d0c3c139c14a419c1076bf8"><noscript class="wpforms-error-noscript">Please enable JavaScript in your browser to complete this form.</noscript><div class="wpforms-field-container"><div id="wpforms-59019-field_2-container" class="wpforms-field wpforms-field-checkbox" data-field-id="2"><label class="wpforms-field-label" for="wpforms-59019-field_2">What could we do better? <span class="wpforms-required-label">*</span></label><ul id="wpforms-59019-field_2" class="wpforms-field-required"><li class="choice-1 depth-1"><input type="checkbox" id="wpforms-59019-field_2_1" name="wpforms[fields][2][]" value="Add more retailers to our marketplace" required ><label class="wpforms-field-label-inline" for="wpforms-59019-field_2_1">Add more retailers to our marketplace</label></li><li class="choice-2 depth-1"><input type="checkbox" id="wpforms-59019-field_2_2" name="wpforms[fields][2][]" value="Add more products to our catalog" required ><label class="wpforms-field-label-inline" for="wpforms-59019-field_2_2">Add more products to our catalog</label></li><li class="choice-3 depth-1"><input type="checkbox" id="wpforms-59019-field_2_3" name="wpforms[fields][2][]" value="Offer FREE delivery option" required ><label class="wpforms-field-label-inline" for="wpforms-59019-field_2_3">Offer FREE delivery option</label></li><li class="choice-4 depth-1"><input type="checkbox" id="wpforms-59019-field_2_4" name="wpforms[fields][2][]" value="Reduce pricing of our products" required ><label class="wpforms-field-label-inline" for="wpforms-59019-field_2_4">Reduce pricing of our products</label></li></ul></div><div id="wpforms-59019-field_3-container" class="wpforms-field wpforms-field-textarea" data-field-id="3"><label class="wpforms-field-label" for="wpforms-59019-field_3">What should we do to improve your experience?</label><textarea id="wpforms-59019-field_3" class="wpforms-field-medium" name="wpforms[fields][3]" ></textarea></div></div><div class="wpforms-submit-container"><input type="hidden" name="wpforms[id]" value="59019"><input type="hidden" name="wpforms[author]" value="6"><button type="submit" name="wpforms[submit]" id="wpforms-submit-59019" class="wpforms-submit" data-alt-text="Sending..." data-submit-text="Send" aria-live="assertive" value="wpforms-submit">Send</button></div></form></div> <!-- .wpforms-container -->