grabbed from https://www.zoho.com/creator/online-form-builder/gallery.html

First Name * *

Last Name * *

Address *

City *

What Is The Best Way To Contact You? *

- Select-Option 1Option 2Option 3

Zip *

Home Phone *

Work Phone * *

Fax Number *

URL *

Link Name *

Email Address * *

What Is The Best Way To Contact You? *

MorningAfternoonEvening

What Is The Best Way To Contact You? *

PhoneEmailFax

Message *

What Is The Best Way To Contact You? *