<div class="wpforms-container wpforms-container-full" id="wpforms-76606"><form id="wpforms-form-76606" class="wpforms-validate wpforms-form" data-formid="76606" method="post" enctype="multipart/form-data" action="/contact-us/"><div class="wpforms-field-container"><div id="wpforms-76606-field_8-container" class="wpforms-field wpforms-field-radio" data-field-id="8"><label class="wpforms-field-label" for="wpforms-76606-field_8">Where do you typically shop in person?</label><ul id="wpforms-76606-field_8"><li class="choice-1 depth-1"><input type="radio" id="wpforms-76606-field_8_1" name="wpforms[fields][8]" value="Miles" ><label class="wpforms-field-label-inline" for="wpforms-76606-field_8_1">Miles</label></li><li class="choice-2 depth-1"><input type="radio" id="wpforms-76606-field_8_2" name="wpforms[fields][8]" value="Marketplace" ><label class="wpforms-field-label-inline" for="wpforms-76606-field_8_2">Marketplace</label></li><li class="choice-3 depth-1"><input type="radio" id="wpforms-76606-field_8_3" name="wpforms[fields][8]" value="Lindos" ><label class="wpforms-field-label-inline" for="wpforms-76606-field_8_3">Lindos</label></li><li class="choice-4 depth-1"><input type="radio" id="wpforms-76606-field_8_4" name="wpforms[fields][8]" value="Supermart" ><label class="wpforms-field-label-inline" for="wpforms-76606-field_8_4">Supermart</label></li></ul></div><div id="wpforms-76606-field_9-container" class="wpforms-field wpforms-field-radio" data-field-id="9"><label class="wpforms-field-label" for="wpforms-76606-field_9">Which supermarket is nearest to your home?</label><ul id="wpforms-76606-field_9"><li class="choice-1 depth-1"><input type="radio" id="wpforms-76606-field_9_1" name="wpforms[fields][9]" value="Miles" ><label class="wpforms-field-label-inline" for="wpforms-76606-field_9_1">Miles</label></li><li class="choice-2 depth-1"><input type="radio" id="wpforms-76606-field_9_2" name="wpforms[fields][9]" value="Marketplace" ><label class="wpforms-field-label-inline" for="wpforms-76606-field_9_2">Marketplace</label></li><li class="choice-3 depth-1"><input type="radio" id="wpforms-76606-field_9_3" name="wpforms[fields][9]" value="Lindos" ><label class="wpforms-field-label-inline" for="wpforms-76606-field_9_3">Lindos</label></li><li class="choice-4 depth-1"><input type="radio" id="wpforms-76606-field_9_4" name="wpforms[fields][9]" value="Supermart" ><label class="wpforms-field-label-inline" for="wpforms-76606-field_9_4">Supermart</label></li></ul></div><div id="wpforms-76606-field_10-container" class="wpforms-field wpforms-field-radio" data-field-id="10"><label class="wpforms-field-label" for="wpforms-76606-field_10">How often do you use DropIt?</label><ul id="wpforms-76606-field_10"><li class="choice-1 depth-1"><input type="radio" id="wpforms-76606-field_10_1" name="wpforms[fields][10]" value="Every week" ><label class="wpforms-field-label-inline" for="wpforms-76606-field_10_1">Every week</label></li><li class="choice-2 depth-1"><input type="radio" id="wpforms-76606-field_10_2" name="wpforms[fields][10]" value="Every other week" ><label class="wpforms-field-label-inline" for="wpforms-76606-field_10_2">Every other week</label></li><li class="choice-3 depth-1"><input type="radio" id="wpforms-76606-field_10_3" name="wpforms[fields][10]" value="Once a month" ><label class="wpforms-field-label-inline" for="wpforms-76606-field_10_3">Once a month</label></li><li class="choice-4 depth-1"><input type="radio" id="wpforms-76606-field_10_4" name="wpforms[fields][10]" value="My first time" ><label class="wpforms-field-label-inline" for="wpforms-76606-field_10_4">My first time</label></li></ul></div></div><div class="wpforms-field wpforms-field-hp"><label for="wpforms-field_hp" class="wpforms-field-label">Phone</label><input type="text" name="wpforms[hp]" id="wpforms-field_hp" class="wpforms-field-medium"></div><div class="wpforms-submit-container" ><input type="hidden" name="wpforms[id]" value="76606"><input type="hidden" name="wpforms[author]" value="1"><input type="hidden" name="wpforms[post_id]" value="30550"><button type="submit" name="wpforms[submit]" class="wpforms-submit " id="wpforms-submit-76606" value="wpforms-submit" data-alt-text="Sending...">Submit</button></div></form></div>