<div id="questionsModal" class="modal fade new-popup js-delivery-feedback-form">
<div class="modal-dialog">
<div class="modal-content">
<button class="close" data-dismiss="modal"></button>
<div class="font-size-1250 sf-bold-font mb-3">Опишите ваше предложение, при необходимости мы обязательно
свяжемся с вами
</div>
<div class="delivery-teaser-row mb-3 w-100">
<div class="col-6">
<div class="mr-3">
<div class="px-2 border border-radius-0375 text-left">
<input name="deliveryFeedbackName" type="text"
class="form-control p-0 border-none"
value="{{ app.user ? app.user.getFirstName() }}">
<small class="text-muted d-block">Ваше имя</small>
</div>
</div>
</div>
<div class="col-6">
<div class="px-2 border border-radius-0375 text-left">
<input name="deliveryFeedbackEmail" type="email" class="form-control p-0 border-none"
value="{{ app.user ? app.user.getEmail() }}">
<small class="text-muted d-block">E-mail</small>
</div>
</div>
</div>
<div class="delivery-teaser-row">
<div class="w-100 px-2 border border-radius-0375 text-left">
<textarea name="deliveryFeedback" class="form-control p-0 border-none w-100"
placeholder="Напишите ваше предложение"></textarea>
</div>
<div id="questions_recaptcha" class="g-recaptcha" data-sitekey="6LdyqnMmAAAAAAE9yAUOVmdRPJhAq02-VwVBPR5i" style="margin: 11px auto;"></div>
<div class="w-100">
<label class="questions-validate d-none sf-display-font font-size-0750 color-red font-size-0750 text-red pt-2 pl-2"></label>
<button/>
<button class="button mt-3 text-uppercase" type="button"
data-url="/delivery/feedback/auth" id="deliveryFeedbackSubmit">Отправить
</button>
</div>
</div>
</div>
</div>
</div>