{"1":{"type":"name","label":"Your Name","value":"WilliamBagPZ"},"2":{"type":"email","label":"Your Email","value":"schmidtannette@msn.com"},"3":{"type":"select","label":"Topic","value":"Your own custom criteria"},"4":{"type":"textarea","label":"Message","value":"Invest $ 5,000 in Bitcoin once and get $ 7,000 passive income per month: https:\/\/lil.ink\/INVESTINBITCOIN66200"}}