laravel/resources/views/form.blade.php

@extends('layouts.app')

@section('title', 'Форма отправки')

@section('content')
<div>
    <div>
        <div>
            <div>
                <h4>Форма обратной связи</h4>
            </div>
            <div>
                <form method="POST" action="{{ route('form.submit') }}">
                    @csrf
                    
                    <div>
                        <label for="name">Имя *</label>
                        <input type="text"   
                               id="name" name="name" value="{{ old('name') }}" required>
                        @error('name')
                            <div>{{ $message }}</div>
                        @enderror
                    </div>

                    <div>
                        <label for="email">Email *</label>
                        <input type="email"   
                               id="email" name="email" value="{{ old('email') }}" required>
                        @error('email')
                            <div>{{ $message }}</div>
                        @enderror
                    </div>

                    <div>
                        <label for="phone">Phone *</label>
                        <input type="phone"   
                               id="phone" name="phone" value="{{ old('phone') }}" required>
                        @error('phone')
                            <div>{{ $message }}</div>
                        @enderror
                    </div>

                    <div>
                        <label for="gender">gender *</label>
                        <input type="checkbox" name="gender" value="1" @checked(old("terms"))>
                        @error('gender')
                            <div>{{ $message }}</div>
                        @enderror
                    </div>

                    <div>
                        <label for="message">Сообщение *</label>
                        <textarea   
                                  id="message" name="message" rows="5" required>{{ old('message') }}</textarea>
                        @error('message')
                            <div>{{ $message }}</div>
                        @enderror
                    </div>

                    <button type="submit">Отправить</button>
                </form>
            </div>
        </div>
    </div>
</div>
@endsection