diff --git a/Pipfile b/Pipfile
index b55c9de..4dd7aa2 100644
--- a/Pipfile
+++ b/Pipfile
@@ -4,12 +4,15 @@ verify_ssl = true
 name = "pypi"
 
 [packages]
-django = "*"
+Django = "*"
 python-dotenv = "*"
-django-phonenumber-field = "*"
 django-address = "*"
+django-crispy-forms = "*"
 
 [dev-packages]
 
 [requires]
 python_version = "3.8"
+
+[packages.django-phonenumber-field]
+extras = [ "phonenumbers",]
diff --git a/Pipfile.lock b/Pipfile.lock
index 2e68b35..d092053 100644
--- a/Pipfile.lock
+++ b/Pipfile.lock
@@ -1,7 +1,7 @@
 {
     "_meta": {
         "hash": {
-            "sha256": "008f09930a447935f2210147becbc00e5519c714f2b19b07647972de19557cc4"
+            "sha256": "57c6fcc08d5613c3832161125af0b9cd702aaa552d0efd5baf912d44aa97d9ab"
         },
         "pipfile-spec": 6,
         "requires": {
@@ -61,6 +61,14 @@
             "index": "pypi",
             "version": "==0.2.5"
         },
+        "django-crispy-forms": {
+            "hashes": [
+                "sha256:35887b8851a931374dd697207a8f56c57a9c5cb9dbf0b9fa54314da5666cea5b",
+                "sha256:bc4d2037f6de602d39c0bc452ac3029d1f5d65e88458872cc4dbc01c3a400604"
+            ],
+            "index": "pypi",
+            "version": "==1.14.0"
+        },
         "django-phonenumber-field": {
             "hashes": [
                 "sha256:897b902a1654b0eb21f6268498a3359e2c4eb90af9585cb8693af186ede8c5bb",
@@ -69,6 +77,13 @@
             "index": "pypi",
             "version": "==6.1.0"
         },
+        "phonenumbers": {
+            "hashes": [
+                "sha256:1c8270a2e257d6c65458a42283f82d3eca7f7b9d925454a6966e2f04df75e1cf",
+                "sha256:386ea186019e8f4d646e48e9da9c3e786c254cfb1bd541cc0a8d0a2ccb85d3ca"
+            ],
+            "version": "==8.12.43"
+        },
         "python-dotenv": {
             "hashes": [
                 "sha256:32b2bdc1873fd3a3c346da1c6db83d0053c3c62f28f1f38516070c4c8971b1d3",
diff --git a/config/settings.py b/config/settings.py
index f5114e1..7ed21fb 100644
--- a/config/settings.py
+++ b/config/settings.py
@@ -26,6 +26,7 @@ BASE_DIR = Path(__file__).resolve().parent.parent
 
 # SECURITY WARNING: keep the secret key used in production secret!
 SECRET_KEY = os.getenv("SECRET_KEY")
+GOOGLE_API_KEY = os.getenv("GOOGLE_API_KEY")
 
 # SECURITY WARNING: don't run with debug turned on in production!
 DEBUG = os.getenv("DEBUG", "False") == "True"
@@ -49,6 +50,8 @@ INSTALLED_APPS = [
     'django.contrib.sessions',
     'django.contrib.messages',
     'django.contrib.staticfiles',
+
+    'crispy_forms',
 ]
 
 MIDDLEWARE = [
@@ -133,3 +136,11 @@ STATIC_URL = 'static/'
 # https://docs.djangoproject.com/en/4.0/ref/settings/#default-auto-field
 
 DEFAULT_AUTO_FIELD = 'django.db.models.BigAutoField'
+
+CRISPY_TEMPLATE_PACK = 'bootstrap4'
+
+# Phone numbers
+
+PHONENUMBER_DB_FORMAT = 'NATIONAL'
+PHONENUMBER_DEFAULT_REGION = 'US'
+PHONENUMBER_DEFAULT_FORMAT = 'NATIONAL'
\ No newline at end of file
diff --git a/form/admin.py b/form/admin.py
index 8c38f3f..eadbfa2 100644
--- a/form/admin.py
+++ b/form/admin.py
@@ -1,3 +1,5 @@
 from django.contrib import admin
+from .models import Response
 
 # Register your models here.
+admin.site.register(Response)
\ No newline at end of file
diff --git a/form/forms.py b/form/forms.py
index de2b7a5..34e65e7 100644
--- a/form/forms.py
+++ b/form/forms.py
@@ -1,9 +1,15 @@
-from ast import Mod
-import imp
-from django.forms import ModelForm
+from crispy_forms.helper import FormHelper
+from crispy_forms.layout import Submit
+from django import forms
 from .models import Response
 
-class ResponseForm(ModelForm):
+class ResponseForm(forms.ModelForm):
+    helper = FormHelper()
+    helper.form_method = 'post'
+    helper.form_action = ''
+
+    helper.add_input(Submit('submit', 'submit'))
+
     class Meta:
         model = Response
-        fields = ['name', 'email', 'phone', 'address']
\ No newline at end of file
+        fields = ['name', 'email', 'phone', 'address']
diff --git a/form/migrations/0001_initial.py b/form/migrations/0001_initial.py
new file mode 100644
index 0000000..e22a80a
--- /dev/null
+++ b/form/migrations/0001_initial.py
@@ -0,0 +1,34 @@
+# Generated by Django 4.0.2 on 2022-02-16 01:22
+
+import address.models
+from django.db import migrations, models
+import django.db.models.deletion
+import phonenumber_field.modelfields
+
+
+class Migration(migrations.Migration):
+
+    initial = True
+
+    dependencies = [
+        ('address', '0004_alter_address_id_alter_country_id_alter_locality_id_and_more'),
+    ]
+
+    operations = [
+        migrations.CreateModel(
+            name='Response',
+            fields=[
+                ('id', models.BigAutoField(auto_created=True, primary_key=True, serialize=False, verbose_name='ID')),
+                ('name', models.CharField(max_length=100)),
+                ('email', models.EmailField(blank=True, max_length=100, null=True)),
+                ('phone', phonenumber_field.modelfields.PhoneNumberField(blank=True, max_length=128, null=True, region=None)),
+                ('created_at', models.DateTimeField(auto_now_add=True)),
+                ('address', address.models.AddressField(blank=True, null=True, on_delete=django.db.models.deletion.CASCADE, to='address.address')),
+            ],
+            options={
+                'verbose_name': 'Response',
+                'verbose_name_plural': 'Responses',
+                'ordering': ['created_at'],
+            },
+        ),
+    ]
diff --git a/form/models.py b/form/models.py
index 4cb4fd1..fa358c5 100644
--- a/form/models.py
+++ b/form/models.py
@@ -1,11 +1,14 @@
 from django.db import models
+from address.models import AddressField
+from phonenumber_field.modelfields import PhoneNumberField
 
 # Create your models here.
 class Response(models.Model):
 
     name = models.CharField(max_length=100)
-    email = models.EmailField(max_length=100)
-    text = models.TextField()
+    email = models.EmailField(max_length=100, blank=True, null=True)
+    phone = PhoneNumberField(blank=True, null=True)
+    address = AddressField(on_delete=models.CASCADE, blank=True, null=True)
     created_at = models.DateTimeField(auto_now_add=True)
 
     def __str__(self):
diff --git a/form/templates/form/base.html b/form/templates/form/base.html
index 5c229db..cc14d36 100644
--- a/form/templates/form/base.html
+++ b/form/templates/form/base.html
@@ -5,6 +5,10 @@
     <meta http-equiv="X-UA-Compatible" content="IE=edge">
     <meta name="viewport" content="width=device-width, initial-scale=1.0">
     <title>Internet Form</title>
+
+    <link href="https://cdn.jsdelivr.net/npm/bootstrap@5.1.3/dist/css/bootstrap.min.css" rel="stylesheet" integrity="sha384-1BmE4kWBq78iYhFldvKuhfTAU6auU8tT94WrHftjDbrCEXSU1oBoqyl2QvZ6jIW3" crossorigin="anonymous">
+    
+    {% block head %}{% endblock %}
 </head>
 <body>
     {% block content %}{% endblock %}
diff --git a/form/templates/form/index.html b/form/templates/form/index.html
index 09d595e..c014aa8 100644
--- a/form/templates/form/index.html
+++ b/form/templates/form/index.html
@@ -1,4 +1,36 @@
 {% extends 'form/base.html' %}
+{% load crispy_forms_tags %}
+
+{% block head %}
+{{ form.media }}
+
+<style>
+
+body {
+    margin-top: 1rem;
+    background-color: #ebe5f5;
+}
+
+.form-group {
+    margin-bottom: 1rem;
+}
+
+.asteriskField {
+    display: none;
+}
+
+</style>
+
+{% endblock %}
+
 {% block content %}
-<h1>index.</h1>
+<div class="container w-25">
+{% if success %}
+<h1>Response submitted. Thank you for your help!</h1>
+{% else %}
+<h1>Form</h1>
+<i>all fields are optional</i>
+{% crispy form %}
+{% endif %}
+</div>
 {% endblock %}
\ No newline at end of file
diff --git a/form/views.py b/form/views.py
index 6d53f77..ac86738 100644
--- a/form/views.py
+++ b/form/views.py
@@ -1,6 +1,21 @@
 from django.shortcuts import render
+from .forms import ResponseForm
 
 # Create your views here.
 def index(request):
-    if request.method == 'GET':
-        return render(request, 'form/index.html')
\ No newline at end of file
+    success = False
+
+    if request.method == 'POST':
+        form = ResponseForm(request.POST)
+        if form.is_valid():
+            form.save()
+            success = True
+    else:
+        form = ResponseForm()
+
+    context = {
+        'form': form,
+        'success': success,
+    }
+
+    return render(request, 'form/index.html', context)
\ No newline at end of file