<div data-role="fieldcontain">
    <label for="appt-purpose">Appointment Type</label>
    <select name="appt-purpose" id="appt-purpose" data-transition="none" data-native-menu="false">
        <option>Select Type</option>
    </select>
</div>
<div data-role="fieldcontain">
    <label for="appt-type">Purpose</label>
    <select name="appt-type" id="appt-type" data-transition="none" data-native-menu="false">
        <option>Select Purpose</option>
        <option value="N">Next Available Appointment</option>
        <option value="C">Other (Clinician Req.)</option>
        <option value="P">Other (Patient Req.)</option>
        <option value="W">Walk-in</option>
        <option value="M">Multiple Appointment Booking</option>
        <option value="A">Auto Rebook</option>
        <option value="O">Other</option>
    </select>
</div>