Leads are not loading in the CRM when submitting the Leads Form...

Leads are not loading in the CRM when submitting the Leads Form...

Hi, I am having the same problem! The leads don't get posted in the CRM...
Here is where the form is http://profitwarrior.ca/forms/lead-capture-form/
and here is the redirection http://profitwarrior.ca
I succeded only once and the form never worked again... can you please help?
Thanks