feedbackform.html 696 Bytes
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<h2>{{ _("Feedback Form") }}</h2>

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<!-- error message -->
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<p>{{ _("Please tell us what happened if you was able to talk to someone. Your feedback is important to us.") }}</p>

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<form method="post" action="/feedback/" >
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    <input type="text" id="contact_id" name="contact_id" hidden="hidden" value="{{ @contact_id }}" />

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    <repeat group="{{ @feedback_categories }}" value="{{ @feedback_category }}">
       <input type="radio" name="feedback_category" value="{{ @feedback_category }}" />
       {{ @feedback_category }}
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    </repeat>
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    <p>
        <textarea id="feedback" name="feedback"></textarea>
    </p>
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    <input type="submit" name="go" value="{{ _("Send my feedback") }}" />
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</form>