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Location: SlatePermutate/feedback.php

binki
Use the Affero General Public License, as agreed upon by Ethan Zonca, Nathan Gelderloos, and Nathan Phillip Brink (myself).
<?php 
/*
 * Copyright 2010 Nathan Gelderloos, Ethan Zonca, Nathan Phillip Brink
 *
 * This file is part of SlatePermutate.
 *
 * SlatePermutate is free software: you can redistribute it and/or modify
 * it under the terms of the GNU Affero General Public License as published by
 * the Free Software Foundation, either version 3 of the License, or
 * (at your option) any later version.
 *
 * SlatePermutate is distributed in the hope that it will be useful,
 * but WITHOUT ANY WARRANTY; without even the implied warranty of
 * MERCHANTABILITY or FITNESS FOR A PARTICULAR PURPOSE.  See the
 * GNU Affero General Public License for more details.
 *
 * You should have received a copy of the GNU Affero General Public License
 * along with SlatePermutate.  If not, see <http://www.gnu.org/licenses/>.
 */

	include_once 'inc/class.page.php'; 
	$mypage = new page('Feedback');

	$ipi = $_SERVER['REMOTE_ADDR'];
	$fromdom = $_SERVER['HTTP_HOST'] . $_SERVER['REQUEST_URI'];
	$httpagenti = $_SERVER['HTTP_USER_AGENT'];
?>
<form action="feedback-submit.php" method="post">
<input type="hidden" name="ip" value="<?php echo $ipi ?>" />
<input type="hidden" name="fromdom" value="<?php echo $fromdom ?>" />
<input type="hidden" name="httpagent" value="<?php echo $httpagenti ?>" />
<h2>Feedback Form</h2>
<label for="nameis">Name: </label><input type="text" name="nameis" size="20" /><br />
<label for="visitormail">Email:&nbsp; </label><input type="text" name="visitormail" size="20" /> <span class="graytext">(if you want us to get back to you)</span><br />
<label for="school">School: </label><input type="text" name="school" size="20" /> <span class="graytext">(if relevant to your feedback)</span><br />


<br/> Overall Rating:<br/> <input checked="checked" name="rating" type="radio" value="Good" />Good <input name="rating" type="radio" value="Buggy" />Buggy  <input name="rating" type="radio" value="Needs more features" />Needs more features <input name="rating" type="radio" value="Don't know" />Don't Know

<br /><br />
<h3>General Comments</h3>
<p>
<textarea name="feedback" rows="6" cols="40"></textarea>
</p>
<input class="gray" type="submit" value="Submit Feedback" />
</form>






<?php
$mypage->foot();