Feedback Form For Website

Feedback form used for capturing customer feedback for improvement, Feedback management is one of the best ways to improve customer satisfaction. Let your customers give feedback and reviews on your products, or publish surveys to gather feedback from your employees. This HTML feedback form is easy-to-use and you can integrate it with your website or app. Simply replace form endpoint with your own FormBold API endpoint to make it fully dynamic and work.
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<div class="formbold-main-wrapper">
  <!-- Author: FormBold Team -->
  <!-- Learn More: https://formbold.com -->
  <div class="formbold-form-wrapper">
         <img src="your-image-url-here.jpg">
    <form action="https://formbold.com/s/FORM_ID" method="POST">
      <div class="formbold-mb-6">
        <label for="qusOne" class="formbold-form-label">
          How would you rate your overall experience with our website?
        </label>

        <div class="formbold-radio-flex">
          <div class="formbold-radio-group">
            <label class="formbold-radio-label">
              <input
                class="formbold-input-radio"
                type="radio"
                name="qusOne"
                id="qusOne"
              />
              Very Good
              <span class="formbold-radio-checkmark"></span>
            </label>
          </div>

          <div class="formbold-radio-group">
            <label class="formbold-radio-label">
              <input
                class="formbold-input-radio"
                type="radio"
                name="qusOne"
                id="qusOne"
              />
              Good
              <span class="formbold-radio-checkmark"></span>
            </label>
          </div>

          <div class="formbold-radio-group">
            <label class="formbold-radio-label">
              <input
                class="formbold-input-radio"
                type="radio"
                name="qusOne"
                id="qusOne"
              />
              Fair
              <span class="formbold-radio-checkmark"></span>
            </label>
          </div>

          <div class="formbold-radio-group">
            <label class="formbold-radio-label">
              <input
                class="formbold-input-radio"
                type="radio"
                name="qusOne"
                id="qusOne"
              />
              Poor
              <span class="formbold-radio-checkmark"></span>
            </label>
          </div>

          <div class="formbold-radio-group">
            <label class="formbold-radio-label">
              <input
                class="formbold-input-radio"
                type="radio"
                name="qusOne"
                id="qusOne"
              />
              Vary Poor
              <span class="formbold-radio-checkmark"></span>
            </label>
          </div>
        </div>
      </div>

      <div class="formbold-mb-6">
        <label for="qusTwo" class="formbold-form-label">
          How satisfied are you whth the comprehensive of our offer?
        </label>

        <div class="formbold-radio-flex">
          <div class="formbold-radio-group">
            <label class="formbold-radio-label">
              <input
                class="formbold-input-radio"
                type="radio"
                name="qusTwo"
                id="qusTwo"
              />
              Very Good
              <span class="formbold-radio-checkmark"></span>
            </label>
          </div>

          <div class="formbold-radio-group">
            <label class="formbold-radio-label">
              <input
                class="formbold-input-radio"
                type="radio"
                name="qusTwo"
                id="qusTwo"
              />
              Good
              <span class="formbold-radio-checkmark"></span>
            </label>
          </div>

          <div class="formbold-radio-group">
            <label class="formbold-radio-label">
              <input
                class="formbold-input-radio"
                type="radio"
                name="qusTwo"
                id="qusTwo"
              />
              Fair
              <span class="formbold-radio-checkmark"></span>
            </label>
          </div>

          <div class="formbold-radio-group">
            <label class="formbold-radio-label">
              <input
                class="formbold-input-radio"
                type="radio"
                name="qusTwo"
                id="qusTwo"
              />
              Poor
              <span class="formbold-radio-checkmark"></span>
            </label>
          </div>

          <div class="formbold-radio-group">
            <label class="formbold-radio-label">
              <input
                class="formbold-input-radio"
                type="radio"
                name="qusTwo"
                id="qusTwo"
              />
              Vary Poor
              <span class="formbold-radio-checkmark"></span>
            </label>
          </div>
        </div>
      </div>

      <div class="formbold-mb-6">
        <label for="qusThree" class="formbold-form-label">
          How satisfied are you whth the customer support of our website?
        </label>

        <div class="formbold-radio-flex">
          <div class="formbold-radio-group">
            <label class="formbold-radio-label">
              <input
                class="formbold-input-radio"
                type="radio"
                name="qusThree"
                id="qusThree"
              />
              Very Good
              <span class="formbold-radio-checkmark"></span>
            </label>
          </div>

          <div class="formbold-radio-group">
            <label class="formbold-radio-label">
              <input
                class="formbold-input-radio"
                type="radio"
                name="qusThree"
                id="qusThree"
              />
              Good
              <span class="formbold-radio-checkmark"></span>
            </label>
          </div>

          <div class="formbold-radio-group">
            <label class="formbold-radio-label">
              <input
                class="formbold-input-radio"
                type="radio"
                name="qusThree"
                id="qusThree"
              />
              Fair
              <span class="formbold-radio-checkmark"></span>
            </label>
          </div>

          <div class="formbold-radio-group">
            <label class="formbold-radio-label">
              <input
                class="formbold-input-radio"
                type="radio"
                name="qusThree"
                id="qusThree"
              />
              Poor
              <span class="formbold-radio-checkmark"></span>
            </label>
          </div>

          <div class="formbold-radio-group">
            <label class="formbold-radio-label">
              <input
                class="formbold-input-radio"
                type="radio"
                name="qusThree"
                id="qusThree"
              />
              Vary Poor
              <span class="formbold-radio-checkmark"></span>
            </label>
          </div>
        </div>
      </div>

      <div class="formbold-mb-3">
        <label for="message" class="formbold-form-label">
          What should we change in oirder to live up to your expectations?
        </label>
        <textarea
          rows="6"
          name="message"
          id="message"
          class="formbold-form-input"
        ></textarea>
      </div>

      <div>
        <label for="email" class="formbold-form-label"> Email <span>(Only if you want to hear more from us)</span> </label>
        <input
          type="email"
          name="email"
          id="email"
          class="formbold-form-input"
        />
      </div>

      <button class="formbold-btn">Send Feedback</button>
    </form>
  </div>
</div>
<style>
  @import url('https://fonts.googleapis.com/css2?family=Inter:wght@400;500;600;700&display=swap');
  * {
    margin: 0;
    padding: 0;
    box-sizing: border-box;
  }
  body {
    font-family: 'Inter', sans-serif;
  }
  .formbold-main-wrapper {
    display: flex;
    align-items: center;
    justify-content: center;
    padding: 48px;
  }

  .formbold-form-wrapper {
    margin: 0 auto;
    max-width: 570px;
    width: 100%;
    background: white;
    padding: 40px;
  }

  .formbold-img {
    display: block;
    margin: 0 auto 40px;
  }

  .formbold-form-input {
    width: 100%;
    padding: 13px 22px;
    border-radius: 5px;
    border: 1px solid #dde3ec;
    background: #ffffff;
    font-weight: 500;
    font-size: 16px;
    color: #536387;
    outline: none;
    resize: none;
  }
  .formbold-form-input:focus {
    border-color: #6a64f1;
    box-shadow: 0px 3px 8px rgba(0, 0, 0, 0.05);
  }
  .formbold-form-label {
    color: #07074d;
    font-weight: 500;
    font-size: 14px;
    line-height: 24px;
    display: block;
    margin-bottom: 20px;
  }
  .formbold-form-label span {
    color: #536387;
    font-size: 12px;
    line-height: 18px;
    display: inline-block;
  }

  .formbold-mb-3 {
    margin-bottom: 15px;
  }
  .formbold-mb-6 {
    margin-bottom: 30px;
  }
  .formbold-radio-flex {
    display: flex;
    flex-direction: column;
    gap: 10px;
  }
  .formbold-radio-label {
    font-size: 14px;
    line-height: 24px;
    color: #07074d;
    position: relative;
    padding-left: 25px;
    cursor: pointer;
    -webkit-user-select: none;
    -moz-user-select: none;
    -ms-user-select: none;
    user-select: none;
  }
  .formbold-input-radio {
    position: absolute;
    opacity: 0;
    cursor: pointer;
  }
  .formbold-radio-checkmark {
    position: absolute;
    top: -1px;
    left: 0;
    height: 18px;
    width: 18px;
    background-color: #ffffff;
    border: 1px solid #dde3ec;
    border-radius: 50%;
  }
  .formbold-radio-label
    .formbold-input-radio:checked
    ~ .formbold-radio-checkmark {
    background-color: #6a64f1;
  }
  .formbold-radio-checkmark:after {
    content: '';
    position: absolute;
    display: none;
  }

  .formbold-radio-label
    .formbold-input-radio:checked
    ~ .formbold-radio-checkmark:after {
    display: block;
  }

  .formbold-radio-label .formbold-radio-checkmark:after {
    top: 50%;
    left: 50%;
    width: 10px;
    height: 10px;
    border-radius: 50%;
    background: #ffffff;
    transform: translate(-50%, -50%);
  }

  .formbold-btn {
    text-align: center;
    width: 100%;
    font-size: 16px;
    border-radius: 5px;
    padding: 14px 25px;
    border: none;
    font-weight: 500;
    background-color: #6a64f1;
    color: white;
    cursor: pointer;
    margin-top: 25px;
  }
  .formbold-btn:hover {
    box-shadow: 0px 3px 8px rgba(0, 0, 0, 0.05);
  }
</style>