← All templates

Feedback form

A rating plus open comments — product or website feedback.Plain HTML — it inherits your site's styles and needs no backend or JavaScript.

Preview

How would you rate your experience?

The code

<form action="https://crunchforms.com/form/{formID}" method="post">
  <fieldset>
    <legend>How would you rate your experience?</legend>
    <label><input type="radio" name="rating" value="5" required /> Excellent</label>
    <label><input type="radio" name="rating" value="4" /> Good</label>
    <label><input type="radio" name="rating" value="3" /> Okay</label>
    <label><input type="radio" name="rating" value="2" /> Poor</label>
    <label><input type="radio" name="rating" value="1" /> Very poor</label>
  </fieldset>

  <label for="comments">What could we do better?</label>
  <textarea name="comments" id="comments" rows="4"></textarea>

  <label for="email">Email (optional, if you'd like a reply)</label>
  <input name="email" type="email" id="email" />

  <button type="submit">Send feedback</button>
</form>

How to use it

  1. Create a free Crunchforms account and add a form in the dashboard (takes about a minute).
  2. Replace {formID} in the actionURL with your form's ID — or use the dashboard's snippet generator, which fills it in for you.
  3. Paste the form into any page. Submissions appear in your dashboard and, if you like, in your inbox. Add a honeypot or captcha in the form settings for extra spam protection.

1,000 free submissions a month, spam filtering included, no credit card required.

Start for free