{% extends "withoutnav_template.html" %}
{% from "components/textbox.html" import textbox %}
{% from "components/page-footer.html" import page_footer %}

{% block page_title %}
  Feedback – GOV.UK Notify
{% endblock %}

{% block maincolumn_content %}

    <h1 class="heading-large">
      Give feedback
    </h1>
    <div class="grid-row">
      <div class="column-two-thirds">
        <p>What went wrong, if anything? What went well? How could we improve this service?</p>
        <form method="post">
            {{ textbox(form.feedback, width='1-1', hint='', rows=10) }}
            <h3 class="heading-medium">Do you want a reply?</h3>
            <p>Leave your details below if you'd like a response.</p>
            {{ textbox(form.name, width='1-1') }}
            {{ textbox(form.email_address, width='1-1') }}
            {{ page_footer('Send') }}  
        </form>
      </div>
    </div>

{% endblock %}