diff --git a/app/main/forms.py b/app/main/forms.py
index 04d9e4cc7..48fe081f5 100644
--- a/app/main/forms.py
+++ b/app/main/forms.py
@@ -306,3 +306,10 @@ class CreateKeyForm(Form):
     def validate_key_name(self, key_name):
         if key_name.data.lower() in self.existing_key_names:
             raise ValidationError('A key with this name already exists')
+
+
+class Feedback(Form):
+
+    name = StringField('Name')
+    email_address = StringField('Email address')
+    feedback = TextAreaField(u'', validators=[DataRequired(message="Can’t be empty")])
diff --git a/app/main/views/index.py b/app/main/views/index.py
index d81bcdc23..a68eac7c2 100644
--- a/app/main/views/index.py
+++ b/app/main/views/index.py
@@ -1,8 +1,11 @@
 import markdown
 import os
-from flask import render_template, url_for, redirect, Markup
+import requests
+import json
+from flask import (render_template, url_for, redirect, Markup, flash, current_app, abort)
 from app.main import main
 from flask_login import login_required
+from app.main.forms import Feedback
 
 from flask.ext.login import current_user
 from mdx_gfm import GithubFlavoredMarkdownExtension
@@ -41,6 +44,40 @@ def terms():
     return render_template('views/terms-of-use.html')
 
 
+@main.route('/feedback', methods=['GET', 'POST'])
+def feedback():
+    form = Feedback()
+    if form.validate_on_submit():
+        data = {
+            'person_email': current_app.config.get('DESKPRO_PERSON_EMAIL'),
+            'agent_team_id': current_app.config.get('DESKPRO_TEAM_ID'),
+            'subject': 'Notify feedback',
+            'message': '{}\n{}\n{}'.format(
+                form.name.data,
+                form.email_address.data,
+                form.feedback.data)
+        }
+        headers = {
+            "X-DeskPRO-API-Key": current_app.config.get('DESKPRO_API_KEY'),
+            'Content-Type': "application/x-www-form-urlencoded"
+        }
+        resp = requests.post(
+            current_app.config.get('DESKPRO_API_HOST') + '/api/tickets',
+            data=data,
+            headers=headers)
+        if resp.status_code != 201:
+            current_app.logger.error(
+                "Deskpro create ticket request failed with {} '{}'".format(
+                    resp.status_code,
+                    resp.json())
+                )
+            abort(500, "Feedback submission failed")
+        flash("Your feedback has been submitted")
+        return redirect(url_for('.feedback'))
+
+    return render_template('views/feedback.html', form=form)
+
+
 @main.route('/documentation')
 def documentation():
     curr_dir = os.path.dirname(os.path.realpath(__file__))
diff --git a/app/templates/admin_template.html b/app/templates/admin_template.html
index 168525842..9c5461dca 100644
--- a/app/templates/admin_template.html
+++ b/app/templates/admin_template.html
@@ -78,7 +78,7 @@
         <div class="column-one-third">
           <h2>Contact</h2>
           <ul>
-            <li><a href="https://docs.google.com/forms/d/1AL8U-xJX_HAFEiQiJszGQw0PcEaEUnYATSntEghNDGo/viewform">Support and feedback</a></li>
+            <li><a href="{{ url_for('main.feedback') }}">Support and feedback</a></li>
           </ul>
         </div>
         <div class="column-one-third">
diff --git a/app/templates/views/feedback.html b/app/templates/views/feedback.html
new file mode 100644
index 000000000..3ee5f7401
--- /dev/null
+++ b/app/templates/views/feedback.html
@@ -0,0 +1,28 @@
+{% 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 %}
\ No newline at end of file
diff --git a/config.py b/config.py
index b8971c7f8..ed8cbd7da 100644
--- a/config.py
+++ b/config.py
@@ -36,6 +36,10 @@ class Config(object):
     TOKEN_MAX_AGE_SECONDS = 3600
     WTF_CSRF_ENABLED = True
     CSV_UPLOAD_BUCKET_NAME = 'local-notifications-csv-upload'
+    DESKPRO_API_HOST = os.environ['DESKPRO_API_HOST']
+    DESKPRO_API_KEY = os.environ['DESKPRO_API_KEY']
+    DESKPRO_PERSON_EMAIL = os.environ['DESKPRO_PERSON_EMAIL']
+    DESKPRO_TEAM_ID = os.environ['DESKPRO_TEAM_ID']
 
     EMAIL_DOMAIN_REGEXES = [
         "gov\.uk",
diff --git a/environment_test.sh b/environment_test.sh
index 57f89ae58..e3f02a1a7 100644
--- a/environment_test.sh
+++ b/environment_test.sh
@@ -4,3 +4,7 @@ export ADMIN_CLIENT_USER_NAME='dev-notify-admin'
 export API_HOST_NAME='http://localhost:6311'
 export DANGEROUS_SALT='dev-notify-salt'
 export SECRET_KEY='dev-notify-secret-key'
+export DESKPRO_API_HOST=""
+export DESKPRO_API_KEY=""
+export DESKPRO_PERSON_EMAIL=""
+export DESKPRO_TEAM_ID=""
diff --git a/tests/app/main/views/test_accept_invite.py b/tests/app/main/views/test_accept_invite.py
index 7cfbd8142..7c45e5d5d 100644
--- a/tests/app/main/views/test_accept_invite.py
+++ b/tests/app/main/views/test_accept_invite.py
@@ -1,6 +1,7 @@
 from flask import url_for
 
 from bs4 import BeautifulSoup
+from unittest.mock import ANY
 
 import app
 
@@ -255,7 +256,6 @@ def test_new_user_accept_invite_completes_new_registration_redirects_to_verify(a
             assert response.status_code == 302
             assert response.location == expected_redirect_location
 
-            from unittest.mock import ANY
             mock_send_verify_code.assert_called_once_with(ANY, 'sms', data['mobile_number'])
 
             mock_register_user.assert_called_with(data['name'],
diff --git a/tests/app/main/views/test_index.py b/tests/app/main/views/test_index.py
index 3f25ae0c9..eee655ecf 100644
--- a/tests/app/main/views/test_index.py
+++ b/tests/app/main/views/test_index.py
@@ -1,4 +1,7 @@
-from flask import url_for
+import pytest
+from flask import (url_for, current_app)
+from werkzeug.exceptions import InternalServerError
+from unittest.mock import Mock, ANY
 
 
 def test_logged_in_user_redirects_to_choose_service(app_,
@@ -14,3 +17,85 @@ def test_logged_in_user_redirects_to_choose_service(app_,
 
             response = client.get(url_for('main.sign_in', follow_redirects=True))
             assert response.location == url_for('main.choose_service', _external=True)
+
+
+def test_get_feedback_page(app_):
+    with app_.test_request_context():
+        with app_.test_client() as client:
+            resp = client.get(url_for('main.feedback'))
+            assert resp.status_code == 200
+
+
+def test_post_feedback_with_no_name_email(app_, mocker):
+    mock_post = mocker.patch(
+        'app.main.views.index.requests.post',
+        return_value=Mock(status_code=201))
+    with app_.test_request_context():
+        with app_.test_client() as client:
+            resp = client.post(url_for('main.feedback'), data={'feedback': "blah"})
+            assert resp.status_code == 302
+
+
+def test_post_feedback_with_no_name_email(app_, mocker):
+    mock_post = mocker.patch(
+        'app.main.views.index.requests.post',
+        return_value=Mock(status_code=201))
+    with app_.test_request_context():
+        with app_.test_client() as client:
+            resp = client.post(url_for('main.feedback'), data={'feedback': "blah"})
+            assert resp.status_code == 302
+            mock_post.assert_called_with(
+                ANY,
+                data={
+                    'agent_team_id': ANY,
+                    'subject': 'Notify feedback',
+                    'message': '\n\nblah',
+                    'person_email': ANY},
+                headers=ANY)
+
+
+def test_post_feedback_with_name_email(app_, mocker):
+    mock_post = mocker.patch(
+        'app.main.views.index.requests.post',
+        return_value=Mock(status_code=201))
+    with app_.test_request_context():
+        with app_.test_client() as client:
+            resp = client.post(
+                url_for('main.feedback'),
+                data={'feedback': "blah", 'name': "Steve Irwin", 'email_address': 'rip@gmail.com'})
+            assert resp.status_code == 302
+            mock_post.assert_called_with(
+                ANY,
+                data={
+                    'subject': 'Notify feedback',
+                    'agent_team_id': ANY,
+                    'message': 'Steve Irwin\nrip@gmail.com\nblah',
+                    'person_email': ANY},
+                headers=ANY)
+
+
+def test_log_error_on_post(app_, mocker):
+    mock_post = mocker.patch(
+        'app.main.views.index.requests.post',
+        return_value=Mock(
+            status_code=401,
+            json=lambda: {
+                'error_code': 'invalid_auth',
+                'error_message': 'Please provide a valid API key or token'}))
+    with app_.test_request_context():
+        mock_logger = mocker.patch.object(app_.logger, 'error')
+        with app_.test_client() as client:
+            with pytest.raises(InternalServerError):
+                resp = client.post(
+                    url_for('main.feedback'),
+                    data={'feedback': "blah", 'name': "Steve Irwin", 'email_address': 'rip@gmail.com'})
+            mock_post.assert_called_with(
+                ANY,
+                data={
+                    'subject': 'Notify feedback',
+                    'agent_team_id': ANY,
+                    'message': 'Steve Irwin\nrip@gmail.com\nblah',
+                    'person_email': ANY},
+                headers=ANY)
+            mock_logger.assert_called_with(
+                "Deskpro create ticket request failed with {} '{}'".format(mock_post().status_code, mock_post().json()))