Synnefo

        <h3 class="popup-header overlay-header">

            <span class="header-box">{% trans "Send feedback" %}</span>

        </h3>

        <div class="popup-body">

            <div class="popup-body-inner">

                <div class="form-container">

                <p class="feedback-intro">

                {% blocktrans %}~okeanos is currently in alpha test and we would appreciate any kind of feedback.

We welcome any suggestions, questions and bug reports you may have.{% endblocktrans %}</p>

                <form id="feedback-form">

                    <label for="feedback-msg">{% trans "Please describe your problem here, provide as many details as possible" %}</label>

                    <div class="description"></div>

                    <div class="empty-error-msg">{% trans "Please provide some feedback" %}</div>

                    <textarea name="feedback-msg" class="feedback-text"></textarea>

                    <input type="checkbox" name="submit-submit-data" class='submit-data' />

                    <input type="submit" value="{% trans "submit feedback" %}" class="submit" />

                    <textarea name="feedback-data" class="data-text"></textarea>

                </form>

            </div>

            <div class="message sending">{% trans "submiting your data....." %}</div>

            <div class="message success">

                {% trans "thank you for submiting your feedback" %}

                <span class="close-msg-box"> {% trans "close feedback" %}</span></div>

            <div class="message errormsg">

                {% trans "some error occured submiting submiting your feedback, please try again later" %}

                <span class="close-msg-box"> {% trans "close feedback" %}</span></div>

            </div>

            </div>