Anonymous feedback form

[forgottenglory]

I have searched for this on the Net but couldn't come across any tutorials which explains how to do this.  I would like to build an anonymous feedback form which would contain only one text field and one submit button.  The script must be able to prevent people from submitting a blank form. 

 

Could anybody please point me in the direction of a tut that would explain how to do the above?

 

Thanks

[AdRock]

What do you want the feedback form to do? email the feedback to you or store it in a database?

[forgottenglory]

Send to an email address

[Jessica]

You can't have searched very hard.

http://www.google.com/search?q=email+form+php

[AdRock]

Try this

 

<?
// Change to your own email address
$your_email = "[email protected]";

// This is what is displayed in the email subject line
// Change it if you want
$subject = "Message via your contact form";

// This is displayed when the email has been sent
$thankyou_message = "<p>Thankyou. Your feedback has been sent.</p>";

$self = $_SERVER['REQUEST_URI'];

$message = $_POST['txtMessage'];
$send = $_POST['send'];

$msg="<p>Please fill in this form if you have any queries or suggestions.</p>";

echo ($msg);

$form = "
    <form method=\"post\" action=\"$self\">

     <p><label for=\"txtMessage\">Comments:</label>
    <textarea title=\"Please enter your message\" id=\"txtMessage\" name=\"txtMessage\" rows=\"20\" cols=\"45\">$message</textarea></p>

    <p><label> </label>
    <input type=\"submit\" class=\"sendbutton\" name=\"send\" value=\"Submit\" /></p>

</form>";

if($send)
{
    $valid=true;

if( !$message )
{ 
    $errmsg.="Please enter your message:<br />";
    $valid=false; 
}
}

if( $valid !=true )
    {
echo( "<span style=\"font-weight: bold; color:red;\">".$errmsg."</span>" . $form );
    }

else {

    // Stop the form being used from an external URL
    // Get the referring URL
    $referer = $_SERVER['HTTP_REFERER'];
    // Get the URL of this page
    $this_url = "http://".$_SERVER['HTTP_HOST'].$_SERVER["REQUEST_URI"];
    // If the referring URL and the URL of this page don't match then
    // display a message and don't send the email.
    if ($referer != $this_url) {
        echo "You do not have permission to use this script from another URL.<br />";
echo "If you are behind a firewall please check your referrer settings.";
        exit;
    }

    // The URLs matched so send the email
    if( mail($your_email, $subject, $message, "From: $name <$email>"));
    {
    	// Display the thankyou message
    	echo $thankyou_message;
    }
}

?>