We always welcome comments and suggestions. Use the form below to send us feedback.
<?php
function feedback_form() {
  $period = array('0' => 'Comments');
 $form['grp'] = array(
    '#type' => 'fieldset',
    '#title' => t('Details'),
    '#collapsible' => FALSE,
  );
  $form['grp']['type'] = array(
    '#type' => 'select',
    '#title' => t('Type of feedback'),
    '#options' => $period,
    '#default_value' => 0,
  );
  $form['grp']['details'] = array(
    '#type' => 'textarea',
    '#title' => t('Enter you feedback below'),
    '#wysiwyg' => false,
    '#cols' => 60,
    '#rows' => 5,
    '#resizeable' => TRUE,
  );
  $form['grp']['email'] = array(
    '#type' => 'textfield',
    '#title' => t('Your e-mail address'),
    '#size' => 30,
    '#maxlength' => 64,
  );
  $form['submit'] = array(
    '#type' => 'submit',
    '#value' => t('Submit'),
  );
  return $form;
}
function feedback_form_submit($fid, $fv)
{
  Sendmail($fv['values']['type'], $fv['values']['details'], $fv['values']['email']);
}
print drupal_get_form('feedback_form');
function Sendmail($FeedbackType, $details, $EMail)
{
// Do a simple validation of the email address
if(eregi("([[:alnum:]\.\-]+)(\@[[:alnum:]\.\-]+\.+)", $EMail))
{
	$to = "admin@burnoutaholics.com";
	$subject = "UserFeedback: Comments on BurnoutAholics.com";
	$from_header = "From: $EMail";
                 if(eregi("viagra", $details) || eregi("medic", $details) || eregi("meds", $details) || eregi("sdial", $EMail) || eregi("rabbit", $EMail) || eregi("prescription", $details) || eregi("xshorturl", $details) || eregi("xshourt", $details)|| eregi("href", $details))
                {
                   drupal_set_message("Thank you! Your feedback has not been sent. We really appreciate getting spam :-)");
                }
                else
                if(strlen($details) > 800)
                {
                     drupal_set_message("Error: Your feedback exceeds the maximum length. ");
                }
                else
	if($details != "")
	{
	   //send mail - $subject & $contents come from surfer input
	   mail($to, $subject, $details, $from_header);
                   drupal_set_message("Your feedback has been sent.");
                }
	else
	{
                   drupal_set_message("Error: You need to enter some text in the feedback field. ");
	}
}
else
{
     drupal_set_message("Error: $EMail is not a vaild e-mail address! ");
}
}
?>
Please note that you have to enter a vaild e-mail address to send us feedback.