streaming-website/template/assemblies/feedback.phtml

<form action="<?=h($conference->getFeedbackURl())?>" target="feedback-target" method="post" role="form" class="feedback-form">

	<div class="container-fluid">
	<div class="row">

		<div class="col-sm-6 col">
			<div class="form-group">
				<label for="issuetext">Message / Symptoms*</label>
				<textarea rows="2"  value="" name="issuetext" id="issuetext" class="form-control" style="resize: vertical;"
				></textarea>
			</div>
		</div>

		<div class="col-sm-6 col">
			<div class="form-group">
				<label for="stream">Stream</label>
				<select class="form-control" name="stream" id="stream">
					<option></option>
					<? foreach($conference->getRooms() as $roomiter): ?>
						<? if(!$roomiter->hasFeedback()) continue ?>
						<? foreach($roomiter->getSelections() as $selection): ?>
							<option
								<? if(
									isset($room) && isset($stream) &&
									$roomiter->getSlug() == $room->getSlug() &&
									$selection->getSelection() == $stream->getSelection()
								): ?>selected<? endif ?>
								value="<?=h($roomiter->getSlug().'-'.$selection->getSelection())?>"
							>
								<?=h($roomiter->getDisplay())?> – <?=h($selection->getDisplay())?>
							</option>
						<? endforeach ?>
					<? endforeach ?>
				</select>
			</div>
		</div>

	</div>
	<div class="row">

	<div class="col-sm-4 col">
		<label>&nbsp;</label>
		<div class="form-group mt-1">
			<label for="net">Network Connection</label>
			<select class="form-control" name="net" id="net">
				<option></option>
				<option>Mobile</option>
				<option>DSL Light</option>
				<option>DSL/Cable</option>
				<option>Public Hotspot</option>
				<option>WiFi on site</option>
				<option>Ethernet on site</option>
				<option>Something else</option>
			</select>
		</div>

		<div class="form-group">
			<label for="os">Operating System</label>
			<select class="form-control" name="os" id="os">
				<option></option>
				<option>Unixoid</option>
				<option>macOS</option>
				<option>Windows</option>
				<option>Android</option>
				<option>iOS/iPadOS/tvOS</option>
				<option>Something else</option>
			</select>
		</div>

		<div class="form-group">
			<label for="player">Player</label>
			<select class="form-control" name="player" id="player">
				<option></option>
				<option>Firefox</option>
				<option>Chrome/Chromium</option>
				<option>Safari</option>
				<option>VLC</option>
				<option>MPlayer</option>
				<option>Totem</option>
				<option>ffplay</option>
				<option>iOS</option>
				<option>Android</option>
				<option>Something else</option>
			</select>
		</div>
	</div>

	<div class="col-sm-4 col">
		<div class="form-group">
			<label>IP connectivity</label>
			<div class="checkbox">
				<label>
					<input type="checkbox" value="v4" name="ipproto[]" /> IPv4
				</label>
			</div>
			<div class="checkbox">
				<label>
					<input type="checkbox" value="v6" name="ipproto[]" /> IPv6
				</label>
			</div>
		</div>

		<div class="form-group">
			<label for="datetime">Date/Time</label>
			<input type="text" value="<?=h(strftime('%d.%m.%Y %H:%I'))?>" name="datetime" id="datetime" class="form-control" />
		</div>

		<div class="form-group">
			<label for="provider">Provider</label>
			<input type="text" value="" name="provider" id="provider" class="form-control" />
		</div>
	</div>

	<div class="col-sm-4 col">
		<div class="form-group">
			<label>Did you have issues?</label>
			<div class="checkbox">
				<label>
					<input type="checkbox" name="issues[]" value="Dropouts" /> Dropouts
				</label>
			</div>
			<div class="checkbox">
				<label>
					<input type="checkbox" name="issues[]" value="Hickups/Discontinously" /> Hickups/Discontinously
				</label>
			</div>
			<div class="checkbox">
				<label>
					<input type="checkbox" name="issues[]" value="Loops" /> Loops
				</label>
			</div>
			<div class="checkbox">
				<label>
					<input type="checkbox" name="issues[]" value="No image" /> No image
				</label>
			</div>
			<div class="checkbox">
				<label>
					<input type="checkbox" name="issues[]" value="No audio" /> No audio
				</label>
			</div>
			<div class="checkbox">
				<label>
					<input type="checkbox" name="issues[]" value="Artifacts" /> Artifacts
				</label>
			</div>
			<div class="checkbox">
				<label>
					<input type="checkbox" name="issues[]" value="AV Async" /> Audio/Video async
				</label>
			</div>
		</div>

	</div>
</div>
	<div class="row">

		<div class="col col-sm-8">
</div>
		<div class="col col-sm-4">
			<div class="form-group">
				<input class="btn btn-primary" type="submit" value="Submit" />
			</div>
		</div>

	</div>
	</div>
</form>

<h3 class="feedback-thankyou">Thank you!</h3>
<h3 class="feedback-error">The feedback also seems to be broken…</h3>
<iframe name="feedback-target" style="display: none;"></iframe>