Due to the following problem, I had to remove the feedback form from this site:

One July 22^nd, 4 of my domanis were hijacked and used to distribute trojans. I got the domains back, but I fear that a lot of damage may have been done.

Technical support people inform me that a script in my flash form may have helped the hackers hijack those domains. And it happened shortly after I uploaded the forms on those sites.

Anyway, instead of searching for a different type of form, I'll soon replace this feedback page with a blog.