--- /dev/null
+//- Copyright (c) 2019 AT&T Intellectual Property. #\r
+//- #\r
+//- Licensed under the Apache License, Version 2.0 (the "License"); #\r
+//- you may not use this file except in compliance with the License. #\r
+//- You may obtain a copy of the License at #\r
+//- #\r
+//- http://www.apache.org/licenses/LICENSE-2.0 #\r
+//- #\r
+//- Unless required by applicable law or agreed to in writing, software #\r
+//- distributed under the License is distributed on an "AS IS" BASIS, #\r
+//- WITHOUT WARRANTIES OR CONDITIONS OF ANY KIND, either express or implied. #\r
+//- See the License for the specific language governing permissions and #\r
+//- limitations under the License. #\r
+//- #############################################################################\r
+\r
+\r
+div([@routerTransition])\r
+ h2 Submit Feedback\r
+ hr\r
+\r
+// name label & form input\r
+form([formGroup]='FeedbackFormGroup')\r
+ .row\r
+ .col-sm-2\r
+ mat-form-field(style='width:100%')\r
+ input(matInput, placeholder='First Name', formControlName='firstName', required)\r
+ mat-error Required\r
+ .col-sm-2\r
+ mat-form-field(style='width:100%')\r
+ input(matInput, placeholder='Last Name', formControlName='lastName', required)\r
+ mat-error Required\r
+ .row\r
+ .col-sm-4\r
+ // email label & form input\r
+ mat-form-field(style='width:100%')\r
+ input(matInput, placeholder='example@.com', type='email', formControlName='email', required)\r
+ .row\r
+ .col-sm-4\r
+ // message label & form input\r
+ mat-form-field(style='width:100%')\r
+ textarea(matInput, placeholder='Message', formControlName='message', required, rows=15)\r
+ .row\r
+ .col-sm-4\r
+ // button for submitting the information in the form\r
+ button(mat-raised-button='', color='primary', class='pull-right', (click)='onSubmitFeedback()') Send Feedback\r