HTTP/1.0 200 OK
Cache-Control: no-cache, private
Date:          Mon, 29 May 2023 19:32:56 GMT

<h6 class="subtitle-modal">Envie-nos qualquer desacordo ou sugestão com o nosso site</h6>
<!-- Capchca code -->
<script type="text/javascript">
    var widId = "";
    var onloadCallback=function() {
        widId = grecaptcha.render('feedback_captcha', {
            'sitekey' : '6LeoW3MaAAAAACm56Rol0YWmqcLoM_tJNXM3k7Gc',
            'theme' : 'light'
        });
    };   

    function verifyCaptcha(form) {
        var res = grecaptcha.getResponse(widId) ? true : false;
        return res;
    };
</script>
<form name="feed_back" method="post" action="/feedback/new">
<div class="row" style="margin-bottom: 7px">
    <div class="col-sm-12">
        <label for="feed_back_message">Mensagem <samp>*</samp></label>
        <textarea id="feed_back_message" name="feed_back[message]" required="required" placeholder="Mensagem" class="form-control"></textarea>
        
    </div>
</div>
<div class="row">
    <div class="col-sm-12">
        <span class="star-cb-group">
            <input type="radio" id="feed_back_rating_5" name="feed_back[rating]" value="5"/><label
                    for="feed_back_rating_5">5</label>
            <input type="radio" id="feed_back_rating_4" name="feed_back[rating]" value="4"/><label
                    for="feed_back_rating_4">4</label>
            <input type="radio" id="feed_back_rating_3" name="feed_back[rating]" value="3"/><label
                    for="feed_back_rating_3">3</label>
            <input type="radio" id="feed_back_rating_2" name="feed_back[rating]" value="2"/><label
                    for="feed_back_rating_2">2</label>
            <input type="radio" id="feed_back_rating_1" name="feed_back[rating]" value="1"/><label
                    for="feed_back_rating_1">1</label>
            <input type="radio" id="feed_back_rating_0" name="feed_back[rating]" value="0" class="star-cb-clear"/><label
                    for="feed_back_rating_0">0</label>
        </span>
    </div>
</div>
<div id="feedback_captcha"></div>
<br>
<div class="row mb-3">
    <div class="col-sm-12">        
        <button class="btn btn-custom" style="margin-bottom: 0 !important;">Enviar</button>
    </div>
</div>
<form name="_token" method="post"><input type="hidden" id="feed_back__token" name="feed_back[_token]" value="G5jj1kxd2fi8qZI4d85AnMqzyQFiggkDO3cVZ_77CsY" /></form>
<div style="display:none"><fieldset class="form-group"><legend class="col-form-label required">Rating</legend><div id="feed_back_rating"><div class="form-check">        <input type="radio" id="feed_back_rating_0" name="feed_back[rating]" required="required" class="form-check-input" value="1" />
        <label class="form-check-label required" for="feed_back_rating_0">1</label></div><div class="form-check">        <input type="radio" id="feed_back_rating_1" name="feed_back[rating]" required="required" class="form-check-input" value="2" />
        <label class="form-check-label required" for="feed_back_rating_1">2</label></div><div class="form-check">        <input type="radio" id="feed_back_rating_2" name="feed_back[rating]" required="required" class="form-check-input" value="3" />
        <label class="form-check-label required" for="feed_back_rating_2">3</label></div><div class="form-check">        <input type="radio" id="feed_back_rating_3" name="feed_back[rating]" required="required" class="form-check-input" value="4" />
        <label class="form-check-label required" for="feed_back_rating_3">4</label></div><div class="form-check">        <input type="radio" id="feed_back_rating_4" name="feed_back[rating]" required="required" class="form-check-input" value="5" />
        <label class="form-check-label required" for="feed_back_rating_4">5</label></div></div></fieldset></div>
</form>
<script src="https://www.google.com/recaptcha/api.js?onload=onloadCallback&render=explicit" async defer></script>