User feedback form

Our sales team wants to have a user feedback form, where a user can input feedback in the following way:

• 5 sliders about the following topics

  • usability

  • functionality

  • …

• text box for a comment

• email address to get in contact with product owner

A small smiley on the right corner should be shown. If a user clicks on it, the feedback form opens in a small popover. If the user has an internet connection, the data can be sent directly to us. Alternatively, we should provide an QR code, which includes all the data, the user filled in.