Love the idea. I have a bunch of suggestions, hopefully they're helpful:
--- Change cc to something like "a particular employee". I'm assuming it's there to target someone particular, like Jim Brown, Engineer at AnyCo. Right now it's a little unclear.
--- Make it more clear that the page scrolls down further. Right now there's no indication.
--- There's no link to the TOS
--- The last sentence is rambly: We can't guarantee an answer, but we will forward questions to companies and have built a public interface for them to respond. Maybe just change it to We can't guarantee an answer, but we'll try our best! Read more about how it works. (with a link to how it works)
--- How do I know that a) this person works there and b) I won't just hear good news from the PR person?
Good luck!