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Does anyone know of a simple widget that you can host yourself that has a simple feedback form (bug/idea)?

I don't want to make my users register on another site or jump through hoops to actually provide feedback, I just want them able to provide feedback as fast and as simply as possible.

I'd love to see stats on click through rates from users clicking feedback. I expect it's quite low, especially if they ask for signup.

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We are using Google Docs' forms tied to a spreadsheet for our startup. We have it load in a jquery window and looks decent, it is fully integrated, is customizable to be as complex or simple as you want, requires no registration and is free.

Good idea. I think something like this that has a great design by default would be a great open source project, and would be a better alternative compared to uservoice et al for most companies.

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