1 <div class="generic-page-wrapper">
2 <h1>{{$l10n.title}} - {{$l10n.page}}</h1>
3 <p>{{$l10n.description}}</p>
5 <form action="" method="post">
6 {{include file="field_radio.tpl" field=$category_spam}}
7 {{include file="field_radio.tpl" field=$category_illegal}}
8 {{include file="field_radio.tpl" field=$category_safety}}
9 {{include file="field_radio.tpl" field=$category_unwanted}}
10 {{include file="field_radio.tpl" field=$category_violation}}
11 {{include file="field_radio.tpl" field=$category_other}}
13 {{include file="field_textarea.tpl" field=$comment}}
14 <p><button type="submit" class="btn btn-primary">{{$l10n.submit}}</button></p>