-
-<div id="contact-edit-rating-wrapper">
-<h4>$lbl_rep1</h4>
-<p>
-$lbl_rep2 $lbl_rep3
-</p>
-<div id="contact-edit-rating-select-wrapper">
-$rating
-</div>
-<div id="contact-edit-rating-explain">
-<p>
-$lbl_rep4
-</p>
-<textarea id="contact-edit-rating-text" name="reason" rows="3" cols="64" >$reason</textarea>
-</div>
-</div>
-$groups
-
-<input class="contact-edit-submit" type="submit" name="submit" value="$submit" />