Create a php script feedback form which contains a drop down list, three text fields, a radio button group, a comment field, and a submit button. When user click the submit button, your system will echo back whatever user entered.

it will respond with

Thank you, Mr. Johnson, for your comments. You email address is js@gmail.com and your phone number is 123-456-7890 You stated that you found this example to be 'excellent' and added: I Like it