<div id="advanced-ads-feedback-overlay" style="display: none;">
	<div id="advanced-ads-feedback-content">
	<span id="advanced-ads-feedback-overlay-close-button">&#x2715;</span>
		<form action="" method="post">
			<p><strong><?php esc_attr_e( 'Why did you decide to disable Advanced Ads?', 'advanced-ads' ); ?></strong></p>
			<ul>
			<li class="advanced_ads_disable_help"><label><input type="radio" name="advanced_ads_disable_reason" value="get help" checked="checked"/><?php esc_attr_e( 'I have a problem, a question or need help.', 'advanced-ads' ); ?></label></li>
			<li><textarea class="advanced_ads_disable_help_text" name="advanced_ads_disable_text[]" placeholder="<?php esc_attr_e( 'Please let us know how we can help', 'advanced-ads' ); ?>"></textarea></li>
			<?php if ( $email ) : ?>
				<?php $mailinput = '<input type="email" name="advanced_ads_disable_reply_email" value="' . $email . '"/>'; ?>
				<li class="advanced_ads_disable_reply"><label>
				<?php
				printf(
					/* translators: %s is the email address of the current user */
					__( 'Send me free help to %s', 'advanced-ads' ), $mailinput
				);
				?>
					</label></li>
			<?php endif; ?>
			<li><label><input type="radio" name="advanced_ads_disable_reason" value="ads not showing up"/><?php esc_attr_e( 'Ads are not showing up', 'advanced-ads' ); ?></label></li>
			<li><label><input type="radio" name="advanced_ads_disable_reason" value="temporary"/><?php esc_attr_e( 'It is only temporary', 'advanced-ads' ); ?></label></li>
			<li><label><input type="radio" name="advanced_ads_disable_reason" value="missing feature"/><?php esc_attr_e( 'I miss a feature', 'advanced-ads' ); ?></label></li>
			<li><input type="text" name="advanced_ads_disable_text[]" value="" placeholder="<?php esc_attr_e( 'Which one?', 'advanced-ads' ); ?>"/></li>
			<li><label><input type="radio" name="advanced_ads_disable_reason" value="stopped showing ads"/><?php esc_attr_e( 'I stopped using ads on my site.', 'advanced-ads' ); ?></label></li>
			<li><label><input type="radio" name="advanced_ads_disable_reason" value="other plugin"/><?php esc_attr_e( 'I switched to another plugin', 'advanced-ads' ); ?></label></li>
			</ul>
			<?php if ( $from ) : ?>
				<input type="hidden" name="advanced_ads_disable_from" value="<?php echo $from; ?>"/>
			<?php endif; ?>
			<input class="advanced-ads-feedback-submit button button-primary" type="submit" name="advanced_ads_disable_submit" value="<?php esc_attr_e( 'Send feedback & deactivate', 'advanced-ads' ); ?>"/>
			<input class="advanced-ads-feedback-not-deactivate advanced-ads-feedback-submit button" type="submit" name="advanced_ads_keep_submit" value="<?php esc_attr_e( 'Send feedback', 'advanced-ads' ); ?>">
			<?php wp_nonce_field( 'advanced_ads_disable_form', 'advanced_ads_disable_form_nonce' ); ?>
			<a class="advanced-ads-feedback-only-deactivate" href="#"><?php esc_attr_e( 'Only Deactivate', 'advanced-ads' ); ?></a>
		</form>
		<div id="advanced-ads-feedback-after-submit">
		    <h2 id="advanced-ads-feedback-after-submit-waiting" style="display: none"><?php esc_attr_e( 'Thanks for submitting your feedback. I will reply within 24 hours on working days.', 'advanced-ads' ); ?></h2>
		    <h2 id="advanced-ads-feedback-after-submit-goodbye" style="display: none"><?php 
		    /*
		     * translators: %s is the title of the website
		     */
			    printf( esc_attr__( 'All the best to you and %s.', 'advanced-ads' ), '<em>' . get_bloginfo( 'name' ) . '</em>' ); ?></h2>
		    <p id="advanced-ads-feedback-after-submit-disabling-plugin" style="display: none"><?php esc_attr_e( 'Disabling the plugin now…', 'advanced-ads' ); ?></p>
		</div>
	</div>
</div>
