There is no perfect way for you to receive feedback from your website users rather than to use a contact form. This template presents a contact form with adequate text fields to enable you to gain perfect feedback from your app users. The template is simply a general page that can be used on all mobile websites.
Download it and customize to your needs. You can change text and add more text fields if you like. The header of the template presents the perfect part to add the title of your app.