diff --git a/feedback.yml b/feedback.yml
new file mode 100644
index 0000000..810ab1e
--- /dev/null
+++ b/feedback.yml
@@ -0,0 +1,13 @@
+---
+- hosts: localhost
+  gather_facts: no
+  tasks:
+    - name: Submit Feedback
+      ansible.builtin.uri:
+        url: https://docs.google.com/forms/d/e/1FAIpQLSfTq7Dm0hw0sOthHTH2F6wbwwJc-fsJPbn72IZX4CY7p4uGBg/formResponse
+        method: POST
+        body: "ifq&entry.1139138403={{ email }} &entry.735882959={{ feedback }}&sumbit=Submit"
+    
+    - name: Thank you
+      debug:
+        msg: Thank you for your feedback!