<form method="post" action="[{$url_amp_self}]">
	<div class="BPHeader">[{$title}]</div>
	<table>
		<tr>
			<td>
				<fieldset class="full">
					<legend>[{t}]users_Basic_datas[{/t}]</legend>
					<table class="BP">
						<tr><td colspan="2">[{$user_comment}]</td></tr>
						<tr><td colspan="2">[{$score}]</td></tr>
					</table>
				</fieldset>
			</td>
		</tr>
	</table>
	<table class="BP" style="width: 100%;">
		<tr><td align="center">[{$feedback_submit}]</td></tr>
	</table>
</form>
