The site that does what I want is http://www.cherylsshoppingbag.com
Note that there is a link "What do you think" which when you click on it, take you to a form which the viewer can fill out. It states the email will not be posted, which is great! I'm using the exact same template but can't figure out how to get this form on my site:
Also the other site has a home button on the right sidebar. How do I add this without it going to a blank page?