<?php
	date_default_timezone_set('America/New_York');
?>

<!DOCTYPE html>
<html>
<head>
<meta charset="UTF-8">
<title>Title of the document</title>
</head>

<body>



<?php
echo "<form>
	<input type='hidden' name='uid' value='Anonymous'>
	<input type='hidden' name='date' value='".date('Y-m-d H:i:s')."'>
	<textarea name ='message'></textarea><br>
	<button type='submit' name='submit'>Comment</button>
</form>";
?>

</body>

</html>