diff --git a/packages/browser-extension/src/scripts/dialog.js b/packages/browser-extension/src/scripts/dialog.js
index cb81326..57200e9 100644
--- a/packages/browser-extension/src/scripts/dialog.js
+++ b/packages/browser-extension/src/scripts/dialog.js
@@ -2,19 +2,6 @@ if (typeof browser === 'undefined') {
   browser = chrome;
 }
 
-/**
- * @description Report reasons
- * @type {string[]}
- */
-const reasons = [
-  'Cannot click',
-  'Page contains visual glitches',
-  'Page is blank',
-  'Page is laggy',
-  'Page is not responding',
-  'Popup showed up',
-];
-
 /**
  * @description Report dialog ID
  */
@@ -48,63 +35,48 @@ const reportDialogHtml = `
           ${browser.i18n.getMessage('reportDialog_bodyText')}
         </div>
         <div class="report-dialog-form">
-          <div class="report-dialog-radio-group">
-            <div
-              aria-checked="false"
-              class="report-dialog-radio"
-              data-value="0"
-              role="radio"
-              tabindex="0"
-            >
-              ${browser.i18n.getMessage('reportDialog_cannotClickOption')}
+          <div class="report-dialog-input-group">
+            <div class="report-dialog-input-label" id="report-dialog-label-url">
+              ${browser.i18n.getMessage('reportDialog_urlInputLabel')}
+              <span class="report-dialog-input-label-required">*</span>
             </div>
             <div
-              aria-checked="false"
-              class="report-dialog-radio"
-              data-value="1"
-              role="radio"
+              aria-labelledby="report-dialog-label-url"
+              aria-multiline="false"
+              aria-required="true"
+              class="report-dialog-input"
+              contenteditable="true"
+              id="report-dialog-input-url"
+              role="textbox"
               tabindex="0"
-            >
-              ${browser.i18n.getMessage('reportDialog_pageVisualGlitchOption')}
-            </div>
-            <div
-              aria-checked="false"
-              class="report-dialog-radio"
-              data-value="2"
-              role="radio"
-              tabindex="0"
-            >
-              ${browser.i18n.getMessage('reportDialog_blankPageOption')}
-            </div>
-            <div
-              aria-checked="false"
-              class="report-dialog-radio"
-              data-value="3"
-              role="radio"
-              tabindex="0"
-            >
-              ${browser.i18n.getMessage('reportDialog_laggyPageOption')}
-            </div>
-            <div
-              aria-checked="false"
-              class="report-dialog-radio"
-              data-value="4"
-              role="radio"
-              tabindex="0"
-            >
-              ${browser.i18n.getMessage('reportDialog_pageNotRespondingOption')}
-            </div>
-            <div
-              aria-checked="false"
-              class="report-dialog-radio"
-              data-value="5"
-              role="radio"
-              tabindex="0"
-            >
-              ${browser.i18n.getMessage('reportDialog_popupShowUpOption')}
+            ></div>
+            <div class="report-dialog-input-error" id="report-dialog-input-url-error">
+              ${browser.i18n.getMessage('reportDialog_urlInputError')}
             </div>
           </div>
-          <div aria-disabled="true" class="report-dialog-submit-button" role="button" tabindex="0">
+          <div class="report-dialog-input-group">
+            <div class="report-dialog-input-label" id="report-dialog-label-reason">
+              ${browser.i18n.getMessage('reportDialog_reasonInputLabel')}
+              <span class="report-dialog-input-label-required">*</span>
+            </div>
+            <div
+              aria-labelledby="report-dialog-label-reason"
+              aria-multiline="true"
+              aria-placeholder="${browser.i18n.getMessage('reportDialog_reasonInputLabel')}"
+              aria-required="true"
+              class="report-dialog-input"
+              contenteditable="true"
+              id="report-dialog-input-reason"
+              role="textbox"
+              tabindex="0"
+            >
+              ${browser.i18n.getMessage('reportDialog_reasonInputPlaceholder')}
+            </div>
+            <div class="report-dialog-input-error" id="report-dialog-input-reason-error">
+              ${browser.i18n.getMessage('reportDialog_reasonInputError')}
+            </div>
+          </div>
+          <div class="report-dialog-submit-button" role="button" tabindex="0">
             ${browser.i18n.getMessage('contextMenu_reportOption')?.replace('...', '')}
           </div>
         </div>
@@ -156,22 +128,38 @@ function hideReportDialog() {
 }
 
 /**
- * @description Dialog radio input click handler
- * @param {MouseEvent} event
+ * @description Input change handler
+ * @param {InputEvent} event
  */
-function radioClickHandler(event) {
-  const dialog = document.getElementById(reportDialogId);
-  const radios = dialog.getElementsByClassName('report-dialog-radio');
-  const submitButton = dialog?.getElementsByClassName('report-dialog-submit-button')[0];
+function inputChangeHandler(event) {
+  event.currentTarget.removeAttribute('aria-invalid');
+}
 
-  for (const radio of radios) {
-    radio.setAttribute('aria-checked', 'false');
+/**
+ * @description Input key down handler
+ * @param {KeyboardEvent} event
+ */
+function inputKeyDownHandler(event) {
+  if (event.key === 'Enter') {
+    event.preventDefault();
+    event.currentTarget.blur();
   }
+}
 
+/**
+ * @description Input paste handler
+ * @param {ClipboardEvent} event
+ */
+function inputPasteHandler(event) {
   event.preventDefault();
-  event.currentTarget.setAttribute('aria-checked', 'true');
-  submitButton.setAttribute('aria-disabled', 'false');
-  submitButton.addEventListener('click', submitButtonClickHandler);
+  const text = event.clipboardData?.getData('text').replace(/\r?\n|\r/g, ' ');
+
+  const selection = window.getSelection();
+
+  if (selection.rangeCount) {
+    selection.deleteFromDocument();
+    selection.getRangeAt(0).insertNode(document.createTextNode(text));
+  }
 }
 
 /**
@@ -181,7 +169,12 @@ function showReportDialog() {
   const existingDialog = document.getElementById(reportDialogId);
 
   if (existingDialog) {
+    const submitButton = existingDialog.getElementsByClassName('report-dialog-submit-button')[0];
+    const urlInput = existingDialog.querySelector('#report-dialog-input-url');
+
     existingDialog.showModal();
+    submitButton.setAttribute('aria-disabled', 'false');
+    urlInput.textContent = window.location.origin + window.location.pathname;
     return;
   }
 
@@ -190,16 +183,23 @@ function showReportDialog() {
   const dialog = result.body.firstElementChild;
   const closeButton = dialog.getElementsByClassName('report-dialog-close-button')[0];
   const link = document.createElement('link');
-  const radios = dialog.getElementsByClassName('report-dialog-radio');
+  const reasonInput = dialog?.querySelector('#report-dialog-input-reason');
+  const submitButton = dialog?.getElementsByClassName('report-dialog-submit-button')[0];
+  const urlInput = dialog?.querySelector('#report-dialog-input-url');
 
   closeButton.addEventListener('click', closeButtonClickHandler);
+  dialog.querySelector('#report-dialog-input-url').textContent =
+    window.location.origin + window.location.pathname;
   link.setAttribute('href', 'https://fonts.googleapis.com/css?family=Inter');
   link.setAttribute('id', 'report-dialog-font');
   link.setAttribute('rel', 'stylesheet');
-
-  for (const radio of radios) {
-    radio.addEventListener('click', radioClickHandler);
-  }
+  reasonInput.addEventListener('input', inputChangeHandler);
+  reasonInput.addEventListener('keydown', inputKeyDownHandler);
+  reasonInput.addEventListener('paste', inputPasteHandler);
+  submitButton.addEventListener('click', submitButtonClickHandler);
+  urlInput.addEventListener('input', inputChangeHandler);
+  urlInput.addEventListener('keydown', inputKeyDownHandler);
+  urlInput.addEventListener('paste', inputPasteHandler);
 
   dispatch({ type: 'INSERT_DIALOG_CSS' });
   document.body.appendChild(dialog);
@@ -212,31 +212,77 @@ function showReportDialog() {
  * @param {MouseEvent} event
  */
 async function submitButtonClickHandler(event) {
-  const target = event.currentTarget;
+  event.preventDefault();
 
-  if (target.getAttribute('aria-disabled') === 'true') {
+  if (event.currentTarget.getAttribute('aria-disabled') === 'true') {
     return;
   }
 
-  event.preventDefault();
-  target.setAttribute('aria-disabled', 'true');
+  event.currentTarget.setAttribute('aria-disabled', 'true');
 
   const dialog = document.getElementById(reportDialogId);
+  const reasonInput = dialog?.querySelector('#report-dialog-input-reason');
+  const reasonText = reasonInput?.textContent.trim();
+  const urlInput = dialog?.querySelector('#report-dialog-input-url');
+  const urlText = urlInput?.textContent.trim();
+
+  const errors = validateForm({ reason: reasonText, url: urlText });
+
+  if (errors) {
+    if (errors.reason) {
+      reasonInput?.setAttribute('aria-invalid', 'true');
+      reasonInput?.setAttribute('aria-errormessage', 'report-dialog-input-reason-error');
+    }
+
+    if (errors.url) {
+      urlInput?.setAttribute('aria-invalid', 'true');
+      urlInput?.setAttribute('aria-errormessage', 'report-dialog-input-url-error');
+    }
+
+    event.currentTarget.setAttribute('aria-disabled', 'false');
+    return;
+  }
+
   const formView = dialog?.getElementsByClassName('report-dialog-form-view')[0];
   const issueButton = dialog?.getElementsByClassName('report-dialog-issue-button')[0];
-  const option = dialog?.querySelector('.report-dialog-radio[aria-checked="true"]');
-  const reasonIndex = option?.dataset.value;
-  const reason = Number.isNaN(reasonIndex) ? 'Unknown' : reasons[reasonIndex];
   const submitView = dialog?.getElementsByClassName('report-dialog-submit-view')[0];
   const userAgent = window.navigator.userAgent;
 
-  const issueUrl = await dispatch({ userAgent, reason, type: 'REPORT' });
+  const issueUrl = await dispatch({ userAgent, reason: reasonText, url: urlText, type: 'REPORT' });
 
   formView?.setAttribute('hidden', 'true');
   issueButton?.addEventListener('click', () => window.open(issueUrl, '_blank'));
   submitView?.removeAttribute('hidden');
 }
 
+/**
+ * @description Validate form
+ * @param {{ reason: string | undefined | undefined, url: string | undefined }} params
+ * @returns {{ reason: string | undefined, url: string | undefined } | undefined}
+ */
+function validateForm(params) {
+  const { reason, url } = params;
+  let errors = undefined;
+
+  if (!reason || reason.length < 10 || reason.length > 1000) {
+    errors = {
+      ...(errors ?? {}),
+      reason: browser.i18n.getMessage('reportDialog_reasonInputError'),
+    };
+  }
+
+  try {
+    new URL(url);
+  } catch {
+    errors = {
+      ...(errors ?? {}),
+      url: browser.i18n.getMessage('reportDialog_urlInputError'),
+    };
+  }
+
+  return errors;
+}
+
 /**
  * @description Listen to messages
  */
diff --git a/packages/browser-extension/src/styles/dialog.css b/packages/browser-extension/src/styles/dialog.css
index 262b55b..f4934e3 100644
--- a/packages/browser-extension/src/styles/dialog.css
+++ b/packages/browser-extension/src/styles/dialog.css
@@ -1,4 +1,5 @@
 :root {
+  --cookie-dialog-monster-color-error: #cc0000;
   --cookie-dialog-monster-color-primary: #3dd9eb;
   --cookie-dialog-monster-color-secondary: #34495e;
   --cookie-dialog-monster-color-success: #5cb85c;
@@ -26,23 +27,41 @@
 
 #report-dialog * {
   box-sizing: border-box;
-  visibility: visible;
 }
-.report-dialog-body {
+
+#report-dialog div {
+  all: unset;
+  display: block;
+  box-sizing: border-box;
+}
+
+#report-dialog *::-moz-selection {
+  color: var(--cookie-dialog-monster-color-white);
+  background: var(--cookie-dialog-monster-color-tertiary);
+}
+
+#report-dialog *::selection {
+  color: var(--cookie-dialog-monster-color-white);
+  background: var(--cookie-dialog-monster-color-tertiary);
+}
+
+#report-dialog .report-dialog-body {
   display: block;
   font-size: 14px;
-  line-height: 14px;
+  line-height: 1.2;
   padding: 16px;
 }
 
-.report-dialog-body-text {
+#report-dialog .report-dialog-body-text {
   display: block;
   font-family: Inter, Arial, Helvetica, sans-serif;
+  font-size: 14px;
+  line-height: 1.2;
   margin: 0px;
   padding: 0px;
 }
 
-.report-dialog-close-button {
+#report-dialog .report-dialog-close-button {
   align-items: center;
   background-color: transparent;
   border: none;
@@ -53,119 +72,138 @@
   margin: 0px;
   outline: none;
   padding: 0px;
-  transition: 0.4s;
 }
 
-.report-dialog-close-button {
+#report-dialog .report-dialog-close-button {
   stroke: var(--cookie-dialog-monster-color-white);
 }
 
-.report-dialog-close-button:focus,
-.report-dialog-close-button:hover > svg {
+#report-dialog .report-dialog-close-button:focus,
+#report-dialog .report-dialog-close-button:hover > svg {
   stroke: var(--cookie-dialog-monster-color-secondary);
 }
 
-.report-dialog-close-button:focus-visible {
+#report-dialog .report-dialog-close-button:focus-visible {
   box-shadow: initial;
   transition: initial;
 }
 
-.report-dialog-close-button:focus,
-.report-dialog-close-button:hover {
+#report-dialog .report-dialog-close-button:focus,
+#report-dialog .report-dialog-close-button:hover {
   background-color: var(--cookie-dialog-monster-color-white);
 }
-.report-dialog-form {
+
+#report-dialog .report-dialog-form {
+  display: grid;
+  gap: 10px;
+}
+
+#report-dialog .report-dialog-form-view {
   display: flex;
   flex-direction: column;
   gap: 24px;
 }
 
-.report-dialog-form-view {
-  display: flex;
-  flex-direction: column;
-  gap: 24px;
-}
-
-.report-dialog-form-view[hidden] {
+#report-dialog .report-dialog-form-view[hidden] {
   display: none;
 }
-.report-dialog-header {
+
+#report-dialog .report-dialog-header {
   align-items: center;
   background-color: var(--cookie-dialog-monster-color-secondary);
   display: flex;
   font-size: 16px;
   height: 54px;
   justify-content: space-between;
-  line-height: 16px;
+  line-height: 1.2;
   padding: 16px;
 }
 
-.report-dialog-header-title {
+#report-dialog .report-dialog-header-title {
   color: var(--cookie-dialog-monster-color-white);
   font-family: Inter, Arial, Helvetica, sans-serif;
   font-weight: 500;
 }
-.report-dialog-radio {
-  color: var(--cookie-dialog-monster-color-tertiary);
-  cursor: pointer;
-  display: block;
-  font-family: Inter, Arial, Helvetica, sans-serif;
-  outline: none;
-  padding-left: 24px;
-  position: relative;
-}
 
-.report-dialog-radio[aria-checked='true']:after {
-  opacity: 1;
-  transform: scale(1, 1);
-}
-
-.report-dialog-radio:after {
-  background-color: var(--cookie-dialog-monster-color-primary);
-  border-radius: 50%;
-  box-sizing: border-box;
-  content: '';
-  display: block;
-  height: 8px;
-  left: 3px;
-  opacity: 0;
-  position: absolute;
-  top: 3px;
-  transform: scale(0, 0);
-  transition: all 0.2s cubic-bezier(0.64, 0.57, 0.67, 1.53);
-  width: 8px;
-}
-
-.report-dialog-radio:focus:not([aria-checked='true']):after,
-.report-dialog-radio:hover:not([aria-checked='true']):after {
-  background: var(--cookie-dialog-monster-color-tertiary);
-  opacity: 1;
-  transform: scale(1, 1);
-}
-
-.report-dialog-radio:before {
-  background: var(--cookie-dialog-monster-color-white);
+#report-dialog .report-dialog-input {
   border: 1px solid var(--cookie-dialog-monster-color-tertiary);
-  border-radius: 50%;
-  box-sizing: border-box;
-  content: '';
-  display: block;
-  height: 14px;
-  left: 0px;
-  margin-right: 5px;
-  position: absolute;
-  top: 0px;
-  width: 14px;
+  border-radius: 4px;
+  color: var(--cookie-dialog-monster-color-secondary);
+  cursor: text;
+  font-family: Inter, Arial, Helvetica, sans-serif;
+  font-size: 14px;
+  line-height: 1;
+  outline: none;
+  padding: 12px 8px;
 }
 
-.report-dialog-radio-group {
+#report-dialog .report-dialog-input:hover {
+  border-color: var(--cookie-dialog-monster-color-secondary);
+}
+
+#report-dialog .report-dialog-input:focus {
+  border-color: var(--cookie-dialog-monster-color-primary);
+}
+
+#report-dialog .report-dialog-input:focus-visible {
+  box-shadow: initial;
+  transition: initial;
+}
+
+#report-dialog .report-dialog-input::-webkit-scrollbar {
+  display: none;
+}
+
+#report-dialog .report-dialog-input[aria-invalid='true'] {
+  border-color: var(--cookie-dialog-monster-color-error);
+}
+
+#report-dialog .report-dialog-input[aria-invalid='true'] + .report-dialog-input-error {
+  visibility: visible;
+}
+
+#report-dialog .report-dialog-input[aria-multiline='false'] {
+  -ms-overflow-style: none;
   display: flex;
-  flex-direction: column;
-  gap: 18px;
+  height: 40px;
+  overflow-x: auto;
+  scrollbar-width: none;
+  text-wrap: nowrap;
 }
 
-.report-dialog-issue-button,
-.report-dialog-submit-button {
+#report-dialog .report-dialog-input[aria-multiline='true'] {
+  -ms-overflow-style: none;
+  height: 120px;
+  overflow-y: auto;
+  scrollbar-width: none;
+}
+
+#report-dialog .report-dialog-input-error {
+  color: var(--cookie-dialog-monster-color-error);
+  font-family: Inter, Arial, Helvetica, sans-serif;
+  font-size: 10px;
+  line-height: 1.2;
+  visibility: hidden;
+}
+
+#report-dialog .report-dialog-input-group {
+  display: grid;
+  gap: 4px;
+}
+
+#report-dialog .report-dialog-input-label {
+  color: var(--cookie-dialog-monster-color-secondary);
+  font-family: Inter, Arial, Helvetica, sans-serif;
+  font-size: 12px;
+  line-height: 1.2;
+}
+
+#report-dialog .report-dialog-input-label-required {
+  color: var(--cookie-dialog-monster-color-error);
+}
+
+#report-dialog .report-dialog-issue-button,
+#report-dialog .report-dialog-submit-button {
   align-items: center;
   background-color: var(--cookie-dialog-monster-color-secondary);
   border: 1px solid var(--cookie-dialog-monster-color-secondary);
@@ -177,52 +215,52 @@
   font-size: 14px;
   height: 39px;
   justify-content: center;
+  line-height: 1.2;
   outline: none;
   padding: 8px 16px;
   text-align: center;
-  transition: 0.4s;
   width: 100%;
 }
 
-.report-dialog-issue-button:focus,
-.report-dialog-issue-button:hover,
-.report-dialog-submit-button:focus,
-.report-dialog-submit-button:hover {
+#report-dialog .report-dialog-issue-button:focus,
+#report-dialog .report-dialog-issue-button:hover,
+#report-dialog .report-dialog-submit-button:focus,
+#report-dialog .report-dialog-submit-button:hover {
   background-color: var(--cookie-dialog-monster-color-white);
   color: var(--cookie-dialog-monster-color-secondary);
 }
 
-.report-dialog-issue-button:focus-visible,
-.report-dialog-submit-button:focus-visible {
+#report-dialog .report-dialog-issue-button:focus-visible,
+#report-dialog .report-dialog-submit-button:focus-visible {
   box-shadow: initial;
   transition: initial;
 }
 
-.report-dialog-issue-button[aria-disabled='true'],
-.report-dialog-submit-button[aria-disabled='true'] {
+#report-dialog .report-dialog-issue-button[aria-disabled='true'],
+#report-dialog .report-dialog-submit-button[aria-disabled='true'] {
   background-color: var(--cookie-dialog-monster-color-tertiary);
   border: 1px solid var(--cookie-dialog-monster-color-tertiary);
   color: var(--cookie-dialog-monster-color-white);
   cursor: not-allowed;
 }
 
-.report-dialog-submit-extra-text {
+#report-dialog .report-dialog-submit-extra-text {
   font-family: inherit;
   font-size: 14px;
-  line-height: 16px;
+  line-height: 1.2;
   margin: 0px;
   text-align: justify;
 }
 
-.report-dialog-submit-text {
+#report-dialog .report-dialog-submit-text {
   font-family: inherit;
   font-size: 18px;
-  line-height: 20px;
+  line-height: 1.2;
   margin: 0px;
   text-align: center;
 }
 
-.report-dialog-submit-view {
+#report-dialog .report-dialog-submit-view {
   align-items: center;
   display: flex;
   flex-direction: column;
@@ -232,6 +270,6 @@
   margin-top: 16px;
 }
 
-.report-dialog-submit-view[hidden] {
+#report-dialog .report-dialog-submit-view[hidden] {
   display: none;
 }