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Noah's proposed solution works, but I was able to get the screenshot functionality to work on iOS as well by modifying the part of FeedbackForm.cs where the screenshot gets captured. It turns out Application.CaptureScreenshot() uses a different path on iOS than on other platforms, as documented here: http://answers.unity3d.com/questions/339335/ios-app-using-applicationcapturescre.... I added a couple of preprocessor directives that modified the path when on iOS, and the form worked as intended.

Hope this is helpful!

Thanks so much for posting your solution here! I'll be adding a fix for screenshots on iOS with the next update.