diff --git a/lib/pages/main_page.dart b/lib/pages/main_page.dart
index 48859bd..3241a4c 100644
--- a/lib/pages/main_page.dart
+++ b/lib/pages/main_page.dart
@@ -14,6 +14,13 @@ class MyHomePage extends StatefulWidget {
 
 class MyHomePageState extends State<MyHomePage> {
   int _selectedIndex = 2;
+  final List<String> _titles = [
+    'Stimmung',
+    'Schlaf',
+    'Timer',
+    'Rückfall',
+    'Einstellungen'
+  ];
   static const List<Widget> _widgetOptions = <Widget>[
     MoodPage(),
     SleepPage(),
@@ -29,7 +36,7 @@ class MyHomePageState extends State<MyHomePage> {
   @override
   Widget build(BuildContext context) {
     return Scaffold(
-      appBar: AppBar(title: const Text('ZI Rauchentwöhnung')),
+      appBar: AppBar(title: Text(_titles[_selectedIndex])),
       body: _widgetOptions.elementAt(_selectedIndex),
       bottomNavigationBar: NavigationBar(
         onDestinationSelected: _onItemTapped,
diff --git a/lib/pages/mood_page.dart b/lib/pages/mood_page.dart
index a8c4a4e..bd1b36b 100644
--- a/lib/pages/mood_page.dart
+++ b/lib/pages/mood_page.dart
@@ -1,10 +1,13 @@
 import 'package:flutter/material.dart';
+import 'package:smoke_cess_app/widgets/mood_form.dart';
 
 class MoodPage extends StatelessWidget {
   const MoodPage({super.key});
 
   @override
   Widget build(BuildContext context) {
-    return const Center(child: Text('Hier Fragen wir die Stimmung ab'));
+    return const Center(
+      child: MoodForm(),
+    );
   }
 }
diff --git a/lib/widgets/mood_form.dart b/lib/widgets/mood_form.dart
new file mode 100644
index 0000000..fa7d175
--- /dev/null
+++ b/lib/widgets/mood_form.dart
@@ -0,0 +1,43 @@
+import 'package:flutter/material.dart';
+import 'package:smoke_cess_app/widgets/slider.dart';
+import 'package:smoke_cess_app/widgets/submit_form_button.dart';
+import 'package:smoke_cess_app/widgets/text_formfield.dart';
+
+class MoodForm extends StatefulWidget {
+  const MoodForm({super.key});
+
+  @override
+  State<MoodForm> createState() => _MoodFormState();
+}
+
+class _MoodFormState extends State<MoodForm> {
+  final GlobalKey<FormState> _moodFormKey = GlobalKey<FormState>();
+  MySlider slider = const MySlider();
+  String _textInput = "";
+
+  void submitForm() {
+    if (_moodFormKey.currentState!.validate()) {
+      _moodFormKey.currentState?.save(); //call every onSave Method
+      //TODO Businesslogik aufrufen!
+      print(_textInput);
+      print(slider.getSliderValue());
+      _moodFormKey.currentState?.reset();
+    }
+  }
+
+  void onFormFieldSave(String? newValue) => _textInput = newValue!;
+
+  @override
+  Widget build(BuildContext context) {
+    return Form(
+        key: _moodFormKey,
+        child: Column(
+          mainAxisAlignment: MainAxisAlignment.center,
+          children: [
+            slider,
+            MyTextFormField(onFormFieldSave),
+            SubmitFormButton(submitForm)
+          ],
+        ));
+  }
+}
diff --git a/lib/widgets/slider.dart b/lib/widgets/slider.dart
new file mode 100644
index 0000000..fb8e063
--- /dev/null
+++ b/lib/widgets/slider.dart
@@ -0,0 +1,37 @@
+import 'package:flutter/material.dart';
+
+double _currentSliderValue = 50;
+
+class MySlider extends StatefulWidget {
+  const MySlider({super.key});
+
+  @override
+  State<StatefulWidget> createState() => SliderState();
+
+  double getSliderValue() {
+    return _currentSliderValue;
+  }
+}
+
+class SliderState extends State<MySlider> {
+  @override
+  Widget build(BuildContext context) {
+    return Column(
+      children: [
+        const Text('Bewerte deine Stimmung'),
+        Row(
+          mainAxisAlignment: MainAxisAlignment.center,
+          children: [
+            Slider(
+                value: _currentSliderValue,
+                max: 100,
+                label: _currentSliderValue.round().toString(),
+                onChanged: (double value) =>
+                    {setState((() => _currentSliderValue = value))}),
+            Text(_currentSliderValue.round().toString())
+          ],
+        )
+      ],
+    );
+  }
+}
diff --git a/lib/widgets/submit_form_button.dart b/lib/widgets/submit_form_button.dart
new file mode 100644
index 0000000..58f28c8
--- /dev/null
+++ b/lib/widgets/submit_form_button.dart
@@ -0,0 +1,17 @@
+import 'package:flutter/material.dart';
+
+class SubmitFormButton extends StatelessWidget {
+  final VoidCallback submitCallback;
+  const SubmitFormButton(this.submitCallback, {super.key});
+
+  @override
+  Widget build(BuildContext context) {
+    return Padding(
+      padding: const EdgeInsets.symmetric(vertical: 16.0),
+      child: ElevatedButton(
+        onPressed: submitCallback,
+        child: const Text('Speichern'),
+      ),
+    );
+  }
+}
diff --git a/lib/widgets/text_formfield.dart b/lib/widgets/text_formfield.dart
new file mode 100644
index 0000000..b8a7d02
--- /dev/null
+++ b/lib/widgets/text_formfield.dart
@@ -0,0 +1,21 @@
+import 'package:flutter/material.dart';
+
+class MyTextFormField extends StatelessWidget {
+  final Function(String?) onSaveAction;
+  const MyTextFormField(
+    this.onSaveAction, {
+    super.key,
+  });
+
+  @override
+  Widget build(BuildContext context) {
+    return TextFormField(
+      onSaved: onSaveAction,
+      decoration: const InputDecoration(hintText: 'Beschreibe deine Stimmung?'),
+      validator: (String? value) =>
+          value == null || value.isEmpty ? 'Text eingeben' : null,
+      keyboardType: TextInputType.multiline,
+      maxLines: null,
+    );
+  }
+}