diff --git a/src/components/GradientFill.tsx b/src/components/GradientFill.tsx
new file mode 100644
index 0000000000..dc14aa72b7
--- /dev/null
+++ b/src/components/GradientFill.tsx
@@ -0,0 +1,27 @@
+import React from 'react'
+import LinearGradient from 'react-native-linear-gradient'
+
+import {atoms as a, tokens} from '#/alf'
+
+export function GradientFill({
+  gradient,
+}: {
+  gradient:
+    | typeof tokens.gradients.sky
+    | typeof tokens.gradients.midnight
+    | typeof tokens.gradients.sunrise
+    | typeof tokens.gradients.sunset
+    | typeof tokens.gradients.bonfire
+    | typeof tokens.gradients.summer
+    | typeof tokens.gradients.nordic
+}) {
+  return (
+    <LinearGradient
+      colors={gradient.values.map(c => c[1])}
+      locations={gradient.values.map(c => c[0])}
+      start={{x: 0, y: 0}}
+      end={{x: 1, y: 1}}
+      style={[a.absolute, a.inset_0]}
+    />
+  )
+}
diff --git a/src/components/dialogs/ReportDialog/index.tsx b/src/components/dialogs/ReportDialog/index.tsx
index b7f4851e15..7e321b5e25 100644
--- a/src/components/dialogs/ReportDialog/index.tsx
+++ b/src/components/dialogs/ReportDialog/index.tsx
@@ -5,14 +5,23 @@ import {useLingui} from '@lingui/react'
 import {LABEL_GROUPS, LabelGroupDefinition} from '@atproto/api'
 import {useSafeAreaInsets} from 'react-native-safe-area-context'
 
-import {atoms as a, useTheme} from '#/alf'
+import {atoms as a, useTheme, tokens, native} from '#/alf'
 import {Text} from '#/components/Typography'
 import * as Dialog from '#/components/Dialog'
 import {GlobalDialogProps} from '#/components/dialogs'
-import {Button, useButtonContext} from '#/components/Button'
+import {Button, ButtonIcon, useButtonContext} from '#/components/Button'
 import {Divider} from '#/components/Divider'
 import {useLabelGroupStrings} from '#/lib/moderation'
-import {ChevronRight_Stroke2_Corner0_Rounded as ChevronRight} from '#/components/icons/Chevron'
+import {
+  ChevronRight_Stroke2_Corner0_Rounded as ChevronRight,
+  ChevronLeft_Stroke2_Corner0_Rounded as ChevronLeft,
+} from '#/components/icons/Chevron'
+import {Check_Stroke2_Corner0_Rounded as Check} from '#/components/icons/Check'
+import {PlusLarge_Stroke2_Corner0_Rounded as Plus} from '#/components/icons/Plus'
+import * as Toggle from '#/components/forms/Toggle'
+import {GradientFill} from '#/components/GradientFill'
+import * as TextField from '#/components/forms/TextField'
+import {CharProgress} from '#/view/com/composer/char-progress/CharProgress'
 
 export type ReportDialogProps =
   | {
@@ -80,6 +89,167 @@ function LabelGroupButton({labelGroup}: {labelGroup: string}) {
   )
 }
 
+function ModServiceToggle({title}: {title: string}) {
+  const t = useTheme()
+  const ctx = Toggle.useItemContext()
+
+  return (
+    <View
+      style={[
+        a.py_md,
+        a.px_xl,
+        a.rounded_full,
+        a.overflow_hidden,
+        t.atoms.bg_contrast_25,
+      ]}>
+      {ctx.selected && <GradientFill gradient={tokens.gradients.midnight} />}
+      <View
+        style={[
+          a.flex_row,
+          a.align_center,
+          a.justify_between,
+          a.gap_lg,
+          a.z_10,
+        ]}>
+        <Text
+          style={[
+            native({marginTop: 2}),
+            {
+              color:
+                t.name === 'light' && ctx.selected
+                  ? t.palette.white
+                  : t.atoms.text.color,
+            },
+          ]}>
+          {title}
+        </Text>
+        <Plus
+          size="sm"
+          fill={
+            ctx.selected
+              ? t.palette.primary_200
+              : t.atoms.text_contrast_400.color
+          }
+        />
+      </View>
+    </View>
+  )
+}
+
+function SubmitView({
+  selectedLabelGroup,
+  goBack,
+}: {
+  selectedLabelGroup: string
+  goBack: () => void
+}) {
+  const t = useTheme()
+  const {_} = useLingui()
+  const labelGroupStrings = useLabelGroupStrings()
+  const groupInfoStrings = labelGroupStrings[selectedLabelGroup]
+  const [selectedServices, setSelectedServices] = React.useState<string[]>([])
+  const [details, setDetails] = React.useState<string>('')
+
+  return (
+    <View style={[a.gap_2xl]}>
+      <Button
+        size="small"
+        variant="solid"
+        color="secondary"
+        shape="round"
+        label={_(msg`Go back to previous step`)}
+        onPress={goBack}>
+        <ButtonIcon icon={ChevronLeft} />
+      </Button>
+
+      <View
+        style={[
+          a.w_full,
+          a.flex_row,
+          a.align_center,
+          a.justify_between,
+          a.gap_lg,
+          a.p_md,
+          a.rounded_md,
+          t.atoms.bg_contrast_25,
+        ]}>
+        <View style={[a.flex_1, a.gap_xs]}>
+          <Text style={[a.text_md, a.font_bold]}>{groupInfoStrings.name}</Text>
+          <Text style={[a.leading_tight, {maxWidth: 400}]}>
+            {groupInfoStrings.description}
+          </Text>
+        </View>
+
+        <Check size="md" style={[a.pr_sm]} />
+      </View>
+
+      <View style={[a.gap_md]}>
+        <Text style={[t.atoms.text_contrast_700]}>
+          Select the moderation service(s) to report to
+        </Text>
+
+        <Toggle.Group
+          label="Select mod services"
+          values={selectedServices}
+          onChange={setSelectedServices}>
+          <View style={[a.flex_row, a.gap_sm, a.flex_wrap]}>
+            <Toggle.Item name="bluesky" label="Bluesky">
+              <ModServiceToggle title="Bluesky" />
+            </Toggle.Item>
+            <Toggle.Item name="contraption" label="The Contraption">
+              <ModServiceToggle title="The Contraption" />
+            </Toggle.Item>
+            <Toggle.Item name="safety" label="Safety Corp">
+              <ModServiceToggle title="Safety Corp" />
+            </Toggle.Item>
+          </View>
+        </Toggle.Group>
+      </View>
+      <View style={[a.gap_md]}>
+        <Text style={[t.atoms.text_contrast_700]}>
+          Optionally provide additional information below:
+        </Text>
+
+        <View style={[a.relative, a.w_full]}>
+          <TextField.Input
+            multiline
+            value={details}
+            onChangeText={setDetails}
+            label="Text field"
+            style={{paddingRight: 60}}
+            numberOfLines={6}
+          />
+
+          <View
+            style={[
+              a.absolute,
+              a.flex_row,
+              a.align_center,
+              a.pr_md,
+              a.pb_sm,
+              {
+                bottom: 0,
+                right: 0,
+              },
+            ]}>
+            <CharProgress count={details?.length || 0} />
+          </View>
+        </View>
+      </View>
+
+      <View style={[a.align_end]}>
+        <Button
+          size="large"
+          variant="gradient"
+          color="gradient_midnight"
+          label={_(msg`Submit`)}>
+          Submit
+        </Button>
+      </View>
+    </View>
+  )
+}
+
 /**
  * TODO copyright link out to DMCA
  * TODO add "other" option
@@ -92,7 +262,8 @@ export function ReportDialog({
   const {_} = useLingui()
   const insets = useSafeAreaInsets()
   const control = Dialog.useDialogControl()
-  const [_labelGroup, setLabelGroup] = React.useState<string>('')
+  const [selectedLabelGroup, setSelectedLabelGroup] =
+    React.useState<string>('nudity')
   const labelGroupStrings = useLabelGroupStrings()
 
   // REQUIRED CLEANUP
@@ -132,30 +303,37 @@ export function ReportDialog({
       <Dialog.Handle />
 
       <Dialog.ScrollableInner label="Report Dialog">
-        <View style={[a.gap_lg]}>
-          <View style={[a.justify_center, a.gap_sm]}>
-            <Text style={[a.text_2xl, a.font_bold]}>{i18n.title}</Text>
-            <Text style={[a.text_md, t.atoms.text_contrast_700]}>
-              {i18n.description}
-            </Text>
-          </View>
+        {selectedLabelGroup ? (
+          <SubmitView
+            selectedLabelGroup={selectedLabelGroup}
+            goBack={() => setSelectedLabelGroup('')}
+          />
+        ) : (
+          <View style={[a.gap_lg]}>
+            <View style={[a.justify_center, a.gap_sm]}>
+              <Text style={[a.text_2xl, a.font_bold]}>{i18n.title}</Text>
+              <Text style={[a.text_md, t.atoms.text_contrast_700]}>
+                {i18n.description}
+              </Text>
+            </View>
 
-          <Divider />
+            <Divider />
 
-          <View style={[a.gap_sm, {marginHorizontal: a.p_md.padding * -1}]}>
-            {groups.map(([name, def]) => {
-              const groupStrings = labelGroupStrings[name]
-              return (
-                <Button
-                  key={def.id}
-                  label={_(msg`Create report for ${groupStrings.name}`)}
-                  onPress={() => setLabelGroup(name)}>
-                  <LabelGroupButton labelGroup={name} />
-                </Button>
-              )
-            })}
+            <View style={[a.gap_sm, {marginHorizontal: a.p_md.padding * -1}]}>
+              {groups.map(([name, def]) => {
+                const groupStrings = labelGroupStrings[name]
+                return (
+                  <Button
+                    key={def.id}
+                    label={_(msg`Create report for ${groupStrings.name}`)}
+                    onPress={() => setSelectedLabelGroup(name)}>
+                    <LabelGroupButton labelGroup={name} />
+                  </Button>
+                )
+              })}
+            </View>
           </View>
-        </View>
+        )}
       </Dialog.ScrollableInner>
     </Dialog.Outer>
   )
diff --git a/src/components/forms/TextField.tsx b/src/components/forms/TextField.tsx
index 67515049c9..e98c5ed9dd 100644
--- a/src/components/forms/TextField.tsx
+++ b/src/components/forms/TextField.tsx
@@ -12,8 +12,8 @@ import {
 
 import {HITSLOP_20} from 'lib/constants'
 import {isWeb} from '#/platform/detection'
-import {useTheme, atoms as a, web, tokens, android} from '#/alf'
-import {Text} from '#/components/Typography'
+import {useTheme, atoms as a, web, tokens, android, flatten} from '#/alf'
+import {Text, leading} from '#/components/Typography'
 import {useInteractionState} from '#/components/hooks/useInteractionState'
 import {Props as SVGIconProps} from '#/components/icons/common'
 
@@ -208,10 +208,13 @@ export function createInput(Component: typeof TextInput) {
               paddingBottom: 2,
             }),
             {
-              lineHeight: a.text_md.fontSize * 1.1875,
+              lineHeight: rest.multiline
+                ? leading(a.text_md, a.leading_normal)
+                : a.text_md.fontSize * 1.1875,
               textAlignVertical: rest.multiline ? 'top' : undefined,
               minHeight: rest.multiline ? 60 : undefined,
             },
+            flatten(rest.style),
           ]}
         />