survey3.medallia.com Open in urlscan Pro
147.75.243.92  Public Scan

Form analysis
1 forms found in the DOM

Name: surveyform — POST /?e9f89tc6x66rhd2hy29pht

<form name="surveyform" action="/?e9f89tc6x66rhd2hy29pht" method="post"><!-- react-empty: 4 -->
  <div><!-- react-empty: 6 --><input type="hidden" name="is_embedded" id="is_embedded" value="false">
    <header>
      <div class="progressbar_progressBar" role="progressbar" aria-label="Survey completion indicator" aria-valuenow="33" aria-valuemin="0" aria-valuemax="100">
        <div class="progressbar_progressBarIndicator" style="width: 33%;"></div>
      </div><a class="layout_skipNav" href="#content">Skip to Content</a>
      <div class="layout_layoutContainer">
        <div class="layout_mainHeader layout_clearfix">
          <div class="layout_mainHeaderLeft">
            <h1 class="layout_invisibleTitle" tabindex="0" aria-label="Survey"></h1><img id="pageLogo" class="layout_logo" src="https://global.cdn.survey.medallia.com/30dda561b206c5c51387575e19cb68f8720398c3" alt="Spakletts Logo">
          </div>
          <div class="layout_mainHeaderRight"></div>
        </div>
      </div>
    </header>
    <div class="layout_layoutContainer"><input type="hidden" name="stay_main-pager" value="1"><input type="hidden" name="nodeId" value="survey3-fe3"><input type="hidden" name="ballotVer" value="56"><input type="hidden" name="currentPage"
        value="1"><input type="hidden" name="defPgrAction" value="next"><!-- react-empty: 24 --></div>
    <div role="main" id="content" class="layout_layoutContainer layout_layoutContainer_fadeInUp">
      <div class="longform_longformContainer questionBlock multiSelectQuestion">
        <fieldset>
          <legend class="question_questionTitle"><span class="questionCaption">Thank you for your feedback! Please let us know what we did well:</span><span
              class="longform_multiSelectMessage validation_validationBlock longform_multiSelectMessageHidden"><span class="validation_caption">Select all that apply</span></span></legend>
          <div class="longform_groupContainer">
            <div class="layout_answers longform_group"><!-- react-text: 34 --><!-- /react-text -->
              <ul class="group_group">
                <li class="group_optionContainer">
                  <div class="layout_answer" data-test-name="option-professional-service">
                    <div id="JAWS_CLICK_TARGET" class="table_table option_optionContainer table_table_hasFixedLayout">
                      <div class="row_row">
                        <div class="cell_cell option_indicatorContainer"><input type="checkbox" id="ch_q_primo_post_delivery_positive_drivers_alt_1" aria-label="Professional Service" class="option_input" data-mds-value="1"
                            name="ch_q_primo_post_delivery_positive_drivers_alt" value="1">
                          <div aria-hidden="true" class="indicatorCheckbox_indicatorCheckboxContainer option_indicator indicatorCheckbox"><i aria-hidden="true" class="medallicons_medallicons indicatorCheckbox_checkmark"></i></div>
                        </div>
                        <div class="cell_cell option_captionContainer"><span aria-hidden="true" class="option_caption">Professional Service</span></div>
                      </div>
                    </div>
                  </div>
                </li>
                <li class="group_optionContainer">
                  <div class="layout_answer" data-test-name="option-ontime-delivery">
                    <div id="JAWS_CLICK_TARGET" class="table_table option_optionContainer table_table_hasFixedLayout">
                      <div class="row_row">
                        <div class="cell_cell option_indicatorContainer"><input type="checkbox" id="ch_q_primo_post_delivery_positive_drivers_alt_2" aria-label="Ontime Delivery" class="option_input" data-mds-value="2"
                            name="ch_q_primo_post_delivery_positive_drivers_alt" value="2">
                          <div aria-hidden="true" class="indicatorCheckbox_indicatorCheckboxContainer option_indicator indicatorCheckbox"><i aria-hidden="true" class="medallicons_medallicons indicatorCheckbox_checkmark"></i></div>
                        </div>
                        <div class="cell_cell option_captionContainer"><span aria-hidden="true" class="option_caption">Ontime Delivery</span></div>
                      </div>
                    </div>
                  </div>
                </li>
                <li class="group_optionContainer">
                  <div class="layout_answer" data-test-name="option-followed-instructions">
                    <div id="JAWS_CLICK_TARGET" class="table_table option_optionContainer table_table_hasFixedLayout">
                      <div class="row_row">
                        <div class="cell_cell option_indicatorContainer"><input type="checkbox" id="ch_q_primo_post_delivery_positive_drivers_alt_3" aria-label="Followed Instructions" class="option_input" data-mds-value="3"
                            name="ch_q_primo_post_delivery_positive_drivers_alt" value="3">
                          <div aria-hidden="true" class="indicatorCheckbox_indicatorCheckboxContainer option_indicator indicatorCheckbox"><i aria-hidden="true" class="medallicons_medallicons indicatorCheckbox_checkmark"></i></div>
                        </div>
                        <div class="cell_cell option_captionContainer"><span aria-hidden="true" class="option_caption">Followed Instructions</span></div>
                      </div>
                    </div>
                  </div>
                </li>
                <li class="group_optionContainer">
                  <div class="layout_answer" data-test-name="option-collected-empty-bottles">
                    <div id="JAWS_CLICK_TARGET" class="table_table option_optionContainer table_table_hasFixedLayout">
                      <div class="row_row">
                        <div class="cell_cell option_indicatorContainer"><input type="checkbox" id="ch_q_primo_post_delivery_positive_drivers_alt_4" aria-label="Collected Empty Bottles" class="option_input" data-mds-value="4"
                            name="ch_q_primo_post_delivery_positive_drivers_alt" value="4">
                          <div aria-hidden="true" class="indicatorCheckbox_indicatorCheckboxContainer option_indicator indicatorCheckbox"><i aria-hidden="true" class="medallicons_medallicons indicatorCheckbox_checkmark"></i></div>
                        </div>
                        <div class="cell_cell option_captionContainer"><span aria-hidden="true" class="option_caption">Collected Empty Bottles</span></div>
                      </div>
                    </div>
                  </div>
                </li>
                <li class="group_optionContainer">
                  <div class="layout_answer" data-test-name="option-accurate-order">
                    <div id="JAWS_CLICK_TARGET" class="table_table option_optionContainer table_table_hasFixedLayout">
                      <div class="row_row">
                        <div class="cell_cell option_indicatorContainer"><input type="checkbox" id="ch_q_primo_post_delivery_positive_drivers_alt_5" aria-label="Accurate Order" class="option_input" data-mds-value="5"
                            name="ch_q_primo_post_delivery_positive_drivers_alt" value="5">
                          <div aria-hidden="true" class="indicatorCheckbox_indicatorCheckboxContainer option_indicator indicatorCheckbox"><i aria-hidden="true" class="medallicons_medallicons indicatorCheckbox_checkmark"></i></div>
                        </div>
                        <div class="cell_cell option_captionContainer"><span aria-hidden="true" class="option_caption">Accurate Order</span></div>
                      </div>
                    </div>
                  </div>
                </li>
                <li class="group_optionContainer">
                  <div class="layout_answer" data-test-name="option-above-&amp;-beyond-service">
                    <div id="JAWS_CLICK_TARGET" class="table_table option_optionContainer table_table_hasFixedLayout">
                      <div class="row_row">
                        <div class="cell_cell option_indicatorContainer"><input type="checkbox" id="ch_q_primo_post_delivery_positive_drivers_alt_6" aria-label="Above &amp; beyond service" class="option_input" data-mds-value="6"
                            name="ch_q_primo_post_delivery_positive_drivers_alt" value="6">
                          <div aria-hidden="true" class="indicatorCheckbox_indicatorCheckboxContainer option_indicator indicatorCheckbox"><i aria-hidden="true" class="medallicons_medallicons indicatorCheckbox_checkmark"></i></div>
                        </div>
                        <div class="cell_cell option_captionContainer"><span aria-hidden="true" class="option_caption">Above &amp; beyond service</span></div>
                      </div>
                    </div>
                  </div>
                </li>
              </ul>
            </div>
          </div>
        </fieldset>
      </div>
      <div class="questionBlock textareaQuestion">
        <fieldset>
          <div class="question_questionTitle" id="1"><span class="questionCaption">Would you like to leave a compliment for your delivery representative?</span></div>
          <div class="layout_answers">
            <div class="textarea_textareaContainer layout_answer">
              <div class="textarea_textareaContainerOverflowHidden"><textarea class="textarea_textarea" name="spl_q_primo_post_delivery_satisfaction_feedback_cmt" id="spl_q_primo_post_delivery_satisfaction_feedback_cmt" aria-labelledby="1"
                  aria-label="Comment box Would you like to leave a compliment for your delivery representative? Characters Typed 0 / undefined Type in text"></textarea></div>
            </div>
          </div>
        </fieldset>
      </div>
    </div>
    <nav class="layout_layoutContainer layout_layoutContainer_fadeIn">
      <div class="navigationButtons_navigationButtonsContainer navigationButtons_navigationButtonsContainer_hasTwoOrThreeButtons">
        <div class="navigationButtons_pageButtonContainer"><button type="submit" class="finishButton button_button button_button_isPrimary _moveForwardButton_" id="buttonFinish" value="Finish" name="forward_main-pager"><span
              class="button_buttonCaption">Finish</span><i aria-hidden="true" class="medallicons_medallicons button_buttonArrowIcon"></i></button></div>
        <div class="navigationButtons_pageButtonContainer"><button type="submit" class="backButton button_button button_button_isSecondary" id="buttonBack" value="Back" name="back_main-pager"><span class="button_buttonCaption">Back</span></button>
        </div>
      </div>
    </nav><!-- react-empty: 113 -->
  </div>
</form>

Text Content

Skip to Content



Thank you for your feedback! Please let us know what we did well:Select all that
apply
 * 
   Professional Service
 * 
   Ontime Delivery
 * 
   Followed Instructions
 * 
   Collected Empty Bottles
 * 
   Accurate Order
 * 
   Above & beyond service

Would you like to leave a compliment for your delivery representative?

Finish
Back