www.feedback.dotsyndicate.com
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167.99.84.109
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URL:
https://www.feedback.dotsyndicate.com/
Submission: On January 14 via api from US — Scanned from US
Submission: On January 14 via api from US — Scanned from US
Form analysis 1 forms found in the DOM
<form class="md:w-[792px] rounded-xl shadow-form bg-black flex justify-center items-center py-10 px-4">
<div class="w-full flex flex-col items-center justify-center gap-5 md:gap-4">
<p class="text-center font-rifton text-red md:text-lg px-2">Help Us Illuminate Your Digital Journey<br class="max-md:hidden"> Share Your Feedback Today!</p>
<div class="md:w-2/3 w-full flex flex-col gap-2 pb-10"><input type="text" id="name" placeholder="Full Name" class="w-full bg-transparent outline-none placeholder:opacity-70 font-roboto border-b border-[#ffffff50] py-4" required=""
name="fullName" value=""><input type="text" id="org" placeholder="Organization Name" class="w-full bg-transparent outline-none placeholder:opacity-70 font-roboto border-b border-[#ffffff50] py-4" required="" name="organizationName"
value=""><input type="text" id="position" placeholder="Position at Organization" class="w-full bg-transparent outline-none placeholder:opacity-70 font-roboto border-b border-[#ffffff50] py-4" required="" name="position" value="">
<div class="flex max-md:flex-col"><select name="countryCode" id="countryCode" class="bg-transparent w-full outline-none border-b border-[#ffffff50] py-4">
<option value="+93" class="text-black">Afghanistan +93</option>
<option value="+358" class="text-black">Aland Islands +358</option>
<option value="+355" class="text-black">Albania +355</option>
<option value="+213" class="text-black">Algeria +213</option>
<option value="+1684" class="text-black">AmericanSamoa +1684</option>
<option value="+376" class="text-black">Andorra +376</option>
<option value="+244" class="text-black">Angola +244</option>
<option value="+1264" class="text-black">Anguilla +1264</option>
<option value="+672" class="text-black">Antarctica +672</option>
<option value="+1268" class="text-black">Antigua and Barbuda +1268</option>
<option value="+54" class="text-black">Argentina +54</option>
<option value="+374" class="text-black">Armenia +374</option>
<option value="+297" class="text-black">Aruba +297</option>
<option value="+61" class="text-black">Australia +61</option>
<option value="+43" class="text-black">Austria +43</option>
<option value="+994" class="text-black">Azerbaijan +994</option>
<option value="+1242" class="text-black">Bahamas +1242</option>
<option value="+973" class="text-black">Bahrain +973</option>
<option value="+880" class="text-black">Bangladesh +880</option>
<option value="+1246" class="text-black">Barbados +1246</option>
<option value="+375" class="text-black">Belarus +375</option>
<option value="+32" class="text-black">Belgium +32</option>
<option value="+501" class="text-black">Belize +501</option>
<option value="+229" class="text-black">Benin +229</option>
<option value="+1441" class="text-black">Bermuda +1441</option>
<option value="+975" class="text-black">Bhutan +975</option>
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<option value="+387" class="text-black">Bosnia and Herzegovina +387</option>
<option value="+267" class="text-black">Botswana +267</option>
<option value="+55" class="text-black">Brazil +55</option>
<option value="+246" class="text-black">British Indian Ocean Territory +246</option>
<option value="+673" class="text-black">Brunei Darussalam +673</option>
<option value="+359" class="text-black">Bulgaria +359</option>
<option value="+226" class="text-black">Burkina Faso +226</option>
<option value="+257" class="text-black">Burundi +257</option>
<option value="+855" class="text-black">Cambodia +855</option>
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<option value="+1" class="text-black">Canada +1</option>
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<option value="+ 345" class="text-black">Cayman Islands + 345</option>
<option value="+236" class="text-black">Central African Republic +236</option>
<option value="+235" class="text-black">Chad +235</option>
<option value="+56" class="text-black">Chile +56</option>
<option value="+86" class="text-black">China +86</option>
<option value="+61" class="text-black">Christmas Island +61</option>
<option value="+61" class="text-black">Cocos (Keeling) Islands +61</option>
<option value="+57" class="text-black">Colombia +57</option>
<option value="+269" class="text-black">Comoros +269</option>
<option value="+242" class="text-black">Congo CG +242</option>
<option value="+243" class="text-black">Congo CD +243</option>
<option value="+682" class="text-black">Cook Islands +682</option>
<option value="+506" class="text-black">Costa Rica +506</option>
<option value="+225" class="text-black">Cote d'Ivoire +225</option>
<option value="+385" class="text-black">Croatia +385</option>
<option value="+53" class="text-black">Cuba +53</option>
<option value="+357" class="text-black">Cyprus +357</option>
<option value="+420" class="text-black">Czech Republic +420</option>
<option value="+45" class="text-black">Denmark +45</option>
<option value="+253" class="text-black">Djibouti +253</option>
<option value="+1767" class="text-black">Dominica +1767</option>
<option value="+1849" class="text-black">Dominican Republic +1849</option>
<option value="+593" class="text-black">Ecuador +593</option>
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<option value="+503" class="text-black">El Salvador +503</option>
<option value="+240" class="text-black">Equatorial Guinea +240</option>
<option value="+291" class="text-black">Eritrea +291</option>
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<option value="+251" class="text-black">Ethiopia +251</option>
<option value="+500" class="text-black">Falkland Islands +500</option>
<option value="+298" class="text-black">Faroe Islands +298</option>
<option value="+679" class="text-black">Fiji +679</option>
<option value="+358" class="text-black">Finland +358</option>
<option value="+33" class="text-black">France +33</option>
<option value="+594" class="text-black">French Guiana +594</option>
<option value="+689" class="text-black">French Polynesia +689</option>
<option value="+241" class="text-black">Gabon +241</option>
<option value="+220" class="text-black">Gambia +220</option>
<option value="+995" class="text-black">Georgia +995</option>
<option value="+49" class="text-black">Germany +49</option>
<option value="+233" class="text-black">Ghana +233</option>
<option value="+350" class="text-black">Gibraltar +350</option>
<option value="+30" class="text-black">Greece +30</option>
<option value="+299" class="text-black">Greenland +299</option>
<option value="+1473" class="text-black">Grenada +1473</option>
<option value="+590" class="text-black">Guadeloupe +590</option>
<option value="+1671" class="text-black">Guam +1671</option>
<option value="+502" class="text-black">Guatemala +502</option>
<option value="+44" class="text-black">Guernsey +44</option>
<option value="+224" class="text-black">Guinea +224</option>
<option value="+245" class="text-black">Guinea-Bissau +245</option>
<option value="+595" class="text-black">Guyana +595</option>
<option value="+509" class="text-black">Haiti +509</option>
<option value="+379" class="text-black">Holy See +379</option>
<option value="+504" class="text-black">Honduras +504</option>
<option value="+852" class="text-black">Hong Kong +852</option>
<option value="+36" class="text-black">Hungary +36</option>
<option value="+354" class="text-black">Iceland +354</option>
<option value="+91" class="text-black">India +91</option>
<option value="+62" class="text-black">Indonesia +62</option>
<option value="+98" class="text-black">Iran +98</option>
<option value="+964" class="text-black">Iraq +964</option>
<option value="+353" class="text-black">Ireland +353</option>
<option value="+44" class="text-black">Isle of Man +44</option>
<option value="+972" class="text-black">Israel +972</option>
<option value="+39" class="text-black">Italy +39</option>
<option value="+1876" class="text-black">Jamaica +1876</option>
<option value="+81" class="text-black">Japan +81</option>
<option value="+44" class="text-black">Jersey +44</option>
<option value="+962" class="text-black">Jordan +962</option>
<option value="+77" class="text-black">Kazakhstan +77</option>
<option value="+254" class="text-black">Kenya +254</option>
<option value="+686" class="text-black">Kiribati +686</option>
<option value="+850" class="text-black">Korea North +850</option>
<option value="+82" class="text-black">Korea South +82</option>
<option value="+965" class="text-black">Kuwait +965</option>
<option value="+996" class="text-black">Kyrgyzstan +996</option>
<option value="+856" class="text-black">Laos +856</option>
<option value="+371" class="text-black">Latvia +371</option>
<option value="+961" class="text-black">Lebanon +961</option>
<option value="+266" class="text-black">Lesotho +266</option>
<option value="+231" class="text-black">Liberia +231</option>
<option value="+218" class="text-black">Libyan Arab Jamahiriya +218</option>
<option value="+423" class="text-black">Liechtenstein +423</option>
<option value="+370" class="text-black">Lithuania +370</option>
<option value="+352" class="text-black">Luxembourg +352</option>
<option value="+853" class="text-black">Macao +853</option>
<option value="+389" class="text-black">Macedonia +389</option>
<option value="+261" class="text-black">Madagascar +261</option>
<option value="+265" class="text-black">Malawi +265</option>
<option value="+60" class="text-black">Malaysia +60</option>
<option value="+960" class="text-black">Maldives +960</option>
<option value="+223" class="text-black">Mali +223</option>
<option value="+356" class="text-black">Malta +356</option>
<option value="+692" class="text-black">Marshall Islands +692</option>
<option value="+596" class="text-black">Martinique +596</option>
<option value="+222" class="text-black">Mauritania +222</option>
<option value="+230" class="text-black">Mauritius +230</option>
<option value="+262" class="text-black">Mayotte +262</option>
<option value="+52" class="text-black">Mexico +52</option>
<option value="+691" class="text-black">Micronesia +691</option>
<option value="+373" class="text-black">Moldova +373</option>
<option value="+377" class="text-black">Monaco +377</option>
<option value="+976" class="text-black">Mongolia +976</option>
<option value="+382" class="text-black">Montenegro +382</option>
<option value="+1664" class="text-black">Montserrat +1664</option>
<option value="+212" class="text-black">Morocco +212</option>
<option value="+258" class="text-black">Mozambique +258</option>
<option value="+95" class="text-black">Myanmar +95</option>
<option value="+264" class="text-black">Namibia +264</option>
<option value="+674" class="text-black">Nauru +674</option>
<option value="+977" class="text-black">Nepal +977</option>
<option value="+31" class="text-black">Netherlands +31</option>
<option value="+599" class="text-black">Netherlands Antilles +599</option>
<option value="+687" class="text-black">New Caledonia +687</option>
<option value="+64" class="text-black">New Zealand +64</option>
<option value="+505" class="text-black">Nicaragua +505</option>
<option value="+227" class="text-black">Niger +227</option>
<option value="+234" class="text-black">Nigeria +234</option>
<option value="+683" class="text-black">Niue +683</option>
<option value="+672" class="text-black">Norfolk Island +672</option>
<option value="+1670" class="text-black">Northern Mariana Islands +1670</option>
<option value="+47" class="text-black">Norway +47</option>
<option value="+968" class="text-black">Oman +968</option>
<option value="+92" class="text-black">Pakistan +92</option>
<option value="+680" class="text-black">Palau +680</option>
<option value="+970" class="text-black">Palestine +970</option>
<option value="+507" class="text-black">Panama +507</option>
<option value="+675" class="text-black">Papua New Guinea +675</option>
<option value="+595" class="text-black">Paraguay +595</option>
<option value="+51" class="text-black">Peru +51</option>
<option value="+63" class="text-black">Philippines +63</option>
<option value="+872" class="text-black">Pitcairn +872</option>
<option value="+48" class="text-black">Poland +48</option>
<option value="+351" class="text-black">Portugal +351</option>
<option value="+1939" class="text-black">Puerto Rico +1939</option>
<option value="+974" class="text-black">Qatar +974</option>
<option value="+40" class="text-black">Romania +40</option>
<option value="+7" class="text-black">Russia +7</option>
<option value="+250" class="text-black">Rwanda +250</option>
<option value="+262" class="text-black">Reunion +262</option>
<option value="+590" class="text-black">Saint Barthelemy +590</option>
<option value="+290" class="text-black">Saint Helena +290</option>
<option value="+1869" class="text-black">Saint Kitts and Nevis +1869</option>
<option value="+1758" class="text-black">Saint Lucia +1758</option>
<option value="+590" class="text-black">Saint Martin +590</option>
<option value="+508" class="text-black">Saint Pierre and Miquelon +508</option>
<option value="+1784" class="text-black">Saint Vincent and the Grenadines +1784</option>
<option value="+685" class="text-black">Samoa +685</option>
<option value="+378" class="text-black">San Marino +378</option>
<option value="+239" class="text-black">Sao Tome and Principe +239</option>
<option value="+966" class="text-black">Saudi Arabia +966</option>
<option value="+221" class="text-black">Senegal +221</option>
<option value="+381" class="text-black">Serbia +381</option>
<option value="+248" class="text-black">Seychelles +248</option>
<option value="+232" class="text-black">Sierra Leone +232</option>
<option value="+65" class="text-black">Singapore +65</option>
<option value="+421" class="text-black">Slovakia +421</option>
<option value="+386" class="text-black">Slovenia +386</option>
<option value="+677" class="text-black">Solomon Islands +677</option>
<option value="+252" class="text-black">Somalia +252</option>
<option value="+27" class="text-black">South Africa +27</option>
<option value="+211" class="text-black">South Sudan +211</option>
<option value="+500" class="text-black">South Georgia +500</option>
<option value="+34" class="text-black">Spain +34</option>
<option value="+94" class="text-black">Sri Lanka +94</option>
<option value="+249" class="text-black">Sudan +249</option>
<option value="+597" class="text-black">Suriname +597</option>
<option value="+47" class="text-black">Svalbard and Jan Mayen +47</option>
<option value="+268" class="text-black">Swaziland +268</option>
<option value="+46" class="text-black">Sweden +46</option>
<option value="+41" class="text-black">Switzerland +41</option>
<option value="+963" class="text-black">Syria +963</option>
<option value="+886" class="text-black">Taiwan +886</option>
<option value="+992" class="text-black">Tajikistan +992</option>
<option value="+255" class="text-black" selected="">Tanzania +255</option>
<option value="+66" class="text-black">Thailand +66</option>
<option value="+670" class="text-black">Timor-Leste +670</option>
<option value="+228" class="text-black">Togo +228</option>
<option value="+690" class="text-black">Tokelau +690</option>
<option value="+676" class="text-black">Tonga +676</option>
<option value="+1868" class="text-black">Trinidad and Tobago +1868</option>
<option value="+216" class="text-black">Tunisia +216</option>
<option value="+90" class="text-black">Turkey +90</option>
<option value="+993" class="text-black">Turkmenistan +993</option>
<option value="+1649" class="text-black">Turks and Caicos Islands +1649</option>
<option value="+688" class="text-black">Tuvalu +688</option>
<option value="+256" class="text-black">Uganda +256</option>
<option value="+380" class="text-black">Ukraine +380</option>
<option value="+971" class="text-black">UAE +971</option>
<option value="+44" class="text-black">United Kingdom +44</option>
<option value="+1" class="text-black">United States +1</option>
<option value="+598" class="text-black">Uruguay +598</option>
<option value="+998" class="text-black">Uzbekistan +998</option>
<option value="+678" class="text-black">Vanuatu +678</option>
<option value="+58" class="text-black">Venezuela +58</option>
<option value="+84" class="text-black">Vietnam +84</option>
<option value="+1284" class="text-black">Virgin Islands, British +1284</option>
<option value="+1340" class="text-black">Virgin Islands, U.S. +1340</option>
<option value="+681" class="text-black">Wallis and Futuna +681</option>
<option value="+967" class="text-black">Yemen +967</option>
<option value="+260" class="text-black">Zambia +260</option>
<option value="+263" class="text-black">Zimbabwe +263</option>
</select><input type="tel" id="phone" placeholder="Phone Number" class="w-full bg-transparent outline-none placeholder:opacity-70 font-roboto border-b border-[#ffffff50] py-4 md:pl-2" required="" name="phoneNumber" value=""></div><input
type="email" id="email" placeholder="Email ID" class="w-full bg-transparent outline-none placeholder:opacity-70 font-roboto border-b border-[#ffffff50] py-4" required="" name="emailID" value="">
</div>
<div class="w-full text-white">
<h2 class="text-lg font-rifton text-red mb-4 text-center">SERVICE USED BY YOU</h2>
<div class="flex max-md:flex-col md:flex-wrap items-center justify-center gap-6 mb-8 pb-10"><label class="flex items-center space-x-3"><input type="checkbox"
class="cursor-pointer relative peer appearance-none mt-1 aspect-square ml-2 w-5 h-5 rounded-sm border border-[#ffffff50] bg-transparent " name="ratings"><img src="/other/check.svg" alt=""
class="pointer-events-none hidden absolute mt-1 w-3 h-5 "><span class="font-roboto">Social Media Marketing</span></label><label class="flex items-center space-x-3"><input type="checkbox"
class="cursor-pointer relative peer appearance-none mt-1 aspect-square ml-2 w-5 h-5 rounded-sm border border-[#ffffff50] bg-transparent " name="ratings"><img src="/other/check.svg" alt=""
class="pointer-events-none hidden absolute mt-1 w-3 h-5 "><span class="font-roboto">Branding</span></label><label class="flex items-center space-x-3"><input type="checkbox"
class="cursor-pointer relative peer appearance-none mt-1 aspect-square ml-2 w-5 h-5 rounded-sm border border-[#ffffff50] bg-transparent " name="ratings"><img src="/other/check.svg" alt=""
class="pointer-events-none hidden absolute mt-1 w-3 h-5 "><span class="font-roboto">Website Development</span></label><label class="flex items-center space-x-3"><input type="checkbox"
class="cursor-pointer relative peer appearance-none mt-1 aspect-square ml-2 w-5 h-5 rounded-sm border border-[#ffffff50] bg-transparent " name="ratings"><img src="/other/check.svg" alt=""
class="pointer-events-none hidden absolute mt-1 w-3 h-5 "><span class="font-roboto">App Development</span></label><label class="flex items-center space-x-3"><input type="checkbox"
class="cursor-pointer relative peer appearance-none mt-1 aspect-square ml-2 w-5 h-5 rounded-sm border border-[#ffffff50] bg-transparent " name="ratings"><img src="/other/check.svg" alt=""
class="pointer-events-none hidden absolute mt-1 w-3 h-5 "><span class="font-roboto">Software Development</span></label></div>
<h2 class="text-lg font-rifton text-red mb-4 text-center">RATE OUR SERVICE</h2>
<div class="flex flex-wrap items-center justify-center gap-6 mb-8"></div>
</div>
<div class="md:w-2/3 w-full flex gap-4 flex-col pb-5">
<h1 class="font-rifton text-red text-center text-lg">Any improvements you would like from us</h1><textarea rows="5" name="improvements"
class="w-full resize-none bg-transparent placeholder:opacity-50 border border-[#ffffff60] outline-none px-3 py-3 text-sm rounded-lg" placeholder="Write Here"></textarea>
</div>
<div class="md:w-2/3 w-full flex gap-4 flex-col pb-5">
<h1 class="font-rifton text-red text-center text-lg">Share your Testimonial</h1><textarea name="testimonial" rows="5"
class="w-full resize-none bg-transparent placeholder:opacity-50 border border-[#ffffff60] outline-none px-3 py-3 text-sm rounded-lg" placeholder="Write Here"></textarea>
</div>
<div class="md:w-2/3 w-full flex gap-2 pb-2"><input type="checkbox" class="relative peer appearance-none mt-1 checked: bg-transparent w-9 aspect-square md:w-6 h-5 rounded-sm checked:bg-red checked:border-0 border border-[#ffffff50]"
name="testimonialConsent" checked=""><img src="/other/check.svg" alt="" class="pointer-events-none peer-checked:block hidden absolute mt-1 ml-1 w-3 h-5 "><span class="max-md:text-sm font-roboto opacity-80">By sharing your experience, you give
us consent to feature it prominently on our live website.</span></div>
<div class="flex items-center justify-center md:justify-end w-full px-6"><button class="font-rock px-4 py-3 border border-red rounded-3xl text-red">Submit</button></div>
<div class="Toastify"></div>
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