reports.boostrewards.com
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urlscan Pro
74.218.154.174
Public Scan
Submitted URL: http://apps.shumsky.com/skyweb/survey/survey.cfm?OrderNo=A996729&MasterAcct=50797
Effective URL: https://reports.boostrewards.com/skyweb/survey/survey.cfm?OrderNo=A996729&MasterAcct=50797
Submission: On March 10 via manual from US — Scanned from DE
Effective URL: https://reports.boostrewards.com/skyweb/survey/survey.cfm?OrderNo=A996729&MasterAcct=50797
Submission: On March 10 via manual from US — Scanned from DE
Form analysis
1 forms found in the DOMName: Survey — POST survey_insert.cfm
<form name="Survey" id="Survey" action="survey_insert.cfm" method="post" onsubmit="return _CF_checkSurvey(this)">
<input type="hidden" name="OrderNo" value="A996729">
<input type="hidden" name="MasterAcct" value="50797">
<table width="760" border="0" cellspacing="0" cellpadding="0" align="center">
<tbody>
<tr align="left">
<td colspan="2"><br>
<hr>
</td>
</tr>
<tr bgcolor="#CCCCCC">
<td>
<div class="indent"><strong>Customer Information:</strong></div>
</td>
<td> </td>
</tr>
<tr>
<td width="269" height="27" align="right">Company Name:</td>
<td width="491"><input type="text" name="company"></td>
</tr>
<tr>
<td align="right">Name (Optional):</td>
<td><input type="text" name="customer"></td>
</tr>
<tr>
<td align="right">Daytime Phone (Optional):</td>
<td><input type="text" name="phone"></td>
</tr>
</tbody>
</table>
<table width="760" border="0" cellspacing="0" cellpadding="0" align="center">
<tbody>
<tr bgcolor="#CCCCCC">
<td colspan="2" align="right">
<div class="indent">
<div align="left">During the online order process did you interact with a customer service representative? If so did you find them:</div>
</div>
</td>
</tr>
<tr>
<td width="307">Courteous?</td>
<td width="453">
<table border="0" class="optionsTable">
<tbody>
<tr>
<td><input name="courteous" type="radio" value="excellent"><label for="courteous">Excellent</label></td>
<td><input name="courteous" type="radio" value="good"><label for="courteous">Good</label></td>
<td><input name="courteous" type="radio" value="fair"><label for="courteous">Fair</label></td>
<td><input name="courteous" type="radio" value="poor"><label for="courteous">Poor</label></td>
</tr>
</tbody>
</table>
</td>
</tr>
<tr>
<td>Helpful?</td>
<td>
<table border="0" class="optionsTable">
<tbody>
<tr>
<td><input name="helpful" type="radio" value="excellent"><label for="helpful">Excellent</label></td>
<td><input name="helpful" type="radio" value="good"><label for="helpful">Good</label></td>
<td><input name="helpful" type="radio" value="fair"><label for="helpful">Fair</label></td>
<td><input name="helpful" type="radio" value="poor"><label for="helpful">Poor</label></td>
</tr>
</tbody>
</table>
</td>
</tr>
<tr>
<td>Quick and efficient?</td>
<td>
<table border="0" class="optionsTable">
<tbody>
<tr>
<td><input name="quick" type="radio" value="excellent"><label for="quick">Excellent</label></td>
<td><input name="quick" type="radio" value="good"><label for="quick">Good</label></td>
<td><input name="quick" type="radio" value="fair"><label for="quick">Fair</label></td>
<td><input name="quick" type="radio" value="poor"><label for="quick">Poor</label></td>
</tr>
</tbody>
</table>
</td>
</tr>
<tr>
<td>Knowledgeable about your program?</td>
<td>
<table border="0" class="optionsTable">
<tbody>
<tr>
<td><input name="knowledgeable" type="radio" value="excellent"><label for="knowledgeable">Excellent</label></td>
<td><input name="knowledgeable" type="radio" value="good"><label for="knowledgeable">Good</label></td>
<td><input name="knowledgeable" type="radio" value="fair"><label for="knowledgeable">Fair</label></td>
<td><input name="knowledgeable" type="radio" value="poor"><label for="knowledgeable">Poor</label></td>
</tr>
</tbody>
</table>
</td>
</tr>
<tr>
<td align="right">
<div align="left"></div>
</td>
<td> </td>
</tr>
<tr bgcolor="#CCCCCC">
<td colspan="2">
<div align="left" class="indent">
<div align="left">Did you receive your merchandise:<font color="#FF0000" size="2" face="Arial, Helvetica, sans-serif"><b> (If applicable) </b></font>
</div>
</div>
</td>
</tr>
<tr>
<td>In good condition?</td>
<td>
<table border="0" class="optionsTable">
<tbody>
<tr>
<td><input name="condition" type="radio" value="excellent"><label for="condition">Excellent</label></td>
<td><input name="condition" type="radio" value="good"><label for="condition">Good</label></td>
<td><input name="condition" type="radio" value="fair"><label for="condition">Fair</label></td>
<td><input name="condition" type="radio" value="poor"><label for="condition">Poor</label></td>
</tr>
</tbody>
</table>
</td>
</tr>
<tr>
<td align="right">
<div align="left">Exactly as you expected?</div>
</td>
<td>
<table border="0" class="optionsTable">
<tbody>
<tr>
<td><input name="expected" type="radio" value="excellent"><label for="expected">Excellent</label></td>
<td><input name="expected" type="radio" value="good"><label for="expected">Good</label></td>
<td><input name="expected" type="radio" value="fair"><label for="expected">Fair</label></td>
<td><input name="expected" type="radio" value="poor"><label for="expected">Poor</label></td>
</tr>
</tbody>
</table>
</td>
</tr>
<tr>
<td align="right">
<div align="left">On time?</div>
</td>
<td>
<table border="0" class="optionsTable">
<tbody>
<tr>
<td><input name="timing" type="radio" value="excellent"><label for="timing">Excellent</label></td>
<td><input name="timing" type="radio" value="good"><label for="timing">Good</label></td>
<td><input name="timing" type="radio" value="fair"><label for="timing">Fair</label></td>
<td><input name="timing" type="radio" value="poor"><label for="timing">Poor</label></td>
</tr>
</tbody>
</table>
</td>
</tr>
<tr>
<td align="right">
<div align="left"></div>
</td>
<td> </td>
</tr>
<tr bgcolor="#CCCCCC">
<td colspan="2">
<div class="indent">
<div align="left">Was the shopping website: </div>
</div>
</td>
</tr>
<tr>
<td align="right">
<div align="left">Easy to navigate?</div>
</td>
<td>
<table border="0" class="optionsTable">
<tbody>
<tr>
<td><input name="navigate" type="radio" value="excellent"><label for="navigate">Excellent</label></td>
<td><input name="navigate" type="radio" value="good"><label for="navigate">Good</label></td>
<td><input name="navigate" type="radio" value="fair"><label for="navigate">Fair</label></td>
<td><input name="navigate" type="radio" value="poor"><label for="navigate">Poor</label></td>
</tr>
</tbody>
</table>
</td>
</tr>
<tr>
<td align="right">
<div align="left">Organized and readable?</div>
</td>
<td>
<table border="0" class="optionsTable">
<tbody>
<tr>
<td><input name="organized" type="radio" value="excellent"><label for="organized">Excellent</label></td>
<td><input name="organized" type="radio" value="good"><label for="organized">Good</label></td>
<td><input name="organized" type="radio" value="fair"><label for="organized">Fair</label></td>
<td><input name="organized" type="radio" value="poor"><label for="organized">Poor</label></td>
</tr>
</tbody>
</table>
</td>
</tr>
<tr>
<td align="right">
<div align="left">Filled with a balanced selection of products?</div>
</td>
<td>
<table border="0" class="optionsTable">
<tbody>
<tr>
<td><input name="selection" type="radio" value="excellent"><label for="selection">Excellent</label></td>
<td><input name="selection" type="radio" value="good"><label for="selection">Good</label></td>
<td><input name="selection" type="radio" value="fair"><label for="selection">Fair</label></td>
<td><input name="selection" type="radio" value="poor"><label for="selection">Poor</label></td>
</tr>
</tbody>
</table>
</td>
</tr>
<tr>
<td align="right">
<div align="left">Are there any specific products that you would like to have added to the selection? </div>
<br>
<br>
<br>
<br>
</td>
<td>
<textarea name="products" cols="40" rows="4" id="products"></textarea>
</td>
</tr>
<tr bgcolor="#CCCCCC">
<td colspan="2">
<div class="indent">General Comments:</div>
</td>
</tr>
<tr>
<td colspan="2">
<div class="comments">
<p>
<textarea name="comments" cols="60" rows="4" id="comments"></textarea>
</p>
</div>
</td>
</tr>
<tr>
<td colspan="2" align="right">
<div align="center">
<input type="submit" name="Submit" value="Submit">
</div>
</td>
</tr>
</tbody>
</table>
</form>
Text Content
-------------------------------------------------------------------------------- Customer Information: Company Name: Name (Optional): Daytime Phone (Optional): During the online order process did you interact with a customer service representative? If so did you find them: Courteous? Excellent Good Fair Poor Helpful? Excellent Good Fair Poor Quick and efficient? Excellent Good Fair Poor Knowledgeable about your program? Excellent Good Fair Poor Did you receive your merchandise: (If applicable) In good condition? Excellent Good Fair Poor Exactly as you expected? Excellent Good Fair Poor On time? Excellent Good Fair Poor Was the shopping website: Easy to navigate? Excellent Good Fair Poor Organized and readable? Excellent Good Fair Poor Filled with a balanced selection of products? Excellent Good Fair Poor Are there any specific products that you would like to have added to the selection? General Comments: © 2022 Shumsky