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143.204.89.72  Public Scan

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URL: https://www.surveymonkey.com/r/J95VL98?mkt_tok=MzczLURCRi0wMzAAAAGFMG0l6k6YGdQoHqzXyzr92CGOvsPwrh_95S4FWobnVyCD3vgl7_A0nwtm6T...
Submission: On June 24 via manual from US — Scanned from DE

Form analysis 1 forms found in the DOM

Name: surveyForm — POST 

<form name="surveyForm" action="" method="post" enctype="multipart/form-data" novalidate="" data-survey-page-form="">
  <div class="questions clearfix">
    <div class="question-row clearfix 
                   ">
      <div data-question-type="single_choice_vertical_two_col" data-rq-question-type="single_choice_vertical_two_col" class="question-container
    
        
        
    
    ">
        <div id="question-field-75381865" data-qnumber="1" data-qdispnumber="1" data-question-id="75381865" class=" question-single-choice-radio qn question vertical_two_col question-required">
          <h3 class="screenreader-only">Question Title</h3>
          <fieldset class=" question-fieldset" data-radio-button-group="">
            <legend class="question-legend">
              <h4 id="question-title-75381865" class="
                     question-title-container ">
                <span class="required-asterisk notranslate"> * </span>
                <span class="user-generated notranslate  
                "> What type of organization is your business?</span>
              </h4>
            </legend>
            <div class="question-body clearfix notranslate ">
              <div class="answer-option-col
                            answer-option-col-2">
                <div class="answer-option-cell">
                  <div data-sm-radio-button="" class="radio-button-container " aria-labelledby="question-title-75381865">
                    <input id="75381865_602495137" aria-labelledby="75381865_602495137_label" name="75381865" type="radio" role="radio" class="radio-button-input " value="602495137" aria-checked="false">
                    <label data-sm-radio-button-label="" id="75381865_602495137_label" class="answer-label radio-button-label no-touch touch-sensitive clearfix" for="75381865_602495137">
                      <span class="radio-button-display ">
                      </span>
                      <span class="radio-button-label-text question-body-font-theme user-generated "> Independent agency/brokerage </span>
                    </label>
                  </div>
                </div>
                <div class="answer-option-cell">
                  <div data-sm-radio-button="" class="radio-button-container " aria-labelledby="question-title-75381865">
                    <input id="75381865_602527446" aria-labelledby="75381865_602527446_label" name="75381865" type="radio" role="radio" class="radio-button-input " value="602527446" aria-checked="false">
                    <label data-sm-radio-button-label="" id="75381865_602527446_label" class="answer-label radio-button-label no-touch touch-sensitive clearfix" for="75381865_602527446">
                      <span class="radio-button-display ">
                      </span>
                      <span class="radio-button-label-text question-body-font-theme user-generated "> Captive agent </span>
                    </label>
                  </div>
                </div>
                <div class="answer-option-cell">
                  <div data-sm-radio-button="" class="radio-button-container " aria-labelledby="question-title-75381865">
                    <input id="75381865_602495138" aria-labelledby="75381865_602495138_label" name="75381865" type="radio" role="radio" class="radio-button-input " value="602495138" aria-checked="false">
                    <label data-sm-radio-button-label="" id="75381865_602495138_label" class="answer-label radio-button-label no-touch touch-sensitive clearfix" for="75381865_602495138">
                      <span class="radio-button-display ">
                      </span>
                      <span class="radio-button-label-text question-body-font-theme user-generated "> MGA/wholesaler/program business </span>
                    </label>
                  </div>
                </div>
              </div>
              <div class="answer-option-col
                            answer-option-col-2">
                <div class="answer-option-cell">
                  <div data-sm-radio-button="" class="radio-button-container " aria-labelledby="question-title-75381865">
                    <input id="75381865_602495139" aria-labelledby="75381865_602495139_label" name="75381865" type="radio" role="radio" class="radio-button-input " value="602495139" aria-checked="false">
                    <label data-sm-radio-button-label="" id="75381865_602495139_label" class="answer-label radio-button-label no-touch touch-sensitive clearfix" for="75381865_602495139">
                      <span class="radio-button-display ">
                      </span>
                      <span class="radio-button-label-text question-body-font-theme user-generated "> Carrier </span>
                    </label>
                  </div>
                </div>
                <div class="answer-option-cell">
                  <div data-sm-radio-button="" class="radio-button-container " aria-labelledby="question-title-75381865">
                    <input id="75381865_602495140" aria-labelledby="75381865_602495140_label" name="75381865" type="radio" role="radio" class="radio-button-input " value="602495140" aria-checked="false">
                    <label data-sm-radio-button-label="" id="75381865_602495140_label" class="answer-label radio-button-label no-touch touch-sensitive clearfix" for="75381865_602495140">
                      <span class="radio-button-display ">
                      </span>
                      <span class="radio-button-label-text question-body-font-theme user-generated "> Other </span>
                    </label>
                  </div>
                </div>
              </div>
            </div>
          </fieldset>
        </div>
      </div>
    </div>
  </div>
  <div class="survey-submit-actions center-text clearfix">
    <button type="submit" data-submit-page-button="" class="btn small next-button survey-page-button user-generated notranslate"> Next </button>
  </div>
  <input type="hidden" id="survey_data" name="survey_data"
    value="4FoTYerhlqpl9PSGmuD5IaIYO7cPI2JmLGsykCryC_2BmwhigiMLqp4JxTmZA8ah8AUOtMhEczcqFImSWx9JG4q_2BijpfXgs5Uz2T_2BLUxc_2Bf_2BWthKD1auOMXsiS6yPY_2F5XOKAE8h0db4VNtjYd9T3xNwtdeqeS_2Ba7NciPb8ueXJw2yHbxugsamzuz5IJBfcodXMbVfBrTkyglHQ5BOuOxrnoUyT4Biv_2FWAiodHc7GrCE5GPCcVhoS8KoSRao0rrwbG2x4_2FdvB12bARY10CUAgOB5oqMgz4_2FG044VTMqpfDiNloecTP2qIMI5mWe5npjnvgvF6YZY9jJ4qIH_2BQyN3h4lrw0_2FkcumFxne9dsvSqauwfqsUx8YFpFe5KZVL2_2FeOrU7O524W3_2F_2FxmkGVg1ZztFKfZyAEedmNSqmjGx7s_2FnWeL_2F4nCguC9yoTtDxkSuFwwynHFYMMNykOCT0cBlqu4vskddik4HHhXSQD4kDNv2_2Bt5rgIcq7nr7G64iRDRC0Y628XLwdXTvONMwKFIZxyX_2B9bovX9WJf_2FO7vD993RTEhfAIaz6gvz7zU5LcdKKRCMkx2">
  <input type="hidden" data-response-quality="" id="response_quality_data" name="response_quality_data" value="{}">
  <input type="hidden" id="is_previous" name="is_previous" value="false">
  <input type="hidden" id="disable_survey_buttons_on_submit" name="disable_survey_buttons_on_submit" value="">
</form>

Text Content

IVANS CONNECTIVITY SURVEY


QUESTION TITLE

* WHAT TYPE OF ORGANIZATION IS YOUR BUSINESS?

Independent agency/brokerage
Captive agent
MGA/wholesaler/program business
Carrier
Other
Next

( Privacy & Cookie Notice

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