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response.survey-one.com Open in urlscan Pro
184.73.166.174  Public Scan

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Submitted URL: https://response.survey-one.com/taker/jsp/ahait.html
Effective URL: https://response.survey-one.com/taker/jsp/scstart.do?id1=7041&id2=15&sname=56
Submission: On August 22 via manual from US — Scanned from IT

Form analysis 1 forms found in the DOM

Name: logonForm — POST /taker/logon.do;jsessionid=831B8E15096B2DFA1F34FB34CC3933CB

<form name="logonForm" method="post" action="/taker/logon.do;jsessionid=831B8E15096B2DFA1F34FB34CC3933CB">
  <input type="hidden" name="pg" value="/scindex.do">
  <table width="100%" border="0" cellspacing="1" cellpadding="0">
    <tbody>
      <tr>
        <td class="verdanaCAPCopy" align="right"> Login ID </td>
      </tr>
      <tr>
        <td align="right">
          <input type="text" name="username" maxlength="16" size="16" tabindex="1" value="">
        </td>
      </tr>
      <tr>
        <td class="verdanaCAPCopy" align="right"> Password </td>
      </tr>
      <tr>
        <td align="right">
          <input type="password" name="password" maxlength="16" size="16" tabindex="2" value="">
        </td>
      </tr>
      <tr>
        <td align="right">
          <img onclick="generic_submit();" onkeydown="generic_submit();" src="../images/buttons/go.gif" border="0" alt="Click here to login" tabindex="3">
        </td>
      </tr>
    </tbody>
  </table>
</form>

Text Content


   

Login ID Password

 






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Please Note: This year we continue to include questions designed to capture
interoperability and exchange, public health reporting, and advanced analytics.
This information will provide important data on the state of health IT and
interoperability in hospitals nationwide.



If you have any questions about the survey, please contact our survey support
staff at 1-800-530-9092 or surveysupport@aha.org.


As always, your cooperation is greatly appreciated.



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