tro-na2.ehr.com Open in urlscan Pro
158.82.130.99  Public Scan

Form analysis
1 forms found in the DOM

Name: mainform — POST ciwweb.pl

<form name="mainform" onsubmit="SSI_SubmitMe(); return false;" method="post" action="ciwweb.pl">
  <div class="page" id="page" role="main">
    <input type="hidden" name="hid_backup" value="PNC,,,0,1">
    <input type="hidden" name="hid_studyname" value="PNC">
    <input type="hidden" id="hid_pagenum" name="hid_pagenum" value="0">
    <input type="hidden" name="hid_javascript" value="0">
    <input type="hidden" name="hid_previous" value="0">
    <input type="hidden" id="hid_screenwidth" name="hid_screenwidth" value="1600">
    <input type="hidden" name="hid_show_prev" value="1">
    <div class="page_header font_primary_color">
      <div class="header_text">
        <table border="0" cellpadding="10" cellspacing="0" width="100%" align="center">
          <tbody>
            <tr>
              <td bgcolor="#ffffff" align="left"><img src="/pnc/graphics/PNC_logo.jpg" alt="" border="0" height="70" width="280"></td>
              <td bgcolor="#ffffff" align="right"><img src="/pnc/graphics/WTW_logo.png" alt="" border="0"></td>
            </tr>
            <!--<tr><td bgcolor="#ffffff" align="center"><img src="/pnc/graphics/banner2.PNG" alt="" border="0"></td></tr> -->
          </tbody>
        </table>
      </div>
    </div>
    <div id="error_box" class="page_error error_messages HideElement" role="alert"></div>
    <div id="alert_dialog" class="dialog"></div><br><br>
    <center>
      <h3> This survey is closed. Thank you. </h3>
    </center>
    <div class="page_footer">
      <center>
        <font size="2px" face="arial">
        </font>
      </center>
      <br>
      <br>
      <font size="1" face="arial">© 2022 <a href="http://www.willistowerswatson.com/" target="_blank" tabindex="0">Willis Towers Watson</a>. All rights reserved.</font>
    </div>
    <script type="text/javascript">
      function SSI_Initialize() {
        SSI_PageInitialize();
        SSI_InitializeErrors();
        SSI_SubmitInitialize();
        GlobalGraphicalSelect = true;
        SSI_ClickableInitialize(true);
        SSI_SetupToolTips();
      }
      GlobalDocumentReadyArray.push(function() {
        SSI_Initialize();
      })
    </script>
  </div>
</form>

Text Content

THIS SURVEY IS CLOSED. THANK YOU.



© 2022 Willis Towers Watson. All rights reserved.