customer-satisfaction.clingroup.net Open in urlscan Pro
217.160.244.181  Public Scan

Form analysis
2 forms found in the DOM

<form class="w-50 mx-auto" id="main_form">
  <input type="hidden" name="_token" value="qhZZR721rAkvZ8BYVPc91X6XC7bNYHCFhSCy106B">
  <div class="row">
    <div class="form-group col-md-12 card p-4">
      <label for="company_name">Company Name</label>
      <input type="text" class="form-control" name="company_name" id="company_name" required="" aria-describedby="company_nameHelp">
    </div>
    <div class="form-group col-md-12 card p-4">
      <label for="phone">Phone</label>
      <input type="text" class="form-control" name="phone" id="phone" required="" aria-describedby="phoneHelp">
    </div>
    <div class="form-group col-md-12 card p-4">
      <label for="contact_name">Contact Name</label>
      <input type="text" class="form-control" name="contact_name" required="" id="contact_name" aria-describedby="contact_nameHelp">
    </div>
    <div class="form-group col-md-12 card p-4">
      <label for="position">Position</label>
      <input type="text" class="form-control" name="position" required="" id="position" aria-describedby="positionHelp">
    </div>
    <div class="form-group col-md-12 card p-4">
      <label for="service">What was the service type?</label>
      <div class="form-check">
        <input class="form-check-input" type="radio" name="service" id="Medical_writing" value="Medical writing">
        <label class="form-check-label" for="Medical_writing">Medical writing</label>
      </div>
      <div class="form-check">
        <input class="form-check-input" type="radio" name="service" id="Data_management" value="Data management">
        <label class="form-check-label" for="Data_management">Data management</label>
      </div>
      <div class="form-check">
        <input class="form-check-input" type="radio" name="service" id="PSP" value="PSP">
        <label class="form-check-label" for="PSP">PSP</label>
      </div>
      <div class="form-check">
        <input class="form-check-input" type="radio" name="service" id="Digital_solutions" value="Digital solutions">
        <label class="form-check-label" for="Digital_solutions">Digital solutions</label>
      </div>
      <div class="form-check">
        <input class="form-check-input" type="radio" name="service" id="Clinical_trials" value="Clinical trials (including MB)">
        <label class="form-check-label" for="Clinical_trials">Clinical trials (including MB)</label>
      </div>
      <div class="form-check">
        <input class="form-check-input" type="radio" name="service" id="Trainings_and_audits" value="Trainings and audits">
        <label class="form-check-label" for="Trainings_and_audits">Trainings and audits</label>
      </div>
      <div class="form-check">
        <input class="form-check-input" type="radio" name="service" id="Trainings_and_audits" value="Regulatory services">
        <label class="form-check-label" for="Trainings_and_audits">Regulatory services</label>
      </div>
      <div class="form-check">
        <input class="form-check-input" type="radio" name="service" id="PV" value="PV">
        <label class="form-check-label" for="PV">PV</label>
      </div>
    </div>
    <div class="form-group col-md-12 card p-4">
      <label for="rate">Rate Service :</label>
      <div class="form-group">
        <label for="service_quality">How would you rate the quality of our services?</label>
        <input type="range" step="1" min="0" max="5" class="form-control-range" value="0" name="service_quality" id="service_quality">
      </div>
      <div class="form-group">
        <label for="service_time_delivery">How timebound was the delivery of services?</label>
        <input type="range" step="1" min="0" max="5" class="form-control-range" value="0" name="service_time_delivery" id="service_time_delivery">
      </div>
      <div class="form-group">
        <label for="service_cost_value_effective">Till what extent the cost is effective? (Cost vs. Value)</label>
        <input type="range" step="1" min="0" max="5" class="form-control-range" value="0" name="service_cost_value_effective" id="service_cost_value_effective">
      </div>
      <div class="form-group">
        <label for="service_execution">Was the service execution professional?</label>
        <input type="range" step="1" min="0" max="5" class="form-control-range" value="0" name="service_execution" id="service_execution">
      </div>
      <div class="form-group">
        <label for="service_overall_satisfaction">Overall satisfaction?</label>
        <input type="range" step="1" min="0" max="5" class="form-control-range" value="0" name="service_overall_satisfaction" id="service_overall_satisfaction">
      </div>
    </div>
    <div class="form-group col-md-12 card p-4">
      <label for="would_recommend">Would you recommend ClinGroup to your colleagues?</label>
      <div class="form-check">
        <input class="form-check-input" type="radio" name="would_recommend" value="yes">
        <label class="form-check-label" for="yes">Yes</label>
      </div>
      <div class="form-check">
        <input class="form-check-input" type="radio" name="would_recommend" value="no">
        <label class="form-check-label" for="no">No</label>
      </div>
    </div>
    <div class="form-group col-md-12 card p-4">
      <label for="would_use_again">Should the opportunity arise, would you use our services again?</label>
      <div class="form-check">
        <input class="form-check-input" type="radio" name="would_use_again" value="yes">
        <label class="form-check-label" for="yes">Yes</label>
      </div>
      <div class="form-check">
        <input class="form-check-input" type="radio" name="would_use_again" value="no">
        <label class="form-check-label" for="no">No</label>
      </div>
    </div>
    <div class="form-group col-md-12 card p-4">
      <label for="idea_upcoming_projects">What service would you consider for your upcoming projects?</label>
      <input type="text" class="form-control" name="idea_upcoming_projects" id="idea_upcoming_projects" aria-describedby="idea_upcoming_projectsHelp">
    </div>
    <div class="form-group col-md-12 card p-4">
      <label for="is_faced_problem">Have you faced a problem with ClinGroup or do you have a complaints?</label>
      <div class="form-check">
        <input class="form-check-input" type="radio" name="is_faced_problem" value="yes">
        <label class="form-check-label" for="yes">Yes</label>
      </div>
      <div class="form-check">
        <input class="form-check-input" type="radio" name="is_faced_problem" value="no">
        <label class="form-check-label" for="no">No</label>
      </div>
      <div id="explain_problem_holder">
        <label for="explain_problem">please elaborate</label>
        <input type="text" class="form-control" name="explain_problem" id="explain_problem" aria-describedby="explain_problemHelp">
      </div>
    </div>
    <button type="submit" class="btn btn-primary survey-submit"><i class="fa fa-send mr-10"></i> Submit</button>
  </div>
</form>

POST https://customer-satisfaction.clingroup.net/login

<form id="loginForm" action="https://customer-satisfaction.clingroup.net/login" method="POST">
  <input type="hidden" name="_token" value="qhZZR721rAkvZ8BYVPc91X6XC7bNYHCFhSCy106B">
  <div class="form-group">
    <label for="email" class="label-required">Email</label>
    <input type="email" class="form-control" name="email" required="">
  </div>
  <div class="form-group">
    <label for="password" class="label-required">Password</label>
    <input type="password" class="form-control" name="password" required="">
  </div>
  <a id="forget_passwordLnk" href="https://customer-satisfaction.clingroup.net/forgot-password"><small>forget your password?</small></a>
  <button class="btn btn-primary float-right"> Login </button>
</form>

Text Content

CUSTOMER SATISFACTION SURVEY

Company Name
Phone
Contact Name
Position
What was the service type?
Medical writing
Data management
PSP
Digital solutions
Clinical trials (including MB)
Trainings and audits
Regulatory services
PV
Rate Service :
How would you rate the quality of our services?
How timebound was the delivery of services?
Till what extent the cost is effective? (Cost vs. Value)
Was the service execution professional?
Overall satisfaction?
Would you recommend ClinGroup to your colleagues?
Yes
No
Should the opportunity arise, would you use our services again?
Yes
No
What service would you consider for your upcoming projects?
Have you faced a problem with ClinGroup or do you have a complaints?
Yes
No
please elaborate
Submit
Thank you for sharing your feedback!
Website: www.clingroup.net
Tel: +961 (0) 5 953 741
Email: bd@clingroup.net

LOGIN FORM

×
Email
Password
forget your password? Login

ARE YOU

JOB SEEKER?

EMPLOYER?