cloud.connect.medrecruit.com
Open in
urlscan Pro
128.245.80.251
Public Scan
Submitted URL: http://cl.s11.exct.net/ResolveURL.aspx?qs=67aaf36d965c97b141921e4190442018caac85b5e270cf45&umid=4cdbd3fc-eb9b-4f01-ac26...
Effective URL: https://cloud.connect.medrecruit.com/doctorwellbeingsurvey2022?qs=589068de78264bb06b4b16a40f53e6a6ae34a8387b23e95bc45d6824c3a37ba81c9...
Submission Tags: falconsandbox
Submission: On January 24 via api from US — Scanned from DE
Effective URL: https://cloud.connect.medrecruit.com/doctorwellbeingsurvey2022?qs=589068de78264bb06b4b16a40f53e6a6ae34a8387b23e95bc45d6824c3a37ba81c9...
Submission Tags: falconsandbox
Submission: On January 24 via api from US — Scanned from DE
Form analysis 1 forms found in the DOM
<form novalidate="" class="ic-bxy9hw-ic-form"><input name="qs" type="hidden" hidden=""
value="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"><input
name="ic_tLink" type="hidden" hidden="" value="https://click.connect.medrecruit.com/?qs=8b38d80a50cd814e952b5c44e8c1f3781c7bdf1bf95e3fe9fbcfdb1308ea0aa4bd5ddc9942fa7c3b8874986a8903eaf2cb83212480cf6fb8"><label>
<div class="ic-1nt7w8t-ic-label"><span>1. Were you personally experiencing symptoms of burnout before COVID?</span> <span class="ic-mds4g9-ic-required">*</span></div>
<fieldset class="ic-a0enwe e1ym3i2b0"><label class="ic-2d3bu3"><input name="burnoutbeforecovid-wkpcMvQ1" type="radio" required="" aria-label="" class="ic-1jatvdd" value="Yes">
<div class="ic-1hp6i1l">
<div class="ic-57xkq-ic-radio-checkbox-ic-radio"><span></span></div><span class="ic-k2cw6l-ic-radio-checkbox-label">Yes</span>
</div>
</label><label class="ic-2d3bu3"><input name="burnoutbeforecovid-wkpcMvQ1" type="radio" required="" aria-label="" class="ic-1jatvdd" value="No">
<div class="ic-1hp6i1l">
<div class="ic-57xkq-ic-radio-checkbox-ic-radio"><span></span></div><span class="ic-k2cw6l-ic-radio-checkbox-label">No</span>
</div>
</label></fieldset>
</label><label>
<div class="ic-1nt7w8t-ic-label"><span>2. Are you experiencing symptoms of burnout now?</span> <span class="ic-mds4g9-ic-required">*</span></div>
<fieldset class="ic-a0enwe e1ym3i2b0"><label class="ic-2d3bu3"><input name="experiencingsymptoms-Mc4LKHnN" type="radio" required="" aria-label="" class="ic-1jatvdd" value="Yes">
<div class="ic-1hp6i1l">
<div class="ic-57xkq-ic-radio-checkbox-ic-radio"><span></span></div><span class="ic-k2cw6l-ic-radio-checkbox-label">Yes</span>
</div>
</label><label class="ic-2d3bu3"><input name="experiencingsymptoms-Mc4LKHnN" type="radio" required="" aria-label="" class="ic-1jatvdd" value="No">
<div class="ic-1hp6i1l">
<div class="ic-57xkq-ic-radio-checkbox-ic-radio"><span></span></div><span class="ic-k2cw6l-ic-radio-checkbox-label">No</span>
</div>
</label></fieldset>
</label><label>
<div class="ic-1nt7w8t-ic-label"><span>3. Has COVID made work conditions more challenging for doctors?</span> <span class="ic-mds4g9-ic-required">*</span></div>
<fieldset class="ic-a0enwe e1ym3i2b0"><label class="ic-2d3bu3"><input name="morechallenging-uLqIN7nt" type="radio" required="" aria-label="" class="ic-1jatvdd" value="Yes">
<div class="ic-1hp6i1l">
<div class="ic-57xkq-ic-radio-checkbox-ic-radio"><span></span></div><span class="ic-k2cw6l-ic-radio-checkbox-label">Yes</span>
</div>
</label><label class="ic-2d3bu3"><input name="morechallenging-uLqIN7nt" type="radio" required="" aria-label="" class="ic-1jatvdd" value="No">
<div class="ic-1hp6i1l">
<div class="ic-57xkq-ic-radio-checkbox-ic-radio"><span></span></div><span class="ic-k2cw6l-ic-radio-checkbox-label">No</span>
</div>
</label></fieldset>
</label><label>
<div class="ic-1nt7w8t-ic-label"><span>4. Have you been asked to work beyond your scope of expertise?</span> <span class="ic-mds4g9-ic-required">*</span></div>
<fieldset class="ic-a0enwe e1ym3i2b0"><label class="ic-2d3bu3"><input name="beyondyourscopeofexpertise-IXRQQc1j" type="radio" required="" aria-label="" class="ic-1jatvdd" value="Yes">
<div class="ic-1hp6i1l">
<div class="ic-57xkq-ic-radio-checkbox-ic-radio"><span></span></div><span class="ic-k2cw6l-ic-radio-checkbox-label">Yes</span>
</div>
</label><label class="ic-2d3bu3"><input name="beyondyourscopeofexpertise-IXRQQc1j" type="radio" required="" aria-label="" class="ic-1jatvdd" value="No">
<div class="ic-1hp6i1l">
<div class="ic-57xkq-ic-radio-checkbox-ic-radio"><span></span></div><span class="ic-k2cw6l-ic-radio-checkbox-label">No</span>
</div>
</label></fieldset>
</label><label>
<div class="ic-1nt7w8t-ic-label"><span>5. Do you believe we are experiencing a workforce emergency?</span></div>
<fieldset class="ic-a0enwe e1ym3i2b0"><label class="ic-2d3bu3"><input name="workforceemergency-da9e5hnS" type="radio" aria-label="" class="ic-1jatvdd" value="Yes">
<div class="ic-1hp6i1l">
<div class="ic-57xkq-ic-radio-checkbox-ic-radio"><span></span></div><span class="ic-k2cw6l-ic-radio-checkbox-label">Yes</span>
</div>
</label><label class="ic-2d3bu3"><input name="workforceemergency-da9e5hnS" type="radio" aria-label="" class="ic-1jatvdd" value="No">
<div class="ic-1hp6i1l">
<div class="ic-57xkq-ic-radio-checkbox-ic-radio"><span></span></div><span class="ic-k2cw6l-ic-radio-checkbox-label">No</span>
</div>
</label></fieldset>
</label><label>
<div class="ic-1nt7w8t-ic-label"><span>6. Do you have any stories you’d like to share to highlight the issues? (Optional)</span></div><input name="stories" type="text" placeholder="" maxlength="500" class="ic-1dc10fi-ic-text-select eetyfzj0"
value="">
</label><button type="submit" class="ic-1ng0g75-ic-submit e8ot0k40">Submit</button></form>Text Content
1. Were you personally experiencing symptoms of burnout before COVID? * Yes No 2. Are you experiencing symptoms of burnout now? * Yes No 3. Has COVID made work conditions more challenging for doctors? * Yes No 4. Have you been asked to work beyond your scope of expertise? * Yes No 5. Do you believe we are experiencing a workforce emergency? Yes No 6. Do you have any stories you’d like to share to highlight the issues? (Optional) Submit Thank you for taking the time to complete this survey. We value your feedback.