www.f6s.com
Open in
urlscan Pro
13.225.78.89
Public Scan
Submitted URL: https://leahssosaco-dot-mmmetrics.appspot.com/em_Hub4lDGU5vd1u868eREu?url=https%3A%2F%2Fwww.f6s.com%2Fzurich-customer-experience-challenge%2Fa...
Effective URL: https://www.f6s.com/zurich-customer-experience-challenge/apply?ref=Sosa
Submission: On January 27 via manual from CH — Scanned from DE
Effective URL: https://www.f6s.com/zurich-customer-experience-challenge/apply?ref=Sosa
Submission: On January 27 via manual from CH — Scanned from DE
Form analysis
2 forms found in the DOMName: csBasicInformation —
<form name="csBasicInformation" style="">
<div id="csFormDisableBlockBasicInformation" class="black_overlay t15" style="display: block; opacity: 0.4;"></div>
</form>
Name: csAppForm —
<form name="csAppForm">
<div id="csFormDisableBlock" class="overlay" style="display: block"></div>
<div class="form-questions form-emphasis-larger">
<ol>
</ol>
<div class="application-text-section">
<p class="t text-section-title light">You are applying to the Customer Experience challenge. Have you checked the other 4 Zurich Innovation Championship challenges to ensure you're applying to the most relevant one for your solution? The other
challenge pages are: <a target="_blank" href="https://www.f6s.com/zurich-commercial-insurance-challenge/about">Commercial Insurance</a>,
<a target="_blank" href="https://www.f6s.com/zurich-distribution-partnerships-challenge/about">Distribution Partnerships</a>, <a target="_blank" href="https://www.f6s.com/zurich-digital-enablement-challenge/about">Digital Enablement</a>,
<a target="_blank" href="https://www.f6s.com/zurich-sustainability-challenge/about">Sustainability</a>. By applying to the challenge, you accept our terms and conditions, which can be found
<a target="_blank" href="https://www.zurich.com/en/campaigns/zic">here</a> under the Frequently Asked Questions.</p>
</div>
<ol style="counter-reset: questions 0;">
<li class="application-field" id="csQuestionBlock_mrqvoav_opnqpbw_2124790" data-qa="custom-question-select">
<label>Company location <span class="field-red-star"></span> <span class="mandatory"></span></label>
<span id="csAppFormDropdown_mrqvoav-opnqpbw_2124790" class="component dropdown inline"><input type="text" class="no" style="width: 1px; height: 1px; padding: 0px; margin: 0px; border-width: 0px; position: absolute; line-height: 1px;"><input
type="hidden" name="mrqvoav-opnqpbw_2124790"><span class="caption" style="max-width: 655px;"><span class="title">Select One</span><span class="arrow"></span></span><span class="drop"
style="min-width: 112px; max-width: 655px; max-height: 500px; overflow-y: auto;">
<ul class="elements">
<li rel="0"><span class="tick"></span><span class="entry">Argentina</span></li>
<li rel="1"><span class="tick"></span><span class="entry">Åland Islands</span></li>
<li rel="2"><span class="tick"></span><span class="entry">Austria</span></li>
<li rel="3"><span class="tick"></span><span class="entry">Australia</span></li>
<li rel="4"><span class="tick"></span><span class="entry">Bangladesh</span></li>
<li rel="5"><span class="tick"></span><span class="entry">Belgium</span></li>
<li rel="6"><span class="tick"></span><span class="entry">Bolivia</span></li>
<li rel="7"><span class="tick"></span><span class="entry">Brazil</span></li>
<li rel="8"><span class="tick"></span><span class="entry">Bulgaria</span></li>
<li rel="9"><span class="tick"></span><span class="entry">Cameroon</span></li>
<li rel="10"><span class="tick"></span><span class="entry">Canada</span></li>
<li rel="11"><span class="tick"></span><span class="entry">China</span></li>
<li rel="12"><span class="tick"></span><span class="entry">Chile</span></li>
<li rel="13"><span class="tick"></span><span class="entry">Colombia</span></li>
<li rel="14"><span class="tick"></span><span class="entry">Cyprus</span></li>
<li rel="15"><span class="tick"></span><span class="entry">Czechia</span></li>
<li rel="16"><span class="tick"></span><span class="entry">Ecuador</span></li>
<li rel="17"><span class="tick"></span><span class="entry">Egypt</span></li>
<li rel="18"><span class="tick"></span><span class="entry">Estonia</span></li>
<li rel="19"><span class="tick"></span><span class="entry">France</span></li>
<li rel="20"><span class="tick"></span><span class="entry">Finland</span></li>
<li rel="21"><span class="tick"></span><span class="entry">Gambia</span></li>
<li rel="22"><span class="tick"></span><span class="entry">Germany</span></li>
<li rel="23"><span class="tick"></span><span class="entry">Georgia</span></li>
<li rel="24"><span class="tick"></span><span class="entry">Haiti</span></li>
<li rel="25"><span class="tick"></span><span class="entry">Hong Kong</span></li>
<li rel="26"><span class="tick"></span><span class="entry">Hungary</span></li>
<li rel="27"><span class="tick"></span><span class="entry">India</span></li>
<li rel="28"><span class="tick"></span><span class="entry">Indonesia</span></li>
<li rel="29"><span class="tick"></span><span class="entry">Iran</span></li>
<li rel="30"><span class="tick"></span><span class="entry">Ireland</span></li>
<li rel="31"><span class="tick"></span><span class="entry">Isle of Man</span></li>
<li rel="32"><span class="tick"></span><span class="entry">Israel</span></li>
<li rel="33"><span class="tick"></span><span class="entry">Italy</span></li>
<li rel="34"><span class="tick"></span><span class="entry">Japan</span></li>
<li rel="35"><span class="tick"></span><span class="entry">Latvia</span></li>
<li rel="36"><span class="tick"></span><span class="entry">Lebanon</span></li>
<li rel="37"><span class="tick"></span><span class="entry">Lithuania</span></li>
<li rel="38"><span class="tick"></span><span class="entry">Luxembourg</span></li>
<li rel="39"><span class="tick"></span><span class="entry">Malaysia</span></li>
<li rel="40"><span class="tick"></span><span class="entry">Mauritus</span></li>
<li rel="41"><span class="tick"></span><span class="entry">Mexico</span></li>
<li rel="42"><span class="tick"></span><span class="entry">Nepal</span></li>
<li rel="43"><span class="tick"></span><span class="entry">Netherlands</span></li>
<li rel="44"><span class="tick"></span><span class="entry">New Zealand</span></li>
<li rel="45"><span class="tick"></span><span class="entry">Nigeria</span></li>
<li rel="46"><span class="tick"></span><span class="entry">Norway</span></li>
<li rel="47"><span class="tick"></span><span class="entry">Pakistan</span></li>
<li rel="48"><span class="tick"></span><span class="entry">Peru</span></li>
<li rel="49"><span class="tick"></span><span class="entry">Philippines</span></li>
<li rel="50"><span class="tick"></span><span class="entry">Poland</span></li>
<li rel="51"><span class="tick"></span><span class="entry">Portugal</span></li>
<li rel="52"><span class="tick"></span><span class="entry">Singapore</span></li>
<li rel="53"><span class="tick"></span><span class="entry">South Korea</span></li>
<li rel="54"><span class="tick"></span><span class="entry">Romania</span></li>
<li rel="55"><span class="tick"></span><span class="entry">Russia</span></li>
<li rel="56"><span class="tick"></span><span class="entry">Spain</span></li>
<li rel="57"><span class="tick"></span><span class="entry">Slovenia</span></li>
<li rel="58"><span class="tick"></span><span class="entry">South Africa</span></li>
<li rel="59"><span class="tick"></span><span class="entry">Sweden</span></li>
<li rel="60"><span class="tick"></span><span class="entry">Switzerland</span></li>
<li rel="61"><span class="tick"></span><span class="entry">Turkey</span></li>
<li rel="62"><span class="tick"></span><span class="entry">Tuvalu</span></li>
<li rel="63"><span class="tick"></span><span class="entry">Uganda</span></li>
<li rel="64"><span class="tick"></span><span class="entry">United Arab Emirates</span></li>
<li rel="65"><span class="tick"></span><span class="entry">United Kingdom</span></li>
<li rel="66"><span class="tick"></span><span class="entry">United States</span></li>
<li rel="67"><span class="tick"></span><span class="entry">Uruguay</span></li>
<li rel="68"><span class="tick"></span><span class="entry">Vietnam</span></li>
<li rel="69"><span class="tick"></span><span class="entry">Other</span></li>
</ul>
</span></span>
<script type="text/javascript">
cs.components().dropdown("csAppFormDropdown_mrqvoav-opnqpbw_2124790", [{
text: "Argentina",
selected: false,
value: 'uwldxni-arbmzfw'
}, {
text: "Åland Islands",
selected: false,
value: 'cthwxcd-tlkinwt'
}, {
text: "Austria",
selected: false,
value: 'bbtosyi-fevkjkt'
}, {
text: "Australia",
selected: false,
value: 'suuqgks-eshdmj'
}, {
text: "Bangladesh",
selected: false,
value: 'indjwmd-uldmybb'
}, {
text: "Belgium",
selected: false,
value: 'qhtlhqw-kwyoiec'
}, {
text: "Bolivia",
selected: false,
value: 'wmezwfx-cljlnbh'
}, {
text: "Brazil",
selected: false,
value: 'aydicvf-rytafdc'
}, {
text: "Bulgaria",
selected: false,
value: 'rxnmwl-jbjcmbh'
}, {
text: "Cameroon",
selected: false,
value: 'buigkkp-bfuerer'
}, {
text: "Canada",
selected: false,
value: 'aoesfra-xipjpfb'
}, {
text: "China",
selected: false,
value: 'qcvqvr-zjsswej'
}, {
text: "Chile",
selected: false,
value: 'ktlgal-jkuwgna'
}, {
text: "Colombia",
selected: false,
value: 'bcwphey-tcnvp'
}, {
text: "Cyprus",
selected: false,
value: 'kxtk-pvkhzpm'
}, {
text: "Czechia",
selected: false,
value: 'fwfalmr-mvszwu'
}, {
text: "Ecuador",
selected: false,
value: 'mxndqyb-ftlnvsf'
}, {
text: "Egypt",
selected: false,
value: 'annxyqu-mjhyxgv'
}, {
text: "Estonia",
selected: false,
value: 'timkae-pnxvivj'
}, {
text: "France",
selected: false,
value: 'rrbapvu-gyskzwt'
}, {
text: "Finland",
selected: false,
value: 'csqowws-goptcgz'
}, {
text: "Gambia",
selected: false,
value: 'sxxwtlf-ddeoeny'
}, {
text: "Germany",
selected: false,
value: 'bxvwoqg-hrcgnfv'
}, {
text: "Georgia",
selected: false,
value: 'vsprilc-xpfzpat'
}, {
text: "Haiti",
selected: false,
value: 'ttqrhb-rufvds'
}, {
text: "Hong Kong",
selected: false,
value: 'xrsslqn-affzkyf'
}, {
text: "Hungary",
selected: false,
value: 'yasczar-fosfgmt'
}, {
text: "India",
selected: false,
value: 'hmqckxs-elhyqjt'
}, {
text: "Indonesia",
selected: false,
value: 'qvelhcx-izjrvyv'
}, {
text: "Iran",
selected: false,
value: 'rdcchhj-ehwpwsp'
}, {
text: "Ireland",
selected: false,
value: 'mjygtld-zhzemh'
}, {
text: "Isle of Man",
selected: false,
value: 'cpcivxb-pjxsfk'
}, {
text: "Israel",
selected: false,
value: 'jjltux-xkahanu'
}, {
text: "Italy",
selected: false,
value: 'hpvxpzy-zqpecvi'
}, {
text: "Japan",
selected: false,
value: 'mkxlvlm-pxgydzx'
}, {
text: "Latvia",
selected: false,
value: 'zchhbhu-hjyfgi'
}, {
text: "Lebanon",
selected: false,
value: 'bopqhqr-hljlzig'
}, {
text: "Lithuania",
selected: false,
value: 'jniqvhl-bhhowgx'
}, {
text: "Luxembourg",
selected: false,
value: 'nzluea-kegwaiq'
}, {
text: "Malaysia",
selected: false,
value: 'ftohyse-fafnmp'
}, {
text: "Mauritus",
selected: false,
value: 'qvkniwu-rxuohxc'
}, {
text: "Mexico",
selected: false,
value: 'yngzxgx-spyrozq'
}, {
text: "Nepal",
selected: false,
value: 'fnwlmhd-agxvirm'
}, {
text: "Netherlands",
selected: false,
value: 'njhlzb-voqtsrr'
}, {
text: "New Zealand",
selected: false,
value: 'kywnfd-hpsqkue'
}, {
text: "Nigeria",
selected: false,
value: 'golyzo-cmnlgew'
}, {
text: "Norway",
selected: false,
value: 'ifywadb-pqraecc'
}, {
text: "Pakistan",
selected: false,
value: 'zwrjv-jxyfmfa'
}, {
text: "Peru",
selected: false,
value: 'cqtwnvl-lkcpybq'
}, {
text: "Philippines",
selected: false,
value: 'sijccke-hrdxcyv'
}, {
text: "Poland",
selected: false,
value: 'xyiuqav-jlknz'
}, {
text: "Portugal",
selected: false,
value: 'txqiivz-monsyhk'
}, {
text: "Singapore",
selected: false,
value: 'ebxxecs-hdbzjs'
}, {
text: "South Korea",
selected: false,
value: 'rtcazmc-thcgbi'
}, {
text: "Romania",
selected: false,
value: 'wwytdao-nfufgm'
}, {
text: "Russia",
selected: false,
value: 'faltkw-mxnurx'
}, {
text: "Spain",
selected: false,
value: 'ctiajik-qslrdlu'
}, {
text: "Slovenia",
selected: false,
value: 'sovcygn-ijwnfbb'
}, {
text: "South Africa",
selected: false,
value: 'wdnfjul-umnxgag'
}, {
text: "Sweden",
selected: false,
value: 'abnrshg-wionrdq'
}, {
text: "Switzerland",
selected: false,
value: 'rzzgggz-gpfawfa'
}, {
text: "Turkey",
selected: false,
value: 'ieuunph-lzhawhe'
}, {
text: "Tuvalu",
selected: false,
value: 'oodkin-jegmqji'
}, {
text: "Uganda",
selected: false,
value: 'oqqdcag-txzarum'
}, {
text: "United Arab Emirates",
selected: false,
value: 'oefagvs-ovynvdp'
}, {
text: "United Kingdom",
selected: false,
value: 'lkdnyat-igorhbl'
}, {
text: "United States",
selected: false,
value: 'tmhurhi-mxcolmm'
}, {
text: "Uruguay",
selected: false,
value: 'fbcou-zlvewy'
}, {
text: "Vietnam",
selected: false,
value: 'xszgbvb-pwcsbrd'
}, {
text: "Other",
selected: false,
value: 'aaaxpm-ddhhfwv'
}, ], {
name: 'mrqvoav-opnqpbw_2124790',
version: 2,
title: "Select One",
customClassName: 'inline',
maxDropHeight: 500,
maxDropWidth: 655,
//scrollToSelected: true,
onChange: function() {
csAppFrm.onChange();
},
onSelect: function() {
$('.csConditionalArea_2124790').hide();
if (this.getValue()) {
$('#csConditionalArea_' + this.getValue()).show();
}
}
});
</script>
<div class="application-field-conditional csConditionalArea_2124790" id="csConditionalArea_aaaxpm-ddhhfwv" style="display: none">
<label> Please specify </label>
<span class="component input-wrapper input full-width" id="csConditionalField_2124860Wrapper"><input type="text" id="csConditionalField_2124860" value="" onkeypress="csAppFrm.onChange();" class="inner typable"
placeholder="Type your answer"></span>
<script type="text/javascript">
_r(function() {
if (!csAppFrm.conditionalFields["mrqvoav-opnqpbw_2124790"]) csAppFrm.conditionalFields["mrqvoav-opnqpbw_2124790"] = {};
csAppFrm.conditionalFields["mrqvoav-opnqpbw_2124790"]["aaaxpm-ddhhfwv"] = cs.components().input('csConditionalField_2124860', {
version: 2,
fullWidth: true,
defaultText: 'Type your answer',
maxLength: 0
});
});
</script>
</div>
</li>
<li class="application-field" id="csQuestionBlock_ishacxv_eutusov_2126752" data-qa="custom-question-select">
<label>Founded in (year) <span class="field-red-star"></span> <span class="mandatory"></span></label>
<span id="csAppFormDropdown_ishacxv-eutusov_2126752" class="component dropdown inline"><input type="text" class="no" style="width: 1px; height: 1px; padding: 0px; margin: 0px; border-width: 0px; position: absolute; line-height: 1px;"><input
type="hidden" name="ishacxv-eutusov_2126752"><span class="caption" style="max-width: 655px;"><span class="title">Select One</span><span class="arrow"></span></span><span class="drop"
style="min-width: 112px; max-width: 655px; max-height: 500px; overflow-y: auto;">
<ul class="elements">
<li rel="0"><span class="tick"></span><span class="entry">2022</span></li>
<li rel="1"><span class="tick"></span><span class="entry">2021</span></li>
<li rel="2"><span class="tick"></span><span class="entry">2020</span></li>
<li rel="3"><span class="tick"></span><span class="entry">2019</span></li>
<li rel="4"><span class="tick"></span><span class="entry">2018</span></li>
<li rel="5"><span class="tick"></span><span class="entry">2017</span></li>
<li rel="6"><span class="tick"></span><span class="entry">2016</span></li>
<li rel="7"><span class="tick"></span><span class="entry">2015</span></li>
<li rel="8"><span class="tick"></span><span class="entry">2014</span></li>
<li rel="9"><span class="tick"></span><span class="entry">2013</span></li>
<li rel="10"><span class="tick"></span><span class="entry">2012</span></li>
<li rel="11"><span class="tick"></span><span class="entry">2011</span></li>
<li rel="12"><span class="tick"></span><span class="entry">2010</span></li>
<li rel="13"><span class="tick"></span><span class="entry">2009</span></li>
<li rel="14"><span class="tick"></span><span class="entry">2008</span></li>
<li rel="15"><span class="tick"></span><span class="entry">2007</span></li>
<li rel="16"><span class="tick"></span><span class="entry">2006</span></li>
<li rel="17"><span class="tick"></span><span class="entry">2005</span></li>
<li rel="18"><span class="tick"></span><span class="entry">2004</span></li>
<li rel="19"><span class="tick"></span><span class="entry">2003</span></li>
<li rel="20"><span class="tick"></span><span class="entry">2002</span></li>
<li rel="21"><span class="tick"></span><span class="entry">2001</span></li>
<li rel="22"><span class="tick"></span><span class="entry">Before 2000</span></li>
<li rel="23"><span class="tick"></span><span class="entry">2000</span></li>
</ul>
</span></span>
<script type="text/javascript">
cs.components().dropdown("csAppFormDropdown_ishacxv-eutusov_2126752", [{
text: "2022",
selected: false,
value: 'rcjavis-zemkmle'
}, {
text: "2021",
selected: false,
value: 'fhjfsho-wfojfn'
}, {
text: "2020",
selected: false,
value: 'smriwu-tiheyxc'
}, {
text: "2019",
selected: false,
value: 'cuxebx-xwhsyuq'
}, {
text: "2018",
selected: false,
value: 'oiiwvra-ayskfry'
}, {
text: "2017",
selected: false,
value: 'vibbbe-ghwetln'
}, {
text: "2016",
selected: false,
value: 'ulvnfm-oiqlxlb'
}, {
text: "2015",
selected: false,
value: 'vkwlzea-vktshjx'
}, {
text: "2014",
selected: false,
value: 'xpvyewh-bjrkbch'
}, {
text: "2013",
selected: false,
value: 'eillpfo-whrxvw'
}, {
text: "2012",
selected: false,
value: 'bayoyz-lmwbjql'
}, {
text: "2011",
selected: false,
value: 'hhkfmes-fosfzvw'
}, {
text: "2010",
selected: false,
value: 'eqdfbwu-afxrblv'
}, {
text: "2009",
selected: false,
value: 'jjhused-jjjaztr'
}, {
text: "2008",
selected: false,
value: 'gtuixgc-crplype'
}, {
text: "2007",
selected: false,
value: 'lxttqqp-rxvpmbp'
}, {
text: "2006",
selected: false,
value: 'vvlzfip-azrbksd'
}, {
text: "2005",
selected: false,
value: 'ezqjdlc-psukqem'
}, {
text: "2004",
selected: false,
value: 'vcrmac-hgossz'
}, {
text: "2003",
selected: false,
value: 'wrrzwm-hmumls'
}, {
text: "2002",
selected: false,
value: 'hgblcnu-nslzpfw'
}, {
text: "2001",
selected: false,
value: 'fbjynf-vpwfgjh'
}, {
text: "Before 2000",
selected: false,
value: 'latcwtz-pvvcey'
}, {
text: "2000",
selected: false,
value: 'vtsecuz-svfgzmd'
}, ], {
name: 'ishacxv-eutusov_2126752',
version: 2,
title: "Select One",
customClassName: 'inline',
maxDropHeight: 500,
maxDropWidth: 655,
//scrollToSelected: true,
onChange: function() {
csAppFrm.onChange();
},
onSelect: function() {
$('.csConditionalArea_2126752').hide();
if (this.getValue()) {
$('#csConditionalArea_' + this.getValue()).show();
}
}
});
</script>
<div class="application-field-conditional csConditionalArea_2126752" id="csConditionalArea_latcwtz-pvvcey" style="display: none">
<label> Please specify </label>
<span class="component input-wrapper input full-width" id="csConditionalField_2126753Wrapper"><input type="text" id="csConditionalField_2126753" value="" onkeypress="csAppFrm.onChange();" class="inner typable"
placeholder="Type your answer"></span>
<script type="text/javascript">
_r(function() {
if (!csAppFrm.conditionalFields["ishacxv-eutusov_2126752"]) csAppFrm.conditionalFields["ishacxv-eutusov_2126752"] = {};
csAppFrm.conditionalFields["ishacxv-eutusov_2126752"]["latcwtz-pvvcey"] = cs.components().input('csConditionalField_2126753', {
version: 2,
fullWidth: true,
defaultText: 'Type your answer',
maxLength: 0
});
});
</script>
</div>
</li>
<li class="application-field" id="csQuestionBlock_wtshksx_vaoksh_2124862" data-qa="custom-question-text">
<label>Website URL <span class="field-red-star"></span> <span class="mandatory"></span></label>
<span class="component input-wrapper input full-width" id="csApplicationFormField_wtshksx_vaoksh_2124862Wrapper"><input onpaste="csAppFrm.onPasteText();" type="text" name="wtshksx-vaoksh_2124862"
id="csApplicationFormField_wtshksx_vaoksh_2124862" value="" onkeypress="csAppFrm.onChange();" class="inner typable"></span>
<script type="text/javascript">
var csApplicationFormFieldObj_wtshksx_vaoksh_2124862 = cs.components().input('csApplicationFormField_wtshksx_vaoksh_2124862', {
version: 2,
fullWidth: true,
});
</script>
</li>
<li class="application-field" id="csQuestionBlock_apqhmmt_oroedst_2126777" data-qa="custom-question-text">
<label>Email Address <span class="field-red-star"></span> <span class="mandatory"></span></label>
<span class="component input-wrapper input full-width" id="csApplicationFormField_apqhmmt_oroedst_2126777Wrapper"><input onpaste="csAppFrm.onPasteText();" type="text" name="apqhmmt-oroedst_2126777"
id="csApplicationFormField_apqhmmt_oroedst_2126777" value="" onkeypress="csAppFrm.onChange();" class="inner typable"></span>
<script type="text/javascript">
var csApplicationFormFieldObj_apqhmmt_oroedst_2126777 = cs.components().input('csApplicationFormField_apqhmmt_oroedst_2126777', {
version: 2,
fullWidth: true,
});
</script>
</li>
<li class="application-field" id="csQuestionBlock_uvxcqp_zlxxkkj_2124863" data-qa="custom-question-select">
<label>How many employees do you have? <span class="field-red-star"></span> <span class="mandatory"></span></label>
<span id="csAppFormDropdown_uvxcqp-zlxxkkj_2124863" class="component dropdown inline"><input type="text" class="no" style="width: 1px; height: 1px; padding: 0px; margin: 0px; border-width: 0px; position: absolute; line-height: 1px;"><input
type="hidden" name="uvxcqp-zlxxkkj_2124863"><span class="caption" style="max-width: 655px;"><span class="title">Select One</span><span class="arrow"></span></span><span class="drop"
style="min-width: 112px; max-width: 655px; max-height: 500px; overflow-y: auto;">
<ul class="elements">
<li rel="0"><span class="tick"></span><span class="entry">1 - 10</span></li>
<li rel="1"><span class="tick"></span><span class="entry">11 - 50</span></li>
<li rel="2"><span class="tick"></span><span class="entry">50 - 250</span></li>
<li rel="3"><span class="tick"></span><span class="entry">+250</span></li>
</ul>
</span></span>
<script type="text/javascript">
cs.components().dropdown("csAppFormDropdown_uvxcqp-zlxxkkj_2124863", [{
text: "1 - 10",
selected: false,
value: 'ywoviec-ihriscl'
}, {
text: "11 - 50",
selected: false,
value: 'mqwwwin-zyapdtf'
}, {
text: "50 - 250",
selected: false,
value: 'xmfzcl-lkgx'
}, {
text: "+250",
selected: false,
value: 'zaromht-kjbpcti'
}, ], {
name: 'uvxcqp-zlxxkkj_2124863',
version: 2,
title: "Select One",
customClassName: 'inline',
maxDropHeight: 500,
maxDropWidth: 655,
//scrollToSelected: true,
onChange: function() {
csAppFrm.onChange();
},
onSelect: function() {
$('.csConditionalArea_2124863').hide();
if (this.getValue()) {
$('#csConditionalArea_' + this.getValue()).show();
}
}
});
</script>
</li>
<li class="application-field" id="csQuestionBlock_fmrqogb_jgkolut_2124868" data-qa="custom-question-select">
<label>What is your annual revenue? <span class="field-red-star"></span> <span class="mandatory"></span></label>
<span id="csAppFormDropdown_fmrqogb-jgkolut_2124868" class="component dropdown inline"><input type="text" class="no" style="width: 1px; height: 1px; padding: 0px; margin: 0px; border-width: 0px; position: absolute; line-height: 1px;"><input
type="hidden" name="fmrqogb-jgkolut_2124868"><span class="caption" style="max-width: 655px;"><span class="title">Select One</span><span class="arrow"></span></span><span class="drop"
style="min-width: 112px; max-width: 655px; max-height: 500px; overflow-y: auto;">
<ul class="elements">
<li rel="0"><span class="tick"></span><span class="entry">Pre-Revenue</span></li>
<li rel="1"><span class="tick"></span><span class="entry">Below $0,5 M</span></li>
<li rel="2"><span class="tick"></span><span class="entry">$ 0,5 - 1 M</span></li>
<li rel="3"><span class="tick"></span><span class="entry">$1 - 5 M</span></li>
<li rel="4"><span class="tick"></span><span class="entry">$5 - 50 M</span></li>
<li rel="5"><span class="tick"></span><span class="entry">Above $50M</span></li>
</ul>
</span></span>
<script type="text/javascript">
cs.components().dropdown("csAppFormDropdown_fmrqogb-jgkolut_2124868", [{
text: "Pre-Revenue",
selected: false,
value: 'wcvnvrd-mkyfew'
}, {
text: "Below $0,5 M",
selected: false,
value: 'rggmnuu-hasgato'
}, {
text: "$ 0,5 - 1 M",
selected: false,
value: 'hbspfnn-mfipmsa'
}, {
text: "$1 - 5 M",
selected: false,
value: 'vsyrrgx-kvebkak'
}, {
text: "$5 - 50 M",
selected: false,
value: 'dxgvntl-mckxszu'
}, {
text: "Above $50M",
selected: false,
value: 'zysezlg-bxmlwba'
}, ], {
name: 'fmrqogb-jgkolut_2124868',
version: 2,
title: "Select One",
customClassName: 'inline',
maxDropHeight: 500,
maxDropWidth: 655,
//scrollToSelected: true,
onChange: function() {
csAppFrm.onChange();
},
onSelect: function() {
$('.csConditionalArea_2124868').hide();
if (this.getValue()) {
$('#csConditionalArea_' + this.getValue()).show();
}
}
});
</script>
</li>
<li class="application-field" id="csQuestionBlock_wpwfkfy_sfzakhb_2126783" data-qa="custom-question-select">
<label>How much investment have you raised so far? <span class="field-red-star"></span> <span class="mandatory"></span></label>
<span id="csAppFormDropdown_wpwfkfy-sfzakhb_2126783" class="component dropdown inline"><input type="text" class="no" style="width: 1px; height: 1px; padding: 0px; margin: 0px; border-width: 0px; position: absolute; line-height: 1px;"><input
type="hidden" name="wpwfkfy-sfzakhb_2126783"><span class="caption" style="max-width: 655px;"><span class="title">Select One</span><span class="arrow"></span></span><span class="drop"
style="min-width: 112px; max-width: 655px; max-height: 500px; overflow-y: auto;">
<ul class="elements">
<li rel="0"><span class="tick"></span><span class="entry">Bootstrapping</span></li>
<li rel="1"><span class="tick"></span><span class="entry">Below $0,5 M</span></li>
<li rel="2"><span class="tick"></span><span class="entry">$ 0,5 - 1 M</span></li>
<li rel="3"><span class="tick"></span><span class="entry">$1 - 5 M</span></li>
<li rel="4"><span class="tick"></span><span class="entry">$5 - 50 M</span></li>
<li rel="5"><span class="tick"></span><span class="entry">Above $50M</span></li>
</ul>
</span></span>
<script type="text/javascript">
cs.components().dropdown("csAppFormDropdown_wpwfkfy-sfzakhb_2126783", [{
text: "Bootstrapping",
selected: false,
value: 'jvivmoe-xjpvkjh'
}, {
text: "Below $0,5 M",
selected: false,
value: 'ziuusom-ncwzvs'
}, {
text: "$ 0,5 - 1 M",
selected: false,
value: 'blqheqk-zxugbog'
}, {
text: "$1 - 5 M",
selected: false,
value: 'nrzugnb-uyypdmf'
}, {
text: "$5 - 50 M",
selected: false,
value: 'dfjvxqo-iwpwlk'
}, {
text: "Above $50M",
selected: false,
value: 'mtdwdpq-lduftau'
}, ], {
name: 'wpwfkfy-sfzakhb_2126783',
version: 2,
title: "Select One",
customClassName: 'inline',
maxDropHeight: 500,
maxDropWidth: 655,
//scrollToSelected: true,
onChange: function() {
csAppFrm.onChange();
},
onSelect: function() {
$('.csConditionalArea_2126783').hide();
if (this.getValue()) {
$('#csConditionalArea_' + this.getValue()).show();
}
}
});
</script>
</li>
<li class="application-field" id="csQuestionBlock_ydlaor_vaamtw_2124966" data-qa="custom-question-file_upload">
<label>Upload your 3 min pitch deck (recommended) <span class="field-red-star"></span> <span class="field-notice">(Max file size 30MB.)</span> <span class="mandatory"></span><span class="blk t t12 t-secondary"
style="margin-top: 5px; white-space: pre-wrap;">Max 15 slides</span></label>
<div>
<input class="cs-input-field-design cs-input-field nr" type="hidden" name="ydlaor-vaamtw_2124966" id="csApplicationFormField_ydlaor_vaamtw_2124966" value="">
<div id="csFileUploadArea_ydlaor_vaamtw_2124966" class="flex-wrapper">
<span id="csUploadButton_ydlaor_vaamtw_2124966" class="fw component button color-grey"><span class="caption"><span class="title">Choose a File</span></span></span><input type="file" class="uploader"
id="uploadercsUploadButton_ydlaor_vaamtw_2124966" accept="*">
</div>
<script type="text/javascript">
var csApplicationFormFieldObj_ydlaor_vaamtw_2124966 = cs.components().input('csApplicationFormField_ydlaor_vaamtw_2124966', {});
var postData = {
image_type: 'all',
scope: 'application',
actor_id: ''
};
var csUploadButtonObj_ydlaor_vaamtw_2124966 = cs.components().uploader('csUploadButton_ydlaor_vaamtw_2124966', {
url: '/account/files/ajax-file-upload',
button: {
color: 'grey',
title: 'Choose a File',
fullWidth: true
},
multiple: false,
showFiles: true,
data: postData,
maxFileSize: 30000,
onSuccess: function(file, response) {
if ('undefined' == typeof response.data || 'undefined' == typeof response.data.file_id) {
return false;
}
csShowFile(response.data.file_id, response.data.name, 'ydlaor_vaamtw_2124966');
csApplicationFormFieldObj_ydlaor_vaamtw_2124966.setValue(response.data.file_id);
csAppFrm.onChange();
}
});
if ('function' != typeof csShowFile) {
function csShowFile(fileId, fileName, suffix) {
var wrapper = $('<div />').addClass('inline-centered application-subfield').appendTo('#csFileUploadArea_' + suffix);
var group = $('<div />').addClass('component-group fw').appendTo(wrapper);
var input = $('<input type="text" />').appendTo(group);
// Instantiate the input component
var fileObj = cs.builder().input(input, {
fullWidth: true,
disabled: true,
attachment: {
position: 'left',
fa: 'fa-file-text-o'
}
});
if ('string' == typeof fileName) {
fileObj.setValue(fileName);
}
var deleteContainer = $('<div />').addClass('t').appendTo(wrapper);
var deleteLink = $('<a class="main red clickable"><i class="fa fa-close"></i></a>').appendTo(deleteContainer);
deleteLink.on('click', function(e) {
e.preventDefault();
$.post('/account/files/ajax-file-delete', $.extend(postData, {
file_id: fileId
}), function(response) {}, 'json');
wrapper.remove();
window['csUploadButtonObj_' + suffix].container.show();
window['csApplicationFormFieldObj_' + suffix].setValue('');
csAppFrm.onChange();
});
window['csUploadButtonObj_' + suffix].container.hide();
}
}
// Show file if exists and hide & disable button
</script>
</div>
</li>
<li class="application-field" id="csQuestionBlock_pjmgaoc_srjsmuk_2124968" data-qa="custom-question-select">
<label>Do you have a patent? <span class="field-red-star"></span> <span class="mandatory"></span></label>
<span id="csAppFormDropdown_pjmgaoc-srjsmuk_2124968" class="component dropdown inline"><input type="text" class="no" style="width: 1px; height: 1px; padding: 0px; margin: 0px; border-width: 0px; position: absolute; line-height: 1px;"><input
type="hidden" name="pjmgaoc-srjsmuk_2124968"><span class="caption" style="max-width: 655px;"><span class="title">Select One</span><span class="arrow"></span></span><span class="drop"
style="min-width: 112px; max-width: 655px; max-height: 500px; overflow-y: auto;">
<ul class="elements">
<li rel="0"><span class="tick"></span><span class="entry">Yes</span></li>
<li rel="1"><span class="tick"></span><span class="entry">No</span></li>
<li rel="2"><span class="tick"></span><span class="entry">Patent pending</span></li>
</ul>
</span></span>
<script type="text/javascript">
cs.components().dropdown("csAppFormDropdown_pjmgaoc-srjsmuk_2124968", [{
text: "Yes",
selected: false,
value: 'piyxlgg-itnxdun'
}, {
text: "No",
selected: false,
value: 'wikuilx-tehikj'
}, {
text: "Patent pending",
selected: false,
value: 'sjeebzb-szvmqfj'
}, ], {
name: 'pjmgaoc-srjsmuk_2124968',
version: 2,
title: "Select One",
customClassName: 'inline',
maxDropHeight: 500,
maxDropWidth: 655,
//scrollToSelected: true,
onChange: function() {
csAppFrm.onChange();
},
onSelect: function() {
$('.csConditionalArea_2124968').hide();
if (this.getValue()) {
$('#csConditionalArea_' + this.getValue()).show();
}
}
});
</script>
</li>
<li class="application-field" id="csQuestionBlock_wkkepx_npqnjur_2124973" data-qa="custom-question-select">
<label>What is the development status of your business or product? <span class="field-red-star"></span> <span class="mandatory"></span></label>
<span id="csAppFormDropdown_wkkepx-npqnjur_2124973" class="component dropdown inline"><input type="text" class="no" style="width: 1px; height: 1px; padding: 0px; margin: 0px; border-width: 0px; position: absolute; line-height: 1px;"><input
type="hidden" name="wkkepx-npqnjur_2124973"><span class="caption" style="max-width: 655px;"><span class="title">Select One</span><span class="arrow"></span></span><span class="drop"
style="min-width: 112px; max-width: 655px; max-height: 500px; overflow-y: auto;">
<ul class="elements">
<li rel="0"><span class="tick"></span><span class="entry">Idea</span></li>
<li rel="1"><span class="tick"></span><span class="entry">R&D</span></li>
<li rel="2"><span class="tick"></span><span class="entry">Prototype/Beta Testing</span></li>
<li rel="3"><span class="tick"></span><span class="entry">Operational/Shipping</span></li>
</ul>
</span></span>
<script type="text/javascript">
cs.components().dropdown("csAppFormDropdown_wkkepx-npqnjur_2124973", [{
text: "Idea",
selected: false,
value: 'ovpnbco-xtwghbv'
}, {
text: "R&D",
selected: false,
value: 'wxtsoga-knitax'
}, {
text: "Prototype/Beta Testing",
selected: false,
value: 'bayqcwx-lcknlaf'
}, {
text: "Operational/Shipping",
selected: false,
value: 'aelyhlz-nnckq'
}, ], {
name: 'wkkepx-npqnjur_2124973',
version: 2,
title: "Select One",
customClassName: 'inline',
maxDropHeight: 500,
maxDropWidth: 655,
//scrollToSelected: true,
onChange: function() {
csAppFrm.onChange();
},
onSelect: function() {
$('.csConditionalArea_2124973').hide();
if (this.getValue()) {
$('#csConditionalArea_' + this.getValue()).show();
}
}
});
</script>
</li>
<li class="application-field" id="csQuestionBlock_itcuye_weelzkz_2124915" data-qa="custom-question-longtext">
<label>What problem is your solution solving? Please provide us with your elevator pitch <span class="field-red-star"></span> <span class="mandatory"></span></label>
<span class="component input-wrapper input full-width textarea" id="csApplicationFormField_itcuye_weelzkz_2124915Wrapper"><textarea onpaste="csAppFrm.onPasteText(function(){ }); ;" onkeydown="cs.algorithms().length_limit(this,600);;"
name="itcuye-weelzkz_2124915" id="csApplicationFormField_itcuye_weelzkz_2124915" onkeyup="cs.algorithms().length_limit(this,600);;csAppFrm.onChange();" class="inner typable"
style="padding-bottom: 23px; overflow: hidden; height: 52px;"></textarea>
<div
style="position: absolute; font-family: "Open Sans", "Helvetica Neue", -apple-system, BlinkMacSystemFont, "Segoe UI", Roboto, Helvetica, sans-serif; overflow-wrap: break-word; white-space: pre-wrap; display: none; padding: 9px 2px 23px 11px; border-style: solid; border-color: rgb(0, 0, 0); border-width: 0px; font-size: 14px; line-height: 20px; box-sizing: border-box; width: 784px;">
a</div><span class="input-counter textarea-counter count-positive" id="cs-field-length-count-csApplicationFormField_itcuye_weelzkz_2124915">600</span>
</span>
<script type="text/javascript">
var csApplicationFormFieldObj_itcuye_weelzkz_2124915 = cs.components().input('csApplicationFormField_itcuye_weelzkz_2124915', {
resizable: true,
expandMax: 200,
version: 2,
stopFillOnLimit: true,
fullWidth: true,
maxLength: 600
});
</script>
</li>
<li class="application-field" id="csQuestionBlock_tfukzw_eqipvga_2126790" data-qa="custom-question-longtext">
<label>Who are your top 3 competitors? <span class="field-red-star"></span> <span class="mandatory"></span></label>
<span class="component input-wrapper input full-width textarea" id="csApplicationFormField_tfukzw_eqipvga_2126790Wrapper"><textarea onpaste="csAppFrm.onPasteText(function(){ }); ;" onkeydown="cs.algorithms().length_limit(this,100);;"
name="tfukzw-eqipvga_2126790" id="csApplicationFormField_tfukzw_eqipvga_2126790" onkeyup="cs.algorithms().length_limit(this,100);;csAppFrm.onChange();" class="inner typable"
style="padding-bottom: 23px; overflow: hidden; height: 52px;"></textarea>
<div
style="position: absolute; font-family: "Open Sans", "Helvetica Neue", -apple-system, BlinkMacSystemFont, "Segoe UI", Roboto, Helvetica, sans-serif; overflow-wrap: break-word; white-space: pre-wrap; display: none; padding: 9px 2px 23px 11px; border-style: solid; border-color: rgb(0, 0, 0); border-width: 0px; font-size: 14px; line-height: 20px; box-sizing: border-box; width: 784px;">
a</div><span class="input-counter textarea-counter count-positive" id="cs-field-length-count-csApplicationFormField_tfukzw_eqipvga_2126790">100</span>
</span>
<script type="text/javascript">
var csApplicationFormFieldObj_tfukzw_eqipvga_2126790 = cs.components().input('csApplicationFormField_tfukzw_eqipvga_2126790', {
resizable: true,
expandMax: 200,
version: 2,
stopFillOnLimit: true,
fullWidth: true,
maxLength: 100
});
</script>
</li>
<li class="application-field" id="csQuestionBlock_bmfkzbo_qtqshpp_2127325" data-qa="custom-question-longtext">
<label>Why are you better than your competitors? <span class="field-red-star"></span> <span class="mandatory"></span></label>
<span class="component input-wrapper input full-width textarea" id="csApplicationFormField_bmfkzbo_qtqshpp_2127325Wrapper"><textarea onpaste="csAppFrm.onPasteText(function(){ }); ;" onkeydown="cs.algorithms().length_limit(this,400);;"
name="bmfkzbo-qtqshpp_2127325" id="csApplicationFormField_bmfkzbo_qtqshpp_2127325" onkeyup="cs.algorithms().length_limit(this,400);;csAppFrm.onChange();" class="inner typable"
style="padding-bottom: 23px; overflow: hidden; height: 52px;"></textarea>
<div
style="position: absolute; font-family: "Open Sans", "Helvetica Neue", -apple-system, BlinkMacSystemFont, "Segoe UI", Roboto, Helvetica, sans-serif; overflow-wrap: break-word; white-space: pre-wrap; display: none; padding: 9px 2px 23px 11px; border-style: solid; border-color: rgb(0, 0, 0); border-width: 0px; font-size: 14px; line-height: 20px; box-sizing: border-box; width: 784px;">
a</div><span class="input-counter textarea-counter count-positive" id="cs-field-length-count-csApplicationFormField_bmfkzbo_qtqshpp_2127325">400</span>
</span>
<script type="text/javascript">
var csApplicationFormFieldObj_bmfkzbo_qtqshpp_2127325 = cs.components().input('csApplicationFormField_bmfkzbo_qtqshpp_2127325', {
resizable: true,
expandMax: 200,
version: 2,
stopFillOnLimit: true,
fullWidth: true,
maxLength: 400
});
</script>
</li>
<li class="application-field" id="csQuestionBlock_wmvmcbq_eqjlrcg_2127331" data-qa="custom-question-longtext">
<label>Please explain why you think you are a great match for Zurich? <span class="field-red-star"></span> <span class="mandatory"></span></label>
<span class="component input-wrapper input full-width textarea" id="csApplicationFormField_wmvmcbq_eqjlrcg_2127331Wrapper"><textarea onpaste="csAppFrm.onPasteText(function(){ }); ;" onkeydown="cs.algorithms().length_limit(this,500);;"
name="wmvmcbq-eqjlrcg_2127331" id="csApplicationFormField_wmvmcbq_eqjlrcg_2127331" onkeyup="cs.algorithms().length_limit(this,500);;csAppFrm.onChange();" class="inner typable"
style="padding-bottom: 23px; overflow: hidden; height: 52px;"></textarea>
<div
style="position: absolute; font-family: "Open Sans", "Helvetica Neue", -apple-system, BlinkMacSystemFont, "Segoe UI", Roboto, Helvetica, sans-serif; overflow-wrap: break-word; white-space: pre-wrap; display: none; padding: 9px 2px 23px 11px; border-style: solid; border-color: rgb(0, 0, 0); border-width: 0px; font-size: 14px; line-height: 20px; box-sizing: border-box; width: 784px;">
a</div><span class="input-counter textarea-counter count-positive" id="cs-field-length-count-csApplicationFormField_wmvmcbq_eqjlrcg_2127331">500</span>
</span>
<script type="text/javascript">
var csApplicationFormFieldObj_wmvmcbq_eqjlrcg_2127331 = cs.components().input('csApplicationFormField_wmvmcbq_eqjlrcg_2127331', {
resizable: true,
expandMax: 200,
version: 2,
stopFillOnLimit: true,
fullWidth: true,
maxLength: 500
});
</script>
</li>
<li class="application-field" id="csQuestionBlock_ubkgh_ntcinvk_2126791" data-qa="custom-question-longtext">
<label>Tell us about the people on your team. What makes you a winning team? <span class="field-red-star"></span> <span class="mandatory"></span></label>
<span class="component input-wrapper input full-width textarea" id="csApplicationFormField_ubkgh_ntcinvk_2126791Wrapper"><textarea onpaste="csAppFrm.onPasteText(function(){ }); ;" onkeydown="cs.algorithms().length_limit(this,300);;"
name="ubkgh-ntcinvk_2126791" id="csApplicationFormField_ubkgh_ntcinvk_2126791" onkeyup="cs.algorithms().length_limit(this,300);;csAppFrm.onChange();" class="inner typable"
style="padding-bottom: 23px; overflow: hidden; height: 52px;"></textarea>
<div
style="position: absolute; font-family: "Open Sans", "Helvetica Neue", -apple-system, BlinkMacSystemFont, "Segoe UI", Roboto, Helvetica, sans-serif; overflow-wrap: break-word; white-space: pre-wrap; display: none; padding: 9px 2px 23px 11px; border-style: solid; border-color: rgb(0, 0, 0); border-width: 0px; font-size: 14px; line-height: 20px; box-sizing: border-box; width: 784px;">
a</div><span class="input-counter textarea-counter count-positive" id="cs-field-length-count-csApplicationFormField_ubkgh_ntcinvk_2126791">300</span>
</span>
<script type="text/javascript">
var csApplicationFormFieldObj_ubkgh_ntcinvk_2126791 = cs.components().input('csApplicationFormField_ubkgh_ntcinvk_2126791', {
resizable: true,
expandMax: 200,
version: 2,
stopFillOnLimit: true,
fullWidth: true,
maxLength: 300
});
</script>
</li>
<li class="application-field" id="csQuestionBlock_qrdgpg_opgvvrs_2124874" data-qa="custom-question-checkboxes">
<label>What are your top 3 markets? <span class="field-red-star"></span> <span class="mandatory"></span><span class="blk t t12 t-secondary" style="margin-top: 5px; white-space: pre-wrap;">Please do not choose more than 3</span></label>
<div class="checkbox-list rare">
<div class="check nh">
<span id="csAppFormCheckbox_hmboiwb-aeuafsc_2124875" class="component toggler checkbox"><input type="checkbox" value="Argentina, AR" name="hmboiwb-aeuafsc_2124875"><span class="check"></span>Argentina, AR</span>
<script type="text/javascript">
var csAppFormCheckboxObj_2124875 = cs.components().checkbox("csAppFormCheckbox_hmboiwb-aeuafsc_2124875", {
checked: false,
value: 'Argentina, AR',
name: 'hmboiwb-aeuafsc_2124875',
version: 2,
label: 'Argentina, AR',
onClick: function() {
$('#csConditionalArea_2124875').toggle();
csAppFrm.onChange();
}
})
</script>
</div>
<div class="check nh">
<span id="csAppFormCheckbox_bdiurxj-cceuvjx_2124876" class="component toggler checkbox"><input type="checkbox" value="Austria, AT" name="bdiurxj-cceuvjx_2124876"><span class="check"></span>Austria, AT</span>
<script type="text/javascript">
var csAppFormCheckboxObj_2124876 = cs.components().checkbox("csAppFormCheckbox_bdiurxj-cceuvjx_2124876", {
checked: false,
value: 'Austria, AT',
name: 'bdiurxj-cceuvjx_2124876',
version: 2,
label: 'Austria, AT',
onClick: function() {
$('#csConditionalArea_2124876').toggle();
csAppFrm.onChange();
}
})
</script>
</div>
<div class="check nh">
<span id="csAppFormCheckbox_emiiad-tibljvc_2124877" class="component toggler checkbox"><input type="checkbox" value="Australia, AU" name="emiiad-tibljvc_2124877"><span class="check"></span>Australia, AU</span>
<script type="text/javascript">
var csAppFormCheckboxObj_2124877 = cs.components().checkbox("csAppFormCheckbox_emiiad-tibljvc_2124877", {
checked: false,
value: 'Australia, AU',
name: 'emiiad-tibljvc_2124877',
version: 2,
label: 'Australia, AU',
onClick: function() {
$('#csConditionalArea_2124877').toggle();
csAppFrm.onChange();
}
})
</script>
</div>
<div class="check nh">
<span id="csAppFormCheckbox_cpcfced-lbrpnxz_2124878" class="component toggler checkbox"><input type="checkbox" value="Belgium and Netherlands, BE, NL" name="cpcfced-lbrpnxz_2124878"><span class="check"></span>Belgium and Netherlands, BE,
NL</span>
<script type="text/javascript">
var csAppFormCheckboxObj_2124878 = cs.components().checkbox("csAppFormCheckbox_cpcfced-lbrpnxz_2124878", {
checked: false,
value: 'Belgium and Netherlands, BE, NL',
name: 'cpcfced-lbrpnxz_2124878',
version: 2,
label: 'Belgium and Netherlands, BE, NL',
onClick: function() {
$('#csConditionalArea_2124878').toggle();
csAppFrm.onChange();
}
})
</script>
</div>
<div class="check nh">
<span id="csAppFormCheckbox_uumiasx-tuycqce_2124879" class="component toggler checkbox"><input type="checkbox" value="Brazil, BR" name="uumiasx-tuycqce_2124879"><span class="check"></span>Brazil, BR</span>
<script type="text/javascript">
var csAppFormCheckboxObj_2124879 = cs.components().checkbox("csAppFormCheckbox_uumiasx-tuycqce_2124879", {
checked: false,
value: 'Brazil, BR',
name: 'uumiasx-tuycqce_2124879',
version: 2,
label: 'Brazil, BR',
onClick: function() {
$('#csConditionalArea_2124879').toggle();
csAppFrm.onChange();
}
})
</script>
</div>
<div class="check nh">
<span id="csAppFormCheckbox_jgnxyqc-xjzwcsk_2124880" class="component toggler checkbox"><input type="checkbox" value="Chile, CL" name="jgnxyqc-xjzwcsk_2124880"><span class="check"></span>Chile, CL</span>
<script type="text/javascript">
var csAppFormCheckboxObj_2124880 = cs.components().checkbox("csAppFormCheckbox_jgnxyqc-xjzwcsk_2124880", {
checked: false,
value: 'Chile, CL',
name: 'jgnxyqc-xjzwcsk_2124880',
version: 2,
label: 'Chile, CL',
onClick: function() {
$('#csConditionalArea_2124880').toggle();
csAppFrm.onChange();
}
})
</script>
</div>
<div class="check nh">
<span id="csAppFormCheckbox_qzkcgfx-tdkzmeq_2124881" class="component toggler checkbox"><input type="checkbox" value="Canada, CA" name="qzkcgfx-tdkzmeq_2124881"><span class="check"></span>Canada, CA</span>
<script type="text/javascript">
var csAppFormCheckboxObj_2124881 = cs.components().checkbox("csAppFormCheckbox_qzkcgfx-tdkzmeq_2124881", {
checked: false,
value: 'Canada, CA',
name: 'qzkcgfx-tdkzmeq_2124881',
version: 2,
label: 'Canada, CA',
onClick: function() {
$('#csConditionalArea_2124881').toggle();
csAppFrm.onChange();
}
})
</script>
</div>
<div class="check nh">
<span id="csAppFormCheckbox_wdzczhr-ezdivny_2124882" class="component toggler checkbox"><input type="checkbox" value="Colombia, CO" name="wdzczhr-ezdivny_2124882"><span class="check"></span>Colombia, CO</span>
<script type="text/javascript">
var csAppFormCheckboxObj_2124882 = cs.components().checkbox("csAppFormCheckbox_wdzczhr-ezdivny_2124882", {
checked: false,
value: 'Colombia, CO',
name: 'wdzczhr-ezdivny_2124882',
version: 2,
label: 'Colombia, CO',
onClick: function() {
$('#csConditionalArea_2124882').toggle();
csAppFrm.onChange();
}
})
</script>
</div>
<div class="check nh">
<span id="csAppFormCheckbox_qbheyf-fekniiy_2124883" class="component toggler checkbox"><input type="checkbox" value="Ecuador, EC" name="qbheyf-fekniiy_2124883"><span class="check"></span>Ecuador, EC</span>
<script type="text/javascript">
var csAppFormCheckboxObj_2124883 = cs.components().checkbox("csAppFormCheckbox_qbheyf-fekniiy_2124883", {
checked: false,
value: 'Ecuador, EC',
name: 'qbheyf-fekniiy_2124883',
version: 2,
label: 'Ecuador, EC',
onClick: function() {
$('#csConditionalArea_2124883').toggle();
csAppFrm.onChange();
}
})
</script>
</div>
<div class="check nh">
<span id="csAppFormCheckbox_kdegkmk-sqadvr_2124885" class="component toggler checkbox"><input type="checkbox" value="Germany, DE" name="kdegkmk-sqadvr_2124885"><span class="check"></span>Germany, DE</span>
<script type="text/javascript">
var csAppFormCheckboxObj_2124885 = cs.components().checkbox("csAppFormCheckbox_kdegkmk-sqadvr_2124885", {
checked: false,
value: 'Germany, DE',
name: 'kdegkmk-sqadvr_2124885',
version: 2,
label: 'Germany, DE',
onClick: function() {
$('#csConditionalArea_2124885').toggle();
csAppFrm.onChange();
}
})
</script>
</div>
<div class="check nh">
<span id="csAppFormCheckbox_yrgiizl-suujvij_2124886" class="component toggler checkbox"><input type="checkbox" value="Hong Kong, HK" name="yrgiizl-suujvij_2124886"><span class="check"></span>Hong Kong, HK</span>
<script type="text/javascript">
var csAppFormCheckboxObj_2124886 = cs.components().checkbox("csAppFormCheckbox_yrgiizl-suujvij_2124886", {
checked: false,
value: 'Hong Kong, HK',
name: 'yrgiizl-suujvij_2124886',
version: 2,
label: 'Hong Kong, HK',
onClick: function() {
$('#csConditionalArea_2124886').toggle();
csAppFrm.onChange();
}
})
</script>
</div>
<div class="check nh">
<span id="csAppFormCheckbox_gztllu-nmbamy_2124887" class="component toggler checkbox"><input type="checkbox" value="Indonesia, ID" name="gztllu-nmbamy_2124887"><span class="check"></span>Indonesia, ID</span>
<script type="text/javascript">
var csAppFormCheckboxObj_2124887 = cs.components().checkbox("csAppFormCheckbox_gztllu-nmbamy_2124887", {
checked: false,
value: 'Indonesia, ID',
name: 'gztllu-nmbamy_2124887',
version: 2,
label: 'Indonesia, ID',
onClick: function() {
$('#csConditionalArea_2124887').toggle();
csAppFrm.onChange();
}
})
</script>
</div>
<div class="check nh">
<span id="csAppFormCheckbox_gmaawnn-hmaqwtf_2124888" class="component toggler checkbox"><input type="checkbox" value="Ireland, IE" name="gmaawnn-hmaqwtf_2124888"><span class="check"></span>Ireland, IE</span>
<script type="text/javascript">
var csAppFormCheckboxObj_2124888 = cs.components().checkbox("csAppFormCheckbox_gmaawnn-hmaqwtf_2124888", {
checked: false,
value: 'Ireland, IE',
name: 'gmaawnn-hmaqwtf_2124888',
version: 2,
label: 'Ireland, IE',
onClick: function() {
$('#csConditionalArea_2124888').toggle();
csAppFrm.onChange();
}
})
</script>
</div>
<div class="check nh">
<span id="csAppFormCheckbox_begwogx-ifgxdks_2124889" class="component toggler checkbox"><input type="checkbox" value="Isle of Man, IM" name="begwogx-ifgxdks_2124889"><span class="check"></span>Isle of Man, IM</span>
<script type="text/javascript">
var csAppFormCheckboxObj_2124889 = cs.components().checkbox("csAppFormCheckbox_begwogx-ifgxdks_2124889", {
checked: false,
value: 'Isle of Man, IM',
name: 'begwogx-ifgxdks_2124889',
version: 2,
label: 'Isle of Man, IM',
onClick: function() {
$('#csConditionalArea_2124889').toggle();
csAppFrm.onChange();
}
})
</script>
</div>
<div class="check nh">
<span id="csAppFormCheckbox_oinshgw-pbsugl_2124890" class="component toggler checkbox"><input type="checkbox" value="Italy, IT" name="oinshgw-pbsugl_2124890"><span class="check"></span>Italy, IT</span>
<script type="text/javascript">
var csAppFormCheckboxObj_2124890 = cs.components().checkbox("csAppFormCheckbox_oinshgw-pbsugl_2124890", {
checked: false,
value: 'Italy, IT',
name: 'oinshgw-pbsugl_2124890',
version: 2,
label: 'Italy, IT',
onClick: function() {
$('#csConditionalArea_2124890').toggle();
csAppFrm.onChange();
}
})
</script>
</div>
<div class="check nh">
<span id="csAppFormCheckbox_qgoxarg-iiaixia_2124891" class="component toggler checkbox"><input type="checkbox" value="Japan, JP" name="qgoxarg-iiaixia_2124891"><span class="check"></span>Japan, JP</span>
<script type="text/javascript">
var csAppFormCheckboxObj_2124891 = cs.components().checkbox("csAppFormCheckbox_qgoxarg-iiaixia_2124891", {
checked: false,
value: 'Japan, JP',
name: 'qgoxarg-iiaixia_2124891',
version: 2,
label: 'Japan, JP',
onClick: function() {
$('#csConditionalArea_2124891').toggle();
csAppFrm.onChange();
}
})
</script>
</div>
<div class="check nh">
<span id="csAppFormCheckbox_uhdsirx-tlzwho_2124892" class="component toggler checkbox"><input type="checkbox" value="Luxembourg, LU" name="uhdsirx-tlzwho_2124892"><span class="check"></span>Luxembourg, LU</span>
<script type="text/javascript">
var csAppFormCheckboxObj_2124892 = cs.components().checkbox("csAppFormCheckbox_uhdsirx-tlzwho_2124892", {
checked: false,
value: 'Luxembourg, LU',
name: 'uhdsirx-tlzwho_2124892',
version: 2,
label: 'Luxembourg, LU',
onClick: function() {
$('#csConditionalArea_2124892').toggle();
csAppFrm.onChange();
}
})
</script>
</div>
<div class="check nh">
<span id="csAppFormCheckbox_qlewnfn-usdmbfb_2124893" class="component toggler checkbox"><input type="checkbox" value="Malaysia, MY" name="qlewnfn-usdmbfb_2124893"><span class="check"></span>Malaysia, MY</span>
<script type="text/javascript">
var csAppFormCheckboxObj_2124893 = cs.components().checkbox("csAppFormCheckbox_qlewnfn-usdmbfb_2124893", {
checked: false,
value: 'Malaysia, MY',
name: 'qlewnfn-usdmbfb_2124893',
version: 2,
label: 'Malaysia, MY',
onClick: function() {
$('#csConditionalArea_2124893').toggle();
csAppFrm.onChange();
}
})
</script>
</div>
<div class="check nh">
<span id="csAppFormCheckbox_lpghgjr-tnanrri_2124894" class="component toggler checkbox"><input type="checkbox" value="Mexico, MX" name="lpghgjr-tnanrri_2124894"><span class="check"></span>Mexico, MX</span>
<script type="text/javascript">
var csAppFormCheckboxObj_2124894 = cs.components().checkbox("csAppFormCheckbox_lpghgjr-tnanrri_2124894", {
checked: false,
value: 'Mexico, MX',
name: 'lpghgjr-tnanrri_2124894',
version: 2,
label: 'Mexico, MX',
onClick: function() {
$('#csConditionalArea_2124894').toggle();
csAppFrm.onChange();
}
})
</script>
</div>
<div class="check nh">
<span id="csAppFormCheckbox_kpkaebg-umvrdf_2124895" class="component toggler checkbox"><input type="checkbox" value="Portugal, PT" name="kpkaebg-umvrdf_2124895"><span class="check"></span>Portugal, PT</span>
<script type="text/javascript">
var csAppFormCheckboxObj_2124895 = cs.components().checkbox("csAppFormCheckbox_kpkaebg-umvrdf_2124895", {
checked: false,
value: 'Portugal, PT',
name: 'kpkaebg-umvrdf_2124895',
version: 2,
label: 'Portugal, PT',
onClick: function() {
$('#csConditionalArea_2124895').toggle();
csAppFrm.onChange();
}
})
</script>
</div>
<div class="check nh">
<span id="csAppFormCheckbox_livratz-qwmzyte_2124896" class="component toggler checkbox"><input type="checkbox" value="Singapore, SG" name="livratz-qwmzyte_2124896"><span class="check"></span>Singapore, SG</span>
<script type="text/javascript">
var csAppFormCheckboxObj_2124896 = cs.components().checkbox("csAppFormCheckbox_livratz-qwmzyte_2124896", {
checked: false,
value: 'Singapore, SG',
name: 'livratz-qwmzyte_2124896',
version: 2,
label: 'Singapore, SG',
onClick: function() {
$('#csConditionalArea_2124896').toggle();
csAppFrm.onChange();
}
})
</script>
</div>
<div class="check nh">
<span id="csAppFormCheckbox_pgtufva-jpqyyrw_2124897" class="component toggler checkbox"><input type="checkbox" value="Spain, ES" name="pgtufva-jpqyyrw_2124897"><span class="check"></span>Spain, ES</span>
<script type="text/javascript">
var csAppFormCheckboxObj_2124897 = cs.components().checkbox("csAppFormCheckbox_pgtufva-jpqyyrw_2124897", {
checked: false,
value: 'Spain, ES',
name: 'pgtufva-jpqyyrw_2124897',
version: 2,
label: 'Spain, ES',
onClick: function() {
$('#csConditionalArea_2124897').toggle();
csAppFrm.onChange();
}
})
</script>
</div>
<div class="check nh">
<span id="csAppFormCheckbox_uicdmrb-yvtscj_2124898" class="component toggler checkbox"><input type="checkbox" value="Switzerland, CH" name="uicdmrb-yvtscj_2124898"><span class="check"></span>Switzerland, CH</span>
<script type="text/javascript">
var csAppFormCheckboxObj_2124898 = cs.components().checkbox("csAppFormCheckbox_uicdmrb-yvtscj_2124898", {
checked: false,
value: 'Switzerland, CH',
name: 'uicdmrb-yvtscj_2124898',
version: 2,
label: 'Switzerland, CH',
onClick: function() {
$('#csConditionalArea_2124898').toggle();
csAppFrm.onChange();
}
})
</script>
</div>
<div class="check nh">
<span id="csAppFormCheckbox_iqvjyzp-bcdbuhl_2124899" class="component toggler checkbox"><input type="checkbox" value="Turkey, TR" name="iqvjyzp-bcdbuhl_2124899"><span class="check"></span>Turkey, TR</span>
<script type="text/javascript">
var csAppFormCheckboxObj_2124899 = cs.components().checkbox("csAppFormCheckbox_iqvjyzp-bcdbuhl_2124899", {
checked: false,
value: 'Turkey, TR',
name: 'iqvjyzp-bcdbuhl_2124899',
version: 2,
label: 'Turkey, TR',
onClick: function() {
$('#csConditionalArea_2124899').toggle();
csAppFrm.onChange();
}
})
</script>
</div>
<div class="check nh">
<span id="csAppFormCheckbox_rxwwdhq-bvbkouy_2124900" class="component toggler checkbox"><input type="checkbox" value="United Arab Emirates, AE" name="rxwwdhq-bvbkouy_2124900"><span class="check"></span>United Arab Emirates, AE</span>
<script type="text/javascript">
var csAppFormCheckboxObj_2124900 = cs.components().checkbox("csAppFormCheckbox_rxwwdhq-bvbkouy_2124900", {
checked: false,
value: 'United Arab Emirates, AE',
name: 'rxwwdhq-bvbkouy_2124900',
version: 2,
label: 'United Arab Emirates, AE',
onClick: function() {
$('#csConditionalArea_2124900').toggle();
csAppFrm.onChange();
}
})
</script>
</div>
<div class="check nh">
<span id="csAppFormCheckbox_vfxkbss-exkquy_2124901" class="component toggler checkbox"><input type="checkbox" value="United Kingdom, UK" name="vfxkbss-exkquy_2124901"><span class="check"></span>United Kingdom, UK</span>
<script type="text/javascript">
var csAppFormCheckboxObj_2124901 = cs.components().checkbox("csAppFormCheckbox_vfxkbss-exkquy_2124901", {
checked: false,
value: 'United Kingdom, UK',
name: 'vfxkbss-exkquy_2124901',
version: 2,
label: 'United Kingdom, UK',
onClick: function() {
$('#csConditionalArea_2124901').toggle();
csAppFrm.onChange();
}
})
</script>
</div>
<div class="check nh">
<span id="csAppFormCheckbox_hdfvmx-bplbdn_2124902" class="component toggler checkbox"><input type="checkbox" value="United States, US" name="hdfvmx-bplbdn_2124902"><span class="check"></span>United States, US</span>
<script type="text/javascript">
var csAppFormCheckboxObj_2124902 = cs.components().checkbox("csAppFormCheckbox_hdfvmx-bplbdn_2124902", {
checked: false,
value: 'United States, US',
name: 'hdfvmx-bplbdn_2124902',
version: 2,
label: 'United States, US',
onClick: function() {
$('#csConditionalArea_2124902').toggle();
csAppFrm.onChange();
}
})
</script>
</div>
<div class="check nh">
<span id="csAppFormCheckbox_refbtw-iwrsej_2128388" class="component toggler checkbox"><input type="checkbox" value="India, IN" name="refbtw-iwrsej_2128388"><span class="check"></span>India, IN</span>
<script type="text/javascript">
var csAppFormCheckboxObj_2128388 = cs.components().checkbox("csAppFormCheckbox_refbtw-iwrsej_2128388", {
checked: false,
value: 'India, IN',
name: 'refbtw-iwrsej_2128388',
version: 2,
label: 'India, IN',
onClick: function() {
$('#csConditionalArea_2128388').toggle();
csAppFrm.onChange();
}
})
</script>
</div>
<div class="check nh">
<span id="csAppFormCheckbox_vnlkaqm-odiicrr_2128389" class="component toggler checkbox"><input type="checkbox" value="South Korea, ROK" name="vnlkaqm-odiicrr_2128389"><span class="check"></span>South Korea, ROK</span>
<script type="text/javascript">
var csAppFormCheckboxObj_2128389 = cs.components().checkbox("csAppFormCheckbox_vnlkaqm-odiicrr_2128389", {
checked: false,
value: 'South Korea, ROK',
name: 'vnlkaqm-odiicrr_2128389',
version: 2,
label: 'South Korea, ROK',
onClick: function() {
$('#csConditionalArea_2128389').toggle();
csAppFrm.onChange();
}
})
</script>
</div>
</div>
</li>
<li class="application-field" id="csQuestionBlock_uttrhyn_eoyvoph_2126796" data-qa="custom-question-longtext">
<label>Which 3 markets are next in your plan? </label>
<span class="component input-wrapper input full-width textarea" id="csApplicationFormField_uttrhyn_eoyvoph_2126796Wrapper"><textarea onpaste="csAppFrm.onPasteText(function(){ }); ;" onkeydown="cs.algorithms().length_limit(this,250);;"
name="uttrhyn-eoyvoph_2126796" id="csApplicationFormField_uttrhyn_eoyvoph_2126796" onkeyup="cs.algorithms().length_limit(this,250);;csAppFrm.onChange();" class="inner typable"
style="padding-bottom: 23px; overflow: hidden; height: 52px;"></textarea>
<div
style="position: absolute; font-family: "Open Sans", "Helvetica Neue", -apple-system, BlinkMacSystemFont, "Segoe UI", Roboto, Helvetica, sans-serif; overflow-wrap: break-word; white-space: pre-wrap; display: none; padding: 9px 2px 23px 11px; border-style: solid; border-color: rgb(0, 0, 0); border-width: 0px; font-size: 14px; line-height: 20px; box-sizing: border-box; width: 784px;">
a</div><span class="input-counter textarea-counter count-positive" id="cs-field-length-count-csApplicationFormField_uttrhyn_eoyvoph_2126796">250</span>
</span>
<script type="text/javascript">
var csApplicationFormFieldObj_uttrhyn_eoyvoph_2126796 = cs.components().input('csApplicationFormField_uttrhyn_eoyvoph_2126796', {
resizable: true,
expandMax: 200,
version: 2,
stopFillOnLimit: true,
fullWidth: true,
maxLength: 250
});
</script>
</li>
<li class="application-field" id="csQuestionBlock_xtulkv_trhckt_2124903" data-qa="custom-question-checkboxes">
<label>What customer segment does your solution target? <span class="field-red-star"></span> <span class="mandatory"></span></label>
<div class="checkbox-list rare">
<div class="check nh">
<span id="csAppFormCheckbox_jinzfyi-yrouiai_2124904" class="component toggler checkbox"><input type="checkbox" value="Private customers and families" name="jinzfyi-yrouiai_2124904"><span class="check"></span>Private customers and
families</span>
<script type="text/javascript">
var csAppFormCheckboxObj_2124904 = cs.components().checkbox("csAppFormCheckbox_jinzfyi-yrouiai_2124904", {
checked: false,
value: 'Private customers and families',
name: 'jinzfyi-yrouiai_2124904',
version: 2,
label: 'Private customers and families',
onClick: function() {
$('#csConditionalArea_2124904').toggle();
csAppFrm.onChange();
}
})
</script>
</div>
<div class="check nh">
<span id="csAppFormCheckbox_zrjfqtp-qeeaola_2124905" class="component toggler checkbox"><input type="checkbox" value="Small and medium sized enterprises (SMEs)" name="zrjfqtp-qeeaola_2124905"><span class="check"></span>Small and medium
sized enterprises (SMEs)</span>
<script type="text/javascript">
var csAppFormCheckboxObj_2124905 = cs.components().checkbox("csAppFormCheckbox_zrjfqtp-qeeaola_2124905", {
checked: false,
value: 'Small and medium sized enterprises (SMEs)',
name: 'zrjfqtp-qeeaola_2124905',
version: 2,
label: 'Small and medium sized enterprises (SMEs)',
onClick: function() {
$('#csConditionalArea_2124905').toggle();
csAppFrm.onChange();
}
})
</script>
</div>
<div class="check nh">
<span id="csAppFormCheckbox_exqetmv-pgroxhz_2124906" class="component toggler checkbox"><input type="checkbox" value="Large enterprises" name="exqetmv-pgroxhz_2124906"><span class="check"></span>Large enterprises</span>
<script type="text/javascript">
var csAppFormCheckboxObj_2124906 = cs.components().checkbox("csAppFormCheckbox_exqetmv-pgroxhz_2124906", {
checked: false,
value: 'Large enterprises',
name: 'exqetmv-pgroxhz_2124906',
version: 2,
label: 'Large enterprises',
onClick: function() {
$('#csConditionalArea_2124906').toggle();
csAppFrm.onChange();
}
})
</script>
</div>
<div class="check nh">
<span id="csAppFormCheckbox_xawydkz-gzoecys_2124908" class="component toggler checkbox"><input type="checkbox" value="Zurich Insurance Company (internal solution)" name="xawydkz-gzoecys_2124908"><span class="check"></span>Zurich Insurance
Company (internal solution)</span>
<script type="text/javascript">
var csAppFormCheckboxObj_2124908 = cs.components().checkbox("csAppFormCheckbox_xawydkz-gzoecys_2124908", {
checked: false,
value: 'Zurich Insurance Company (internal solution)',
name: 'xawydkz-gzoecys_2124908',
version: 2,
label: 'Zurich Insurance Company (internal solution)',
onClick: function() {
$('#csConditionalArea_2124908').toggle();
csAppFrm.onChange();
}
})
</script>
</div>
<div class="check nh">
<span id="csAppFormCheckbox_isrvoym-mwqxwfh_2124909" class="component toggler checkbox"><input type="checkbox" value="Other" name="isrvoym-mwqxwfh_2124909"><span class="check"></span>Other</span>
<script type="text/javascript">
var csAppFormCheckboxObj_2124909 = cs.components().checkbox("csAppFormCheckbox_isrvoym-mwqxwfh_2124909", {
checked: false,
value: 'Other',
name: 'isrvoym-mwqxwfh_2124909',
version: 2,
label: 'Other',
onClick: function() {
$('#csConditionalArea_2124909').toggle();
csAppFrm.onChange();
}
})
</script>
</div>
</div>
<div class="application-field-conditional csConditionalArea_2124903" id="csConditionalArea_2124909" style="display: none">
<label>Please specify</label>
<span class="component input-wrapper input full-width" id="csConditionalField_2124909Wrapper"><input type="text" id="csConditionalField_2124909" value="" onkeypress="csAppFrm.onChange();" class="inner typable"
placeholder="Type your answer"></span>
<script type="text/javascript">
_r(function() {
if (!csAppFrm.conditionalFields["isrvoym-mwqxwfh_2124909"]) csAppFrm.conditionalFields["isrvoym-mwqxwfh_2124909"] = {};
csAppFrm.conditionalFields["isrvoym-mwqxwfh_2124909"]["Other"] = cs.components().input('csConditionalField_2124909', {
version: 2,
fullWidth: true,
defaultText: 'Type your answer',
maxLength: 0
});
});
</script>
</div>
</li>
<li class="application-field" id="csQuestionBlock_smxralz_pbnkofv_2124910" data-qa="custom-question-checkboxes">
<label>Where can the solution be applied? <span class="field-red-star"></span> <span class="mandatory"></span></label>
<div class="checkbox-list rare">
<div class="check nh">
<span id="csAppFormCheckbox_leypgum-ckaqcj_2126797" class="component toggler checkbox"><input type="checkbox" value="Insurance for things (P&C)" name="leypgum-ckaqcj_2126797"><span class="check"></span>Insurance for things
(P&C)</span>
<script type="text/javascript">
var csAppFormCheckboxObj_2126797 = cs.components().checkbox("csAppFormCheckbox_leypgum-ckaqcj_2126797", {
checked: false,
value: 'Insurance for things (P&C)',
name: 'leypgum-ckaqcj_2126797',
version: 2,
label: 'Insurance for things (P&C)',
onClick: function() {
$('#csConditionalArea_2126797').toggle();
csAppFrm.onChange();
}
})
</script>
</div>
<div class="check nh">
<span id="csAppFormCheckbox_qfguiym-kqbrajt_2126798" class="component toggler checkbox"><input type="checkbox" value="Insurance for lives, retirement and health" name="qfguiym-kqbrajt_2126798"><span class="check"></span>Insurance for
lives, retirement and health</span>
<script type="text/javascript">
var csAppFormCheckboxObj_2126798 = cs.components().checkbox("csAppFormCheckbox_qfguiym-kqbrajt_2126798", {
checked: false,
value: 'Insurance for lives, retirement and health',
name: 'qfguiym-kqbrajt_2126798',
version: 2,
label: 'Insurance for lives, retirement and health',
onClick: function() {
$('#csConditionalArea_2126798').toggle();
csAppFrm.onChange();
}
})
</script>
</div>
<div class="check nh">
<span id="csAppFormCheckbox_clcpius-neqipmp_2124914" class="component toggler checkbox"><input type="checkbox" value="Other" name="clcpius-neqipmp_2124914"><span class="check"></span>Other</span>
<script type="text/javascript">
var csAppFormCheckboxObj_2124914 = cs.components().checkbox("csAppFormCheckbox_clcpius-neqipmp_2124914", {
checked: false,
value: 'Other',
name: 'clcpius-neqipmp_2124914',
version: 2,
label: 'Other',
onClick: function() {
$('#csConditionalArea_2124914').toggle();
csAppFrm.onChange();
}
})
</script>
</div>
</div>
<div class="application-field-conditional csConditionalArea_2124910" id="csConditionalArea_2124914" style="display: none">
<label>Please specify</label>
<span class="component input-wrapper input full-width" id="csConditionalField_2124914Wrapper"><input type="text" id="csConditionalField_2124914" value="" onkeypress="csAppFrm.onChange();" class="inner typable"
placeholder="Type your answer"></span>
<script type="text/javascript">
_r(function() {
if (!csAppFrm.conditionalFields["clcpius-neqipmp_2124914"]) csAppFrm.conditionalFields["clcpius-neqipmp_2124914"] = {};
csAppFrm.conditionalFields["clcpius-neqipmp_2124914"]["Other"] = cs.components().input('csConditionalField_2124914', {
version: 2,
fullWidth: true,
defaultText: 'Type your answer',
maxLength: 0
});
});
</script>
</div>
</li>
<li class="application-field" id="csQuestionBlock_mshmdvl_mrzvvnu_2124923" data-qa="custom-question-checkboxes">
<label>Map the solution on the insurance value chain. <span class="field-red-star"></span> <span class="mandatory"></span><span class="blk t t12 t-secondary" style="margin-top: 5px; white-space: pre-wrap;">Please check all that
apply</span></label>
<div class="checkbox-list rare">
<div class="check nh">
<span id="csAppFormCheckbox_xtxjaxr-gblwxw_2126799" class="component toggler checkbox"><input type="checkbox" value="Customers" name="xtxjaxr-gblwxw_2126799"><span class="check"></span>Customers</span>
<script type="text/javascript">
var csAppFormCheckboxObj_2126799 = cs.components().checkbox("csAppFormCheckbox_xtxjaxr-gblwxw_2126799", {
checked: false,
value: 'Customers',
name: 'xtxjaxr-gblwxw_2126799',
version: 2,
label: 'Customers',
onClick: function() {
$('#csConditionalArea_2126799').toggle();
csAppFrm.onChange();
}
})
</script>
</div>
<div class="check nh">
<span id="csAppFormCheckbox_qounbxc-evemlsp_2124925" class="component toggler checkbox"><input type="checkbox" value="Marketing" name="qounbxc-evemlsp_2124925"><span class="check"></span>Marketing</span>
<script type="text/javascript">
var csAppFormCheckboxObj_2124925 = cs.components().checkbox("csAppFormCheckbox_qounbxc-evemlsp_2124925", {
checked: false,
value: 'Marketing',
name: 'qounbxc-evemlsp_2124925',
version: 2,
label: 'Marketing',
onClick: function() {
$('#csConditionalArea_2124925').toggle();
csAppFrm.onChange();
}
})
</script>
</div>
<div class="check nh">
<span id="csAppFormCheckbox_qhnlrye-pmyslqw_2126800" class="component toggler checkbox"><input type="checkbox" value="Sales" name="qhnlrye-pmyslqw_2126800"><span class="check"></span>Sales</span>
<script type="text/javascript">
var csAppFormCheckboxObj_2126800 = cs.components().checkbox("csAppFormCheckbox_qhnlrye-pmyslqw_2126800", {
checked: false,
value: 'Sales',
name: 'qhnlrye-pmyslqw_2126800',
version: 2,
label: 'Sales',
onClick: function() {
$('#csConditionalArea_2126800').toggle();
csAppFrm.onChange();
}
})
</script>
</div>
<div class="check nh">
<span id="csAppFormCheckbox_pcvbba-zlpjjpm_2126801" class="component toggler checkbox"><input type="checkbox" value="Proposition" name="pcvbba-zlpjjpm_2126801"><span class="check"></span>Proposition</span>
<script type="text/javascript">
var csAppFormCheckboxObj_2126801 = cs.components().checkbox("csAppFormCheckbox_pcvbba-zlpjjpm_2126801", {
checked: false,
value: 'Proposition',
name: 'pcvbba-zlpjjpm_2126801',
version: 2,
label: 'Proposition',
onClick: function() {
$('#csConditionalArea_2126801').toggle();
csAppFrm.onChange();
}
})
</script>
</div>
<div class="check nh">
<span id="csAppFormCheckbox_gyfqiih-tkwyfnl_2124928" class="component toggler checkbox"><input type="checkbox" value="Underwriting" name="gyfqiih-tkwyfnl_2124928"><span class="check"></span>Underwriting</span>
<script type="text/javascript">
var csAppFormCheckboxObj_2124928 = cs.components().checkbox("csAppFormCheckbox_gyfqiih-tkwyfnl_2124928", {
checked: false,
value: 'Underwriting',
name: 'gyfqiih-tkwyfnl_2124928',
version: 2,
label: 'Underwriting',
onClick: function() {
$('#csConditionalArea_2124928').toggle();
csAppFrm.onChange();
}
})
</script>
</div>
<div class="check nh">
<span id="csAppFormCheckbox_sbtxpk-ubegkp_2124930" class="component toggler checkbox"><input type="checkbox" value="Policy Admin" name="sbtxpk-ubegkp_2124930"><span class="check"></span>Policy Admin</span>
<script type="text/javascript">
var csAppFormCheckboxObj_2124930 = cs.components().checkbox("csAppFormCheckbox_sbtxpk-ubegkp_2124930", {
checked: false,
value: 'Policy Admin',
name: 'sbtxpk-ubegkp_2124930',
version: 2,
label: 'Policy Admin',
onClick: function() {
$('#csConditionalArea_2124930').toggle();
csAppFrm.onChange();
}
})
</script>
</div>
<div class="check nh">
<span id="csAppFormCheckbox_ecoereg-zlwrfvt_2124931" class="component toggler checkbox"><input type="checkbox" value="Claims" name="ecoereg-zlwrfvt_2124931"><span class="check"></span>Claims</span>
<script type="text/javascript">
var csAppFormCheckboxObj_2124931 = cs.components().checkbox("csAppFormCheckbox_ecoereg-zlwrfvt_2124931", {
checked: false,
value: 'Claims',
name: 'ecoereg-zlwrfvt_2124931',
version: 2,
label: 'Claims',
onClick: function() {
$('#csConditionalArea_2124931').toggle();
csAppFrm.onChange();
}
})
</script>
</div>
<div class="check nh">
<span id="csAppFormCheckbox_avgngpd-hyipjh_2124934" class="component toggler checkbox"><input type="checkbox" value="Other" name="avgngpd-hyipjh_2124934"><span class="check"></span>Other</span>
<script type="text/javascript">
var csAppFormCheckboxObj_2124934 = cs.components().checkbox("csAppFormCheckbox_avgngpd-hyipjh_2124934", {
checked: false,
value: 'Other',
name: 'avgngpd-hyipjh_2124934',
version: 2,
label: 'Other',
onClick: function() {
$('#csConditionalArea_2124934').toggle();
csAppFrm.onChange();
}
})
</script>
</div>
</div>
<div class="application-field-conditional csConditionalArea_2124923" id="csConditionalArea_2124934" style="display: none">
<label>Please specify</label>
<span class="component input-wrapper input full-width" id="csConditionalField_2124934Wrapper"><input type="text" id="csConditionalField_2124934" value="" onkeypress="csAppFrm.onChange();" class="inner typable"
placeholder="Type your answer"></span>
<script type="text/javascript">
_r(function() {
if (!csAppFrm.conditionalFields["avgngpd-hyipjh_2124934"]) csAppFrm.conditionalFields["avgngpd-hyipjh_2124934"] = {};
csAppFrm.conditionalFields["avgngpd-hyipjh_2124934"]["Other"] = cs.components().input('csConditionalField_2124934', {
version: 2,
fullWidth: true,
defaultText: 'Type your answer',
maxLength: 0
});
});
</script>
</div>
</li>
<li class="application-field" id="csQuestionBlock_hrmoiom_kcsxqi_2126802" data-qa="custom-question-checkboxes">
<label>Does your solution cover a particular line of business (LoB)? </label>
<div class="checkbox-list rare">
<div class="check nh">
<span id="csAppFormCheckbox_vdpueag-cokalp_2126803" class="component toggler checkbox"><input type="checkbox" value="Life - protection" name="vdpueag-cokalp_2126803"><span class="check"></span>Life - protection</span>
<script type="text/javascript">
var csAppFormCheckboxObj_2126803 = cs.components().checkbox("csAppFormCheckbox_vdpueag-cokalp_2126803", {
checked: false,
value: 'Life - protection',
name: 'vdpueag-cokalp_2126803',
version: 2,
label: 'Life - protection',
onClick: function() {
$('#csConditionalArea_2126803').toggle();
csAppFrm.onChange();
}
})
</script>
</div>
<div class="check nh">
<span id="csAppFormCheckbox_kctxuml-osgjwer_2126804" class="component toggler checkbox"><input type="checkbox" value="Savings & investments" name="kctxuml-osgjwer_2126804"><span class="check"></span>Savings & investments</span>
<script type="text/javascript">
var csAppFormCheckboxObj_2126804 = cs.components().checkbox("csAppFormCheckbox_kctxuml-osgjwer_2126804", {
checked: false,
value: 'Savings & investments',
name: 'kctxuml-osgjwer_2126804',
version: 2,
label: 'Savings & investments',
onClick: function() {
$('#csConditionalArea_2126804').toggle();
csAppFrm.onChange();
}
})
</script>
</div>
<div class="check nh">
<span id="csAppFormCheckbox_luzddsm-qezxeh_2126805" class="component toggler checkbox"><input type="checkbox" value="Motor" name="luzddsm-qezxeh_2126805"><span class="check"></span>Motor</span>
<script type="text/javascript">
var csAppFormCheckboxObj_2126805 = cs.components().checkbox("csAppFormCheckbox_luzddsm-qezxeh_2126805", {
checked: false,
value: 'Motor',
name: 'luzddsm-qezxeh_2126805',
version: 2,
label: 'Motor',
onClick: function() {
$('#csConditionalArea_2126805').toggle();
csAppFrm.onChange();
}
})
</script>
</div>
<div class="check nh">
<span id="csAppFormCheckbox_tyfcqdo-qztrgxe_2126806" class="component toggler checkbox"><input type="checkbox" value="Home" name="tyfcqdo-qztrgxe_2126806"><span class="check"></span>Home</span>
<script type="text/javascript">
var csAppFormCheckboxObj_2126806 = cs.components().checkbox("csAppFormCheckbox_tyfcqdo-qztrgxe_2126806", {
checked: false,
value: 'Home',
name: 'tyfcqdo-qztrgxe_2126806',
version: 2,
label: 'Home',
onClick: function() {
$('#csConditionalArea_2126806').toggle();
csAppFrm.onChange();
}
})
</script>
</div>
<div class="check nh">
<span id="csAppFormCheckbox_lgbqdhi-aohqewm_2126807" class="component toggler checkbox"><input type="checkbox" value="Travel" name="lgbqdhi-aohqewm_2126807"><span class="check"></span>Travel</span>
<script type="text/javascript">
var csAppFormCheckboxObj_2126807 = cs.components().checkbox("csAppFormCheckbox_lgbqdhi-aohqewm_2126807", {
checked: false,
value: 'Travel',
name: 'lgbqdhi-aohqewm_2126807',
version: 2,
label: 'Travel',
onClick: function() {
$('#csConditionalArea_2126807').toggle();
csAppFrm.onChange();
}
})
</script>
</div>
<div class="check nh">
<span id="csAppFormCheckbox_ohukdjb-oronnkw_2126808" class="component toggler checkbox"><input type="checkbox" value="Property" name="ohukdjb-oronnkw_2126808"><span class="check"></span>Property</span>
<script type="text/javascript">
var csAppFormCheckboxObj_2126808 = cs.components().checkbox("csAppFormCheckbox_ohukdjb-oronnkw_2126808", {
checked: false,
value: 'Property',
name: 'ohukdjb-oronnkw_2126808',
version: 2,
label: 'Property',
onClick: function() {
$('#csConditionalArea_2126808').toggle();
csAppFrm.onChange();
}
})
</script>
</div>
<div class="check nh">
<span id="csAppFormCheckbox_yaddynn-cxjtaf_2126809" class="component toggler checkbox"><input type="checkbox" value="Liability" name="yaddynn-cxjtaf_2126809"><span class="check"></span>Liability</span>
<script type="text/javascript">
var csAppFormCheckboxObj_2126809 = cs.components().checkbox("csAppFormCheckbox_yaddynn-cxjtaf_2126809", {
checked: false,
value: 'Liability',
name: 'yaddynn-cxjtaf_2126809',
version: 2,
label: 'Liability',
onClick: function() {
$('#csConditionalArea_2126809').toggle();
csAppFrm.onChange();
}
})
</script>
</div>
<div class="check nh">
<span id="csAppFormCheckbox_hpbggrd-tfsmfce_2126810" class="component toggler checkbox"><input type="checkbox" value="Financial Lines" name="hpbggrd-tfsmfce_2126810"><span class="check"></span>Financial Lines</span>
<script type="text/javascript">
var csAppFormCheckboxObj_2126810 = cs.components().checkbox("csAppFormCheckbox_hpbggrd-tfsmfce_2126810", {
checked: false,
value: 'Financial Lines',
name: 'hpbggrd-tfsmfce_2126810',
version: 2,
label: 'Financial Lines',
onClick: function() {
$('#csConditionalArea_2126810').toggle();
csAppFrm.onChange();
}
})
</script>
</div>
<div class="check nh">
<span id="csAppFormCheckbox_uhznqbk-urtbwd_2126811" class="component toggler checkbox"><input type="checkbox" value="Speciality (inc cyber)" name="uhznqbk-urtbwd_2126811"><span class="check"></span>Speciality (inc cyber)</span>
<script type="text/javascript">
var csAppFormCheckboxObj_2126811 = cs.components().checkbox("csAppFormCheckbox_uhznqbk-urtbwd_2126811", {
checked: false,
value: 'Speciality (inc cyber)',
name: 'uhznqbk-urtbwd_2126811',
version: 2,
label: 'Speciality (inc cyber)',
onClick: function() {
$('#csConditionalArea_2126811').toggle();
csAppFrm.onChange();
}
})
</script>
</div>
<div class="check nh">
<span id="csAppFormCheckbox_jiegdi-hcawjsq_2126812" class="component toggler checkbox"><input type="checkbox" value="Accident & Health" name="jiegdi-hcawjsq_2126812"><span class="check"></span>Accident & Health</span>
<script type="text/javascript">
var csAppFormCheckboxObj_2126812 = cs.components().checkbox("csAppFormCheckbox_jiegdi-hcawjsq_2126812", {
checked: false,
value: 'Accident & Health',
name: 'jiegdi-hcawjsq_2126812',
version: 2,
label: 'Accident & Health',
onClick: function() {
$('#csConditionalArea_2126812').toggle();
csAppFrm.onChange();
}
})
</script>
</div>
<div class="check nh">
<span id="csAppFormCheckbox_bimlnwc-dqeyzzl_2126813" class="component toggler checkbox"><input type="checkbox" value="Other" name="bimlnwc-dqeyzzl_2126813"><span class="check"></span>Other</span>
<script type="text/javascript">
var csAppFormCheckboxObj_2126813 = cs.components().checkbox("csAppFormCheckbox_bimlnwc-dqeyzzl_2126813", {
checked: false,
value: 'Other',
name: 'bimlnwc-dqeyzzl_2126813',
version: 2,
label: 'Other',
onClick: function() {
$('#csConditionalArea_2126813').toggle();
csAppFrm.onChange();
}
})
</script>
</div>
</div>
<div class="application-field-conditional csConditionalArea_2126802" id="csConditionalArea_2126813" style="display: none">
<label>Please specify</label>
<span class="component input-wrapper input full-width" id="csConditionalField_2126813Wrapper"><input type="text" id="csConditionalField_2126813" value="" onkeypress="csAppFrm.onChange();" class="inner typable"
placeholder="Type your answer"></span>
<script type="text/javascript">
_r(function() {
if (!csAppFrm.conditionalFields["bimlnwc-dqeyzzl_2126813"]) csAppFrm.conditionalFields["bimlnwc-dqeyzzl_2126813"] = {};
csAppFrm.conditionalFields["bimlnwc-dqeyzzl_2126813"]["Other"] = cs.components().input('csConditionalField_2126813', {
version: 2,
fullWidth: true,
defaultText: 'Type your answer',
maxLength: 0
});
});
</script>
</div>
</li>
<li class="application-field" id="csQuestionBlock_uzfvgc_qtoqggg_2124987" data-qa="custom-question-checkboxes">
<label>How did you hear about Zurich Innovation Championship? <span class="field-red-star"></span> <span class="mandatory"></span></label>
<div class="checkbox-list rare">
<div class="check nh">
<span id="csAppFormCheckbox_zmydveb-cnyzmhq_2124988" class="component toggler checkbox"><input type="checkbox" value="Social Media" name="zmydveb-cnyzmhq_2124988"><span class="check"></span>Social Media</span>
<script type="text/javascript">
var csAppFormCheckboxObj_2124988 = cs.components().checkbox("csAppFormCheckbox_zmydveb-cnyzmhq_2124988", {
checked: false,
value: 'Social Media',
name: 'zmydveb-cnyzmhq_2124988',
version: 2,
label: 'Social Media',
onClick: function() {
$('#csConditionalArea_2124988').toggle();
csAppFrm.onChange();
}
})
</script>
</div>
<div class="check nh">
<span id="csAppFormCheckbox_rfoizrn-fiyzih_2124989" class="component toggler checkbox"><input type="checkbox" value="Traditional Media" name="rfoizrn-fiyzih_2124989"><span class="check"></span>Traditional Media</span>
<script type="text/javascript">
var csAppFormCheckboxObj_2124989 = cs.components().checkbox("csAppFormCheckbox_rfoizrn-fiyzih_2124989", {
checked: false,
value: 'Traditional Media',
name: 'rfoizrn-fiyzih_2124989',
version: 2,
label: 'Traditional Media',
onClick: function() {
$('#csConditionalArea_2124989').toggle();
csAppFrm.onChange();
}
})
</script>
</div>
<div class="check nh">
<span id="csAppFormCheckbox_mszogw-ykypegi_2124990" class="component toggler checkbox"><input type="checkbox" value="Zurich website" name="mszogw-ykypegi_2124990"><span class="check"></span>Zurich website</span>
<script type="text/javascript">
var csAppFormCheckboxObj_2124990 = cs.components().checkbox("csAppFormCheckbox_mszogw-ykypegi_2124990", {
checked: false,
value: 'Zurich website',
name: 'mszogw-ykypegi_2124990',
version: 2,
label: 'Zurich website',
onClick: function() {
$('#csConditionalArea_2124990').toggle();
csAppFrm.onChange();
}
})
</script>
</div>
<div class="check nh">
<span id="csAppFormCheckbox_mkeugg-jujrvkp_2124991" class="component toggler checkbox"><input type="checkbox" value="Zurich contact" name="mkeugg-jujrvkp_2124991"><span class="check"></span>Zurich contact</span>
<script type="text/javascript">
var csAppFormCheckboxObj_2124991 = cs.components().checkbox("csAppFormCheckbox_mkeugg-jujrvkp_2124991", {
checked: false,
value: 'Zurich contact',
name: 'mkeugg-jujrvkp_2124991',
version: 2,
label: 'Zurich contact',
onClick: function() {
$('#csConditionalArea_2124991').toggle();
csAppFrm.onChange();
}
})
</script>
</div>
<div class="check nh">
<span id="csAppFormCheckbox_upbprby-tsxsygs_2124992" class="component toggler checkbox"><input type="checkbox" value="Incubator / Accelerator" name="upbprby-tsxsygs_2124992"><span class="check"></span>Incubator / Accelerator</span>
<script type="text/javascript">
var csAppFormCheckboxObj_2124992 = cs.components().checkbox("csAppFormCheckbox_upbprby-tsxsygs_2124992", {
checked: false,
value: 'Incubator / Accelerator',
name: 'upbprby-tsxsygs_2124992',
version: 2,
label: 'Incubator / Accelerator',
onClick: function() {
$('#csConditionalArea_2124992').toggle();
csAppFrm.onChange();
}
})
</script>
</div>
<div class="check nh">
<span id="csAppFormCheckbox_dpaheer-zqrrpwy_2124993" class="component toggler checkbox"><input type="checkbox" value="F6S" name="dpaheer-zqrrpwy_2124993"><span class="check"></span>F6S</span>
<script type="text/javascript">
var csAppFormCheckboxObj_2124993 = cs.components().checkbox("csAppFormCheckbox_dpaheer-zqrrpwy_2124993", {
checked: false,
value: 'F6S',
name: 'dpaheer-zqrrpwy_2124993',
version: 2,
label: 'F6S',
onClick: function() {
$('#csConditionalArea_2124993').toggle();
csAppFrm.onChange();
}
})
</script>
</div>
<div class="check nh">
<span id="csAppFormCheckbox_lueozhb-lnvqyvp_2124994" class="component toggler checkbox"><input type="checkbox" value="Other" name="lueozhb-lnvqyvp_2124994"><span class="check"></span>Other</span>
<script type="text/javascript">
var csAppFormCheckboxObj_2124994 = cs.components().checkbox("csAppFormCheckbox_lueozhb-lnvqyvp_2124994", {
checked: false,
value: 'Other',
name: 'lueozhb-lnvqyvp_2124994',
version: 2,
label: 'Other',
onClick: function() {
$('#csConditionalArea_2124994').toggle();
csAppFrm.onChange();
}
})
</script>
</div>
</div>
<div class="application-field-conditional csConditionalArea_2124987" id="csConditionalArea_2124988" style="display: none">
<label>Please specify which source</label>
<span class="component input-wrapper input full-width" id="csConditionalField_2124988Wrapper"><input type="text" id="csConditionalField_2124988" value="" onkeypress="csAppFrm.onChange();" class="inner typable"
placeholder="Type your answer"></span>
<script type="text/javascript">
_r(function() {
if (!csAppFrm.conditionalFields["zmydveb-cnyzmhq_2124988"]) csAppFrm.conditionalFields["zmydveb-cnyzmhq_2124988"] = {};
csAppFrm.conditionalFields["zmydveb-cnyzmhq_2124988"]["Social Media"] = cs.components().input('csConditionalField_2124988', {
version: 2,
fullWidth: true,
defaultText: 'Type your answer',
maxLength: 0
});
});
</script>
</div>
<div class="application-field-conditional csConditionalArea_2124987" id="csConditionalArea_2124989" style="display: none">
<label>Please specify which source</label>
<span class="component input-wrapper input full-width" id="csConditionalField_2124989Wrapper"><input type="text" id="csConditionalField_2124989" value="" onkeypress="csAppFrm.onChange();" class="inner typable"
placeholder="Type your answer"></span>
<script type="text/javascript">
_r(function() {
if (!csAppFrm.conditionalFields["rfoizrn-fiyzih_2124989"]) csAppFrm.conditionalFields["rfoizrn-fiyzih_2124989"] = {};
csAppFrm.conditionalFields["rfoizrn-fiyzih_2124989"]["Traditional Media"] = cs.components().input('csConditionalField_2124989', {
version: 2,
fullWidth: true,
defaultText: 'Type your answer',
maxLength: 0
});
});
</script>
</div>
<div class="application-field-conditional csConditionalArea_2124987" id="csConditionalArea_2124991" style="display: none">
<label>Please state the name(s) of the Zurich contact</label>
<span class="component input-wrapper input full-width" id="csConditionalField_2124991Wrapper"><input type="text" id="csConditionalField_2124991" value="" onkeypress="csAppFrm.onChange();" class="inner typable"
placeholder="Type your answer"></span>
<script type="text/javascript">
_r(function() {
if (!csAppFrm.conditionalFields["mkeugg-jujrvkp_2124991"]) csAppFrm.conditionalFields["mkeugg-jujrvkp_2124991"] = {};
csAppFrm.conditionalFields["mkeugg-jujrvkp_2124991"]["Zurich contact"] = cs.components().input('csConditionalField_2124991', {
version: 2,
fullWidth: true,
defaultText: 'Type your answer',
maxLength: 0
});
});
</script>
</div>
<div class="application-field-conditional csConditionalArea_2124987" id="csConditionalArea_2124992" style="display: none">
<label>Please state the name(s) of the incubator / accelerator</label>
<span class="component input-wrapper input full-width" id="csConditionalField_2124992Wrapper"><input type="text" id="csConditionalField_2124992" value="" onkeypress="csAppFrm.onChange();" class="inner typable"
placeholder="Type your answer"></span>
<script type="text/javascript">
_r(function() {
if (!csAppFrm.conditionalFields["upbprby-tsxsygs_2124992"]) csAppFrm.conditionalFields["upbprby-tsxsygs_2124992"] = {};
csAppFrm.conditionalFields["upbprby-tsxsygs_2124992"]["Incubator / Accelerator"] = cs.components().input('csConditionalField_2124992', {
version: 2,
fullWidth: true,
defaultText: 'Type your answer',
maxLength: 0
});
});
</script>
</div>
<div class="application-field-conditional csConditionalArea_2124987" id="csConditionalArea_2124994" style="display: none">
<label>Please describe</label>
<span class="component input-wrapper input full-width" id="csConditionalField_2124994Wrapper"><input type="text" id="csConditionalField_2124994" value="" onkeypress="csAppFrm.onChange();" class="inner typable"
placeholder="Type your answer"></span>
<script type="text/javascript">
_r(function() {
if (!csAppFrm.conditionalFields["lueozhb-lnvqyvp_2124994"]) csAppFrm.conditionalFields["lueozhb-lnvqyvp_2124994"] = {};
csAppFrm.conditionalFields["lueozhb-lnvqyvp_2124994"]["Other"] = cs.components().input('csConditionalField_2124994', {
version: 2,
fullWidth: true,
defaultText: 'Type your answer',
maxLength: 0
});
});
</script>
</div>
</li>
</ol>
</div>
</form>
Text Content
Apply Events Jobs Deals Add your * Job Listing * Startup * Accelerator * Benefit/Deal * Event * Contest * Fund Sign in Discuss 2 Find out more Joel & Antony + 2 Overview Connect by Feb 23 '23 Zürich, Switzerland • Virtual & physical About Zurich Customer Experience ... The Zurich Innovation Championship is about working together to understand the challenges of today and the solutions of tomorrow. It is about leaving physical and digital footprints that will stand th more Funding Funds $100k per team Funds 12 startups per year Saving Questions You are applying to the Customer Experience challenge. Have you checked the other 4 Zurich Innovation Championship challenges to ensure you're applying to the most relevant one for your solution? The other challenge pages are: Commercial Insurance, Distribution Partnerships, Digital Enablement, Sustainability. By applying to the challenge, you accept our terms and conditions, which can be found here under the Frequently Asked Questions. 1. Company location Select One * Argentina * Åland Islands * Austria * Australia * Bangladesh * Belgium * Bolivia * Brazil * Bulgaria * Cameroon * Canada * China * Chile * Colombia * Cyprus * Czechia * Ecuador * Egypt * Estonia * France * Finland * Gambia * Germany * Georgia * Haiti * Hong Kong * Hungary * India * Indonesia * Iran * Ireland * Isle of Man * Israel * Italy * Japan * Latvia * Lebanon * Lithuania * Luxembourg * Malaysia * Mauritus * Mexico * Nepal * Netherlands * New Zealand * Nigeria * Norway * Pakistan * Peru * Philippines * Poland * Portugal * Singapore * South Korea * Romania * Russia * Spain * Slovenia * South Africa * Sweden * Switzerland * Turkey * Tuvalu * Uganda * United Arab Emirates * United Kingdom * United States * Uruguay * Vietnam * Other Please specify 2. Founded in (year) Select One * 2022 * 2021 * 2020 * 2019 * 2018 * 2017 * 2016 * 2015 * 2014 * 2013 * 2012 * 2011 * 2010 * 2009 * 2008 * 2007 * 2006 * 2005 * 2004 * 2003 * 2002 * 2001 * Before 2000 * 2000 Please specify 3. Website URL 4. Email Address 5. How many employees do you have? Select One * 1 - 10 * 11 - 50 * 50 - 250 * +250 6. What is your annual revenue? Select One * Pre-Revenue * Below $0,5 M * $ 0,5 - 1 M * $1 - 5 M * $5 - 50 M * Above $50M 7. How much investment have you raised so far? Select One * Bootstrapping * Below $0,5 M * $ 0,5 - 1 M * $1 - 5 M * $5 - 50 M * Above $50M 8. Upload your 3 min pitch deck (recommended) (Max file size 30MB.) Max 15 slides Choose a File 9. Do you have a patent? Select One * Yes * No * Patent pending 10. What is the development status of your business or product? Select One * Idea * R&D * Prototype/Beta Testing * Operational/Shipping 11. What problem is your solution solving? Please provide us with your elevator pitch a 600 12. Who are your top 3 competitors? a 100 13. Why are you better than your competitors? a 400 14. Please explain why you think you are a great match for Zurich? a 500 15. Tell us about the people on your team. What makes you a winning team? a 300 16. What are your top 3 markets? Please do not choose more than 3 Argentina, AR Austria, AT Australia, AU Belgium and Netherlands, BE, NL Brazil, BR Chile, CL Canada, CA Colombia, CO Ecuador, EC Germany, DE Hong Kong, HK Indonesia, ID Ireland, IE Isle of Man, IM Italy, IT Japan, JP Luxembourg, LU Malaysia, MY Mexico, MX Portugal, PT Singapore, SG Spain, ES Switzerland, CH Turkey, TR United Arab Emirates, AE United Kingdom, UK United States, US India, IN South Korea, ROK 17. Which 3 markets are next in your plan? a 250 18. What customer segment does your solution target? Private customers and families Small and medium sized enterprises (SMEs) Large enterprises Zurich Insurance Company (internal solution) Other Please specify 19. Where can the solution be applied? Insurance for things (P&C) Insurance for lives, retirement and health Other Please specify 20. Map the solution on the insurance value chain. Please check all that apply Customers Marketing Sales Proposition Underwriting Policy Admin Claims Other Please specify 21. Does your solution cover a particular line of business (LoB)? Life - protection Savings & investments Motor Home Travel Property Liability Financial Lines Speciality (inc cyber) Accident & Health Other Please specify 22. How did you hear about Zurich Innovation Championship? Social Media Traditional Media Zurich website Zurich contact Incubator / Accelerator F6S Other Please specify which source Please specify which source Please state the name(s) of the Zurich contact Please state the name(s) of the incubator / accelerator Please describe RECOMMENDATIONS Ask for new Recommendations Type name or email * Type to receive suggestions Request YOU'RE MISSING A REQUIRED RESPONSE You haven't answered a required item. Please answer any items marked with a and click Sumbit Final again. Close ALMOST DONE - PLEASE CONFIRM YOUR RESPONSE TO THIS QUESTION Question: Your response: Confirm And Connect Change Response Accelerators & Events * Accelerators * GAN Accelerators * Startup Contests * Angel Groups * Investment Funds * Startup Partners for Pilots * Corporate Innovation Startup Deals * AWS Credits * DigitalOcean Coupons * Segment Discount Coupons * MongoDB Discount Coupons * Dell Discount Coupons * HubSpot Deal * SendGrid Discount Coupons * Mixpanel Discount Coupons * Freshworks Discount Coupons * Zendesk Discount Coupons * Twilio Discount Coupons * Google Discount Coupons * Deel Payroll Discount Coupons * 1Password Discount Coupons Startup Services * R&D Tax Credits * R&D Tax Credits Calculator * R&D Tax Credits Consultants * R&D Tax Credits FAQs * SR&ED Tax Credits * SR&ED Calculator * SR&ED Consultant * SR&ED FAQs * Accounting for Startups * SEIS vs EIS * EIS Scheme * SEIS Scheme * Grant Audits * Deal Flow Management Software About F6S * About * Feedback * Top Companies * Community * Terms * Privacy * Data Security * Cookie Policy * Cookie Table © 2023 F6S Network Limited. All rights reserved. F6S is a registered trademark. * Facebook * LinkedIn * Twitter * Menu All information you provide on this Application is private between you and Zurich Customer Experience Challenge Welcome back, Welcome to F6S F6S is taking applications for Zurich Customer Experience Challenge . We'll get you started on your application right away. Continue with LinkedIn Continue with Facebook OR Join or Login with e-mail Almost done! Create a password with all of: 8 or more characters, a lowercase letter, an uppercase letter, a number & a symbol Create a password that is 8 or more characters and has all of the following: * a lowercase letter * an uppercase letter * a number * a symbol like !#$%&, etc Continue Have an account? Forgot password? Continue as another user By signing in or joining F6S, you agree to the Terms of Service and Privacy Policy. We use cookies on our site to enable us to provide the best user experience for you and to protect against bots, fraud and abuse. You can opt in or out of cookies, or find out more information about the cookies that we use in our Cookie Policy. We use cookies on our site to enable us to provide the best user experience for you and to protect against bots, fraud and abuse. You can opt in or out of cookies, or find out more information about the cookies that we use in our Cookie Policy. F6S uses cookies to deliver, improve and measure our services, as well as keep F6S safe from spam, fraud and abuse. Choose Accept if that's OK or Reject to pass on non-essential cookies. You can update your choices later. Reject Accept