www.daisurvey.com Open in urlscan Pro
54.162.218.235  Public Scan

Form analysis
1 forms found in the DOM

Name: RenderSurvey — POST RenderSurvey.aspx

<form name="RenderSurvey" method="post" action="RenderSurvey.aspx" id="RenderSurvey" role="form" aria-label="Survey Form" enctype="multipart/form-data" onreset="if (window.setTimeout) window.setTimeout('VAM_OnReset(false);', 100);">
  <div>
    <input type="hidden" name="__EVENTTARGET" id="__EVENTTARGET" value="">
    <input type="hidden" name="__EVENTARGUMENT" id="__EVENTARGUMENT" value="">
    <input type="hidden" name="__LASTFOCUS" id="__LASTFOCUS" value="">
    <input type="hidden" name="VAM_JSE" id="VAM_JSE" value="1">
    <input type="hidden" name="__VIEWSTATE" id="__VIEWSTATE" value="/wEPDwUENTM4MWRkwQKoDcAOEAZRIHWIZo2ZJsirfS4=">
  </div>
  <script type="text/javascript">
    //<![CDATA[
    var theForm = document.forms['RenderSurvey'];
    if (!theForm) {
      theForm = document.RenderSurvey;
    }

    function __doPostBack(eventTarget, eventArgument) {
      if (!theForm.onsubmit || (theForm.onsubmit() != false)) {
        theForm.__EVENTTARGET.value = eventTarget;
        theForm.__EVENTARGUMENT.value = eventArgument;
        theForm.submit();
      }
    }
    //]]>
  </script>
  <script type="text/javascript" src="/SurveyV3/VAM/3_0_9/VAM.js"></script>
  <div>
    <input type="hidden" name="__VIEWSTATEGENERATOR" id="__VIEWSTATEGENERATOR" value="873D44E6">
  </div>
  <div id="tblQuestionQ5975041" class="question-container qtype_html clearfix" data-q-var="T1">
    <div class="html-block text-default container-inner h4"><span id="SPELLCHK_Q5975041" item_type="QUESTION" class="question-text ">Thanks for agreeing to complete this brief screening questionnaire.<br><br>Your individual answers will be anonymous
        and strictly confidential, of course. Once you answer all of the questions on a page, please click the "Continue" button.</span></div>
  </div>
  <div class="footer container-wide">
    <div class="well navigation-container" role="navigation" aria-label="Survey Navigation">
      <div class="row" style="margin-bottom:0px;"><input name="cmdContinuebottom" type="submit" id="cmdContinuebottom" style="display:none;" role="none">
        <div id="control_buttons" class="btn-group dropup pull-left" style="padding-right: 10px;"><button type="button" class="btn btn-lg btn-primary nav_button" onclick="NavigateClick(this)" rel="tooltip" data-toggle="tooltip" title=""
            data-input-target="cmdContinuebottom" data-original-title="Continue To Next Page">Continue <span class="glyphicon glyphicon-chevron-right" role="none"></span></button></div>
        <div class="progress_container" style="width: 100%;">
          <div id="mini_prog_bar" class="progress">
            <div class="progress-bar progress-bar-primary" role="progressbar" aria-labelledby="progressBarBottomLabel" aria-valuemin="0" aria-valuemax="100" aria-valuenow="5" style="width: 5%;"><span class="sr-only" id="progressBarBottomLabel">5%
                Complete</span></div>
          </div>
          <div class="text-default text-center survey-progress"><small class="text-default">Sie haben 5% fertiggestellt</small></div>
        </div>
      </div>
    </div>
  </div>
  <div role="contentinfo" aria-label="Footer">
  </div>
  <select name="hiddenDropDown" onchange="javascript:setTimeout('__doPostBack(\'hiddenDropDown\',\'\')', 0)" id="hiddenDropDown" style="display: none;">
  </select><input name="txtHiddenPage" type="hidden" id="txtHiddenPage" value="P1529652-9263caf5">
  <script type="text/javascript">
    <!--
    VAM_GetById('VAM_JSE').value = '1';
    // 
    -->
  </script>
  <input type="hidden" name="client-js-result-data"
    value="{&quot;fingerprint&quot;:2184199272,&quot;timezone&quot;:&quot;+02:Mitteleuropäische Sommerzeit&quot;,&quot;browser&quot;:&quot;Chrome&quot;,&quot;plugins&quot;:&quot;PDF Viewer, Chrome PDF Viewer, Chromium PDF Viewer, Microsoft Edge PDF Viewer, WebKit built-in PDF&quot;,&quot;cpu&quot;:&quot;amd64&quot;,&quot;language&quot;:&quot;de-DE&quot;,&quot;mimeTypes&quot;:&quot;Portable Document Format, Portable Document Format&quot;,&quot;screenInfo&quot;:&quot;Current Resolution: 1600x1200, Available Resolution: 1600x1200, Color Depth: 24, Device XDPI: undefined, Device YDPI: undefined&quot;,&quot;isMobile&quot;:false,&quot;deviceOS&quot;:&quot;Windows&quot;}">
</form>

Text Content

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Thanks for agreeing to complete this brief screening questionnaire.

Your individual answers will be anonymous and strictly confidential, of course.
Once you answer all of the questions on a page, please click the "Continue"
button.
Continue
5% Complete
Sie haben 5% fertiggestellt