surveys.data-synergy.be Open in urlscan Pro
3.68.56.117  Public Scan

Form analysis
1 forms found in the DOM

POST https://surveys.data-synergy.be/s3/695a3f6602be

<form action="https://surveys.data-synergy.be/s3/695a3f6602be" method="post" enctype="multipart/form-data" class="sg-survey-form" id="sg_FormFor90483134" novalidate="">
  <div class="sg-hidden-inputs"><input type="hidden" name="sg_navchoice" id="sg_navchoice" value=""><input type="hidden" name="sg_currentpageid" id="sg_currentpageid" value="1"><input type="hidden" name="sg_surveyident" id="sg_surveyident"
      value="90483134"><input type="hidden" name="sg_sessionid" id="sg_sessionid" value="5fcb5e51d77d7116b58da2a889f3bd47"><input type="hidden" name="sg_high_contrast" id="sg_high_contrast" value=""><input type="hidden" name="sg_cint_panelist"
      id="sg_cint_panelist" value=""><input type="hidden" name="sg_urlvars[_privatedomain]" value="t"><input type="hidden" name="sg_urlvars[sglocale]" value="fr-be"><input id="sg_referer" type="hidden" name="sg_referer" value=""><input type="hidden"
      name="sg_interactionlevel" id="sg_interactionlevel" value="1"><input type="hidden" name="sg1b535df0c2c19748169b6fef6478a84b" id="sg1b535df0c2c19748169b6fef6478a84b" value="2432577868">
    <script>
      window["Fingerprint"] && (document.getElementById("sg1b535df0c2c19748169b6fef6478a84b").value = new Fingerprint({
        canvas: true
      }).get());
    </script>
  </div>
  <div class="sg-wrapper">
    <div class="sg-header">
      <div class="sg-header-hook-1"></div>
      <img class="sg-header-image" src="https://widgixeu-library.s3.amazonaws.com/library/90020309/colruytkleine.png" alt="">
      <h1 class="sg-title" tabindex="0"><span>Colruyt aimerait connaître votre avis!</span></h1>
      <div class="sg-header-hook-2"></div>
    </div>
    <div class="sg-content" id="sg-skipnav-target">
      <div class="sg-content-hook-1"></div>
      <div class="sg-question-set">
        <div id="sgE-90483134-1-3-box" class="sg-question sg-type-instruction ">
          <input type="hidden" id="sgE-90483134-1-3-meta" name="sgE-90483134-1-3-meta" value="hidden=false&amp;required=false">
          <input type="hidden" id="sgE-90483134-1-3-time" name="sgE-90483134-1-3-time" value="">
          <div class="sg-instructions">
            <span style="font-size:16px;"><strong>Nous vous remercions de votre participation à cette enquête !<br> Remplir ce questionnaire ne vous prendra que quelques minutes. Toutes vos réponses sont traitées de manière confidentielle et anonyme
                par le bureau de recherche DataSynergy.</strong></span>
          </div>
        </div>
      </div>
      <div class="sg-content-hook-2"></div>
      <div class="sg-footer">
        <div class="sg-footer-hook-1"></div>
        <div class="sg-button-bar"><input type="submit" class="sg-button sg-next-button" id="sg_NextButton" name="sGizmoNextButton" onclick="$SG('sg_navchoice').value='sGizmoNextButton';return(true);" aria-label="Suivant" value="Suivant"></div>
        <div class="sg-progress-bar" role="progressbar" aria-valuemin="0" aria-valuemax="100" aria-valuenow="0">
          <div class="sg-progress-bar-text">0%</div>
          <div class="sg-progress-bar-background">
            <div class="sg-progress-bar-inner" style="width:0%;"></div>
          </div>
        </div>
        <div class="sg-footer-hook-2"></div>
      </div>
    </div>
  </div>
</form>

Text Content

We've detected that Javascript is not enabled. It is required for an optimal
survey taking experience.
Please check your browser's settings and make sure Javascript is turned on.
Learn how to enable Javascript.

Skip survey header
French (Belgium)▾
 * Dutch (Belgium)
 * Zulu


COLRUYT AIMERAIT CONNAÎTRE VOTRE AVIS!


Nous vous remercions de votre participation à cette enquête !
Remplir ce questionnaire ne vous prendra que quelques minutes. Toutes vos
réponses sont traitées de manière confidentielle et anonyme par le bureau de
recherche DataSynergy.

0%