www.savingsupermarkets.co.uk.excellisit.com
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199.79.63.68
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URL:
https://www.savingsupermarkets.co.uk.excellisit.com/
Submission: On July 05 via api from US — Scanned from DE
Submission: On July 05 via api from US — Scanned from DE
Form analysis 1 forms found in the DOM
<form id="surveyfrm">
<div class="question_form_sec">
<div class="question_form_wrapper">
<div class="input_wrapper select_wrapper">
<label>Title</label>
<select class="form-control form-group" name="title" style="width:70%;" required="">
<option value="">Selet title</option>
<option value="Mr">Mr</option>
<option value="Ms">Ms</option>
<option value="Mrs">Mrs</option>
<option value="Miss">Miss</option>
<option value="Dr">Dr</option>
</select>
</div>
<div class="input_wrapper">
<label>First Name</label>
<input type="text" class="form-control form-group" name="firstname" placeholder="First name" required="">
</div>
<div class="input_wrapper">
<label>Sur Name</label>
<input type="text" class="form-control form-group" name="surname" placeholder="Sur name" required="">
</div>
<div class="input_wrapper">
<label>Date Of Birth</label>
<input type="text" class="form-control form-group hasDatepicker" name="dob" placeholder="Date Of Birth" id="datepicker" required="">
</div>
<div class="input_wrapper">
<label>Email</label>
<input type="email" class="form-control form-group" name="email" placeholder="Email" required="">
</div>
<div class="input_wrapper">
<label>Phone</label>
<input type="text" class="form-control form-group" name="phone" placeholder="Phone" required="">
</div>
<div class="input_wrapper">
<label>Postcode</label>
<input type="text" class="form-control form-group" name="postcode" placeholder="Postcode" required="">
</div>
<div class="input_wrapper">
<label>House Number</label>
<input type="text" class="form-control form-group" name="housenumber" placeholder="House number" required="">
</div>
<div class="input_wrapper">
<label>Street</label>
<input type="text" class="form-control form-group" name="street" placeholder="Street" required="">
</div>
<div class="input_wrapper">
<label>Town</label>
<input type="text" class="form-control form-group" name="town" placeholder="Town" required="">
</div>
<div class="input_wrapper">
<label>City</label>
<input type="text" class="form-control form-group" name="city" placeholder="City" required="">
</div>
<div class="option_wrapper">
<div class="check_option">
<label>
<input type="checkbox" name="" required="">
</label>
<label>I declare that I am over 18 years of age</label>
</div>
</div>
<div class="option_wrapper">
<div class="check_option">
<lable><input type="checkbox" name="" placeholder="City" required=""></lable>
<label>I accept the communication of my data for telephone advertising purposes to the companies indicated in the information on privacy policy in the section “Telephone channel”.</label>
</div>
</div>
<div class="option_wrapper">
<div class="check_option">
<label>
<input type="checkbox" name="" placeholder="City" required="">
</label>
<label>I accept the communication of my data for Email advertising purposes to the companies indicated in the information on privacy policy in the section “Email channel”.</label>
</div>
</div>
<div class="option_wrapper">
<div class="check_option">
<label>
<input type="checkbox" name="" placeholder="City" required="">
</label>
<label>I accept the privacy policy, the rules of the draw and the cookies policy</label>
</div>
</div>
<div class="select_wrapper">
<select class="form-control form-group" name="energyprovider" required="">
<option selected="selected" value="">Who is your current energy provider?</option>
<option value="Boost">Boost</option>
<option value="British Gas">British Gas</option>
<option value="Bulb">Bulb</option>
<option value="Eon">Eon</option>
<option value="EDF Energy">EDF Energy</option>
<option value="Octopus Energy">Octopus Energy</option>
<option value="Ovo Energy">Ovo Energy</option>
<option value="Scottish Power">Scottish Power</option>
<option value="Shell Energy">Shell Energy</option>
<option value="SSE">SSE</option>
<option value="Utilita">Utilita</option>
<option value="Other">Other</option>
<option value="Not interested/not the bill payer">Not interested/not the bill payer</option>
</select>
</div>
<div class="select_wrapper">
<select class="form-control form-group" name="pay_for_your_energy_bill" required="">
<option selected="selected" value="">How do you pay for your energy bill?</option>
<option value="Directdebit">Direct Debit</option>
<option value="Prepayment">Pre-payment</option>
<option value="cash">Cash</option>
<option value="Smartmeter">Smart meter</option>
<option value="Cheque">Cheque</option>
<option value="Not-interested/not-the-bill-payer">Not interested/not the bill payer</option>
</select>
</div>
<div class="option_wrapper">
<label>Do you have home insurance?</label>
<div class="check_option">
<label>Yes <input type="radio" name="home_insurance" value="yes" required="">
</label>
<label>No <input type="radio" name="home_insurance" value="no" required="">
</label>
</div>
</div>
<div class="option_wrapper">
<label>Do you have motor insurance?</label>
<div class="check_option">
<label>Yes <input type="radio" name="motor_insurance" value="yes" required="">
</label>
<label>No <input type="radio" name="motor_insurance" value="no" required="">
</label>
</div>
</div>
<div class="option_wrapper">
<label>Do you currently have a Life Insurance Policy?</label>
<div class="check_option">
<label>Yes <input type="radio" name="Life_Insurance_Policy" value="yes" required="">
</label>
<label>No <input type="radio" name="Life_Insurance_Policy" value="no" required="">
</label>
</div>
</div>
<div class="option_wrapper">
<label>To give your family peace of mind, would you consider a pre paid funeral plan?</label>
<div class="check_option">
<label>Yes <input type="radio" name="pre_paid_funeral_plan" value="yes" required="">
</label>
<label>No <input type="radio" name="pre_paid_funeral_plan" value="no" required="">
</label>
</div>
</div>
<div class="select_wrapper">
<select class="form-control form-group" name="how_old_washing_machine" required="">
<option selected="selected" value="">How old is your washing machine?</option>
<option value="Less than a year">Less than a year</option>
<option value="1">1 year </option>
<option value="2">2 year </option>
<option value="3">3 year </option>
<option value="4">4 year </option>
<option value="5">5 year </option>
<option value="6">6 year </option>
<option value="7">7 year </option>
<option value="8">8 year </option>
<option value="9">9 year </option>
<option value="10">10 year </option>
<option value="11">11 year + </option>
<option value="No Machine">No Machine</option>
</select>
</div>
<div class="option_wrapper">
<label>Do you have debt that you are struggling to repay?</label>
<div class="check_option">
<label>Yes <input type="radio" name="struggling_to_repay" value="yes" required="">
</label>
<label>No <input type="radio" name="struggling_to_repay" value="no" required="">
</label>
</div>
</div>
<div class="select_wrapper">
<select class="form-control form-group" name="boiler_old" required="">
<option selected="selected" value="">How old is your boiler?</option>
<option value="Less_than_a_year">Less than a year</option>
<option value="1">1 year </option>
<option value="2">2 year </option>
<option value="3">3 year </option>
<option value="4">4 year </option>
<option value="5">5 year </option>
<option value="6">6 year </option>
<option value="7">7 year </option>
<option value="8">8 year </option>
<option value="9">9 year </option>
<option value="10">10 year </option>
<option value="11">11 year years and over </option>
<option value="No_boiler">No boiler</option>
<option value="Not_Interested">Not Interested</option>
</select>
</div>
<div class="select_wrapper">
<select class="form-control form-group" name="boiler_make" required="">
<option selected="selected" value="">What make is your boiler?</option>
<option value="Alpha">Alpha</option>
<option value="Baxi">Baxi</option>
<option value="Glow-worm">Glow-worm</option>
<option value="Ideal">Ideal</option>
<option value="Intergas">Intergas</option>
<option value="Potterton">Potterton</option>
<option value="Vaillant">Vaillant</option>
<option value="Viessmann">Viessmann</option>
<option value="Vokera">Vokera</option>
<option value="Worcester Bosch">Worcester Bosch</option>
<option value="No boiler">No boiler</option>
</select>
</div>
<div class="option_wrapper">
<label>Would you be interested in a free Will?</label>
<div class="check_option">
<label>Yes <input type="radio" name="free_will" value="yes" required="">
</label>
<label>No <input type="radio" name="free_will" value="no" required="">
</label>
</div>
</div>
</div>
</div>
<div class="desc_cap">We care about your privacy. By sharing your personal data you will be able to get research opportunities targeted to your interests, help to improve products and services and earn rewards for participation</div>
<div class="submit_btn_wrapper">
<input class="submit_button" type="submit" name="submit" value="Continue" id="submit_button">
<span style="display: none;" id="spinner_footerfrm">Form has been successfully submitted</span>
</div>
</form>Text Content
Home (current) Free Sign up About Us FAQS ONE SURVEY & WIN 1 SIGN UP FOR FREE To claim your Iphone you need to first sign up which is absolutely free. 2 FINISH A SURVEY Now you need to finish the survey which will take you a step forward to your Iphone. 3 EARN REWARD Now finally, you can claim your Iphone and start off with your apple journey. SHARE YOUR OPINION AND GET REWARDED. Share your opinion and inspire some of the world’s largest brands to make their products and services better and deliver quality results. It is free, easy and safe to join Wizgen Let your Opinion make a ifference! GET IT NOW ! Register your details with Wizgen for a chance to win the latest iPhone XII Title Selet title Mr Ms Mrs Miss Dr First Name Sur Name Date Of Birth Email Phone Postcode House Number Street Town City I declare that I am over 18 years of age I accept the communication of my data for telephone advertising purposes to the companies indicated in the information on privacy policy in the section “Telephone channel”. I accept the communication of my data for Email advertising purposes to the companies indicated in the information on privacy policy in the section “Email channel”. I accept the privacy policy, the rules of the draw and the cookies policy Who is your current energy provider? Boost British Gas Bulb Eon EDF Energy Octopus Energy Ovo Energy Scottish Power Shell Energy SSE Utilita Other Not interested/not the bill payer How do you pay for your energy bill? Direct Debit Pre-payment Cash Smart meter Cheque Not interested/not the bill payer Do you have home insurance? Yes No Do you have motor insurance? Yes No Do you currently have a Life Insurance Policy? Yes No To give your family peace of mind, would you consider a pre paid funeral plan? Yes No How old is your washing machine? Less than a year 1 year 2 year 3 year 4 year 5 year 6 year 7 year 8 year 9 year 10 year 11 year + No Machine Do you have debt that you are struggling to repay? Yes No How old is your boiler? Less than a year 1 year 2 year 3 year 4 year 5 year 6 year 7 year 8 year 9 year 10 year 11 year years and over No boiler Not Interested What make is your boiler? Alpha Baxi Glow-worm Ideal Intergas Potterton Vaillant Viessmann Vokera Worcester Bosch No boiler Would you be interested in a free Will? Yes No We care about your privacy. By sharing your personal data you will be able to get research opportunities targeted to your interests, help to improve products and services and earn rewards for participation Form has been successfully submitted 10000+ AVAILABLE GIFT CARDS BY DIFFERENT BRANDS ARE WAITING FOR YOU TO REDEEM. We ask our users to fill out some online surveys, which will not take more than 5 minutes per survey, and in return, we offer them some Points. We use paid surveys, and by going through them, our users can earn Points. The surveys will be all about giving your opinion/feedback on any service or product offered by our advertisers. Also, since we care for your privacy, your information/views will be safe with us in the survey on our website. We do take our policies seriously, and we know how to adhere to them. Earn free gift card now ! EARNING REWARDS By completing simple tasks on Wizgen, our users can earn Points. And eligible users are free to redeem those Points in exchange for any available gift cards from us. Even if you are looking to make some quick money, we have made it easy for you. You can also exchange your Points for PayPal money. Or else, you can also take it in your Bitcoin Wallet. Learn More FREQUENTLY ASKED QUESTIONS DO PEOPLE ACTUALLY WIN WHEN THEY ENTER THE FREE TO ENTER COMPETITIONS? Yes they do! FreePrizedraws have free to enter competitions that close every week and month so we give away hundreds of free prizes to our members each year. Our winners page shows all the winners over the past few years who have entered in all the various competitions that we have on the site. reePrizedraws is a legitimate, regulated, fun and free to enter competition website. SO HOW DO WE KNOW IF WE HAVE WON? Once a winner has been pulled we post the winner on our winners page and social media pages so check the winners page every week. We also email winners from winners@fpd.ie. To make sure that you receive this email, enter this address into your contacts to ensure you won’t miss the chance to win the fantastic prizes. HOW DO I CLAIM MY PRIZE? Once you notice your name on our winners board email: winners@fpd. ie with the postal address you signed up with. Our winners team will validate your prize and email you to confirm delivery of your prize. **Remember check the winners board every week to see if you have won a prize.Once this is done and everything is correct your prize will be dispatched within the next 28 days. * Free Sign Up * About Us * FAQ * Privacy Policy * Term & Conditions × Thank you for submitting the form Close