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rr4th.paynewest.com Open in urlscan Pro
54.88.152.129  Public Scan

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Submitted URL: http://rr4th.paynewest.com/r/ON3XANTXMYYW2OJZPIYXIYZYON4HG6DIPJTWU4RSPFNHG3RSHAYHMZDGMQ3DM4LHGNXHINBRGN3G24JYNMYHS===
Effective URL: https://rr4th.paynewest.com/ask/ZHTrDaRyvegNY_jUI-3d6w?s=2
Submission: On October 24 via api from US — Scanned from DE

Form analysis 1 forms found in the DOM

POST /answer/ZHTrDaRyvegNY_jUI-3d6w

<form class="simple_form edit_survey" id="edit_survey_15941845" novalidate="novalidate" action="/answer/ZHTrDaRyvegNY_jUI-3d6w" accept-charset="UTF-8" method="post"><input type="hidden" name="_method" value="patch" autocomplete="off"><input
    type="hidden" name="authenticity_token" value="cdDapVd5eGm8oDlBmpcjd5fZ28vM4NkXNPonh1ZcYORv-9eMROKQQ4oygg9DRiEytOeSHB5guTs5sLeNDY0p_g" autocomplete="off">
  <div class="row">
    <div class="px-3">
      <h2>Thank you for your feedback, Chine!</h2>
      <p class="mb-3"><strong>You selected 2 out of 10.</strong></p>
      <p>We would like to know how we can improve.</p>
      <p>If you'd like to offer a bit more feedback, we'd really appreciate it.</p>
      <div class="mb-2">
        <label style="font-weight:bold;" for="survey_reason">Could you let us know what we can do to improve your service?</label>
      </div>
      <div class="mb-3">
        <div class="control-group text optional survey_reason">
          <div class="controls"><textarea class="text optional form-control" rows="5" name="survey[reason]" id="survey_reason"></textarea></div>
        </div>
      </div>
      <div class="row">
        <div class="px-3">
          <input type="submit" name="commit" value="Done" class="btn btn-success" data-disable-with="Done">
        </div>
      </div>
    </div>
  </div>
</form>

Text Content

PL CCT
Client Care Team

1108 Livingston Ave
Helena MT 59601

insurancehelp@paynewest.com
1-406-238-1971


THANK YOU FOR YOUR FEEDBACK, CHINE!

You selected 2 out of 10.

We would like to know how we can improve.

If you'd like to offer a bit more feedback, we'd really appreciate it.

Could you let us know what we can do to improve your service?