urlscan.io logo urlscan.io
SecurityTrails logo

hiep.minddnd.com Open in urlscan Pro
72.52.250.58  Public Scan

Back to summary
Submitted URL: http://hiep.minddnd.com/
Effective URL: https://hiep.minddnd.com/
Submission: On November 26 via api from US — Scanned from US

Form analysis 1 forms found in the DOM

<form class="needs-validation" novalidate="">
  <div class="row g-3">
    <div class="col-sm-6">
      <label for="firstName" class="form-label">First name</label>
      <input type="text" class="form-control" id="firstName" placeholder="" value="" required="">
      <div class="invalid-feedback"> Valid first name is required. </div>
    </div>
    <div class="col-sm-6">
      <label for="lastName" class="form-label">Last name</label>
      <input type="text" class="form-control" id="lastName" placeholder="" value="" required="">
      <div class="invalid-feedback"> Valid last name is required. </div>
    </div>
    <div class="col-12">
      <label for="email" class="form-label">Email</label>
      <input type="email" class="form-control" id="email" placeholder="you@example.com">
      <div class="invalid-feedback"> Please enter a valid email address. </div>
    </div>
    <div class="col-12">
      <label for="phone" class="form-label">phone</label>
      <input type="phone" class="form-control" id="phone" placeholder="555-555-5555">
      <div class="invalid-feedback"> Please enter a valid phone number </div>
    </div>
    <div class="col-12">
      <label for="message" class="form-label">Message</label>
      <textarea class="form-control" id="message" placeholder="Your message..."></textarea>
    </div>
    <div class="col-12">
      <label for="animal" class="form-label">Favorite Animal</label>
      <input type="text" class="form-control" id="animal">
    </div>
    <div class="col-12">
      <label for="how" class="form-label">How did you hear about us?</label>
      <select class="form-select" id="how" required="">
        <option value="">Choose...</option>
        <option>Google search</option>
        <option>Friend reccomendation</option>
        <option>Divination</option>
        <option>Ayahuasca vision</option>
        <option>Dreams</option>
      </select>
    </div>
  </div><!-- .row -->
  <hr class="my-4">
  <h4 class="mb-3">Communication preference</h4>
  <div class="my-3">
    <div class="form-check">
      <input id="pref-phone" name="pref-phone" type="radio" class="form-check-input" checked="" required="">
      <label class="form-check-label" for="pref-phone">Phone</label>
    </div>
    <div class="form-check">
      <input id="pref-email" name="pref-email" type="radio" class="form-check-input" required="">
      <label class="form-check-label" for="pref-email">Email</label>
    </div>
  </div>
  <hr class="my-4">
  <button class="w-100 btn btn-primary btn-lg" type="submit">Submit</button>
</form>

Text Content

MIND DEVELOPER EXCERCISE

ABOUT YOU

First name
Valid first name is required.
Last name
Valid last name is required.
Email
Please enter a valid email address.
phone
Please enter a valid phone number
Message
Favorite Animal
How did you hear about us? Choose... Google search Friend reccomendation
Divination Ayahuasca vision Dreams

--------------------------------------------------------------------------------

COMMUNICATION PREFERENCE

Phone
Email

--------------------------------------------------------------------------------

Submit

© 2023