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moai-surveys.com Open in urlscan Pro
77.158.200.22  Public Scan

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Submitted URL: https://moai-surveys.com/webprod/cgi-bin/askiaext.dll?Action=DoPanel&Survey=0000Q8OAT7GB2Q6C&PanelId=0003A39F5TSGE7SF@000...
Effective URL: https://moai-surveys.com/webprod/cgi-bin/AskiaExt.dll?Action=DoInterview&Survey=3RX3PP0TJHAE7X8U&Intvw=3RX2UO9G3IBVY8W0
Submission: On November 25 via manual from FR — Scanned from FR

Form analysis 1 forms found in the DOM

Name: FormAskia — POST https://moai-surveys.com/webprod/cgi-bin/AskiaExt.dll?Action=DoInterview&Survey=3RX3PP0TJHAE7X8U&Intvw=3RX2UO9G3IBVY8W0

<form name="FormAskia" action="https://moai-surveys.com/webprod/cgi-bin/AskiaExt.dll?Action=DoInterview&amp;Survey=3RX3PP0TJHAE7X8U&amp;Intvw=3RX2UO9G3IBVY8W0" method="post" accept-charset="UTF-8">
  <input name="iehack" type="hidden" value="☠">
  <input type="hidden" name="Action" value="CommitScreen">
  <input type="hidden" name="Survey" value="0000Q8OAT7GB2Q6C">
  <input type="hidden" name="Intvw" value="3RX2UO9G3IBVY8W0">
  <input type="hidden" name="Position" value="99">
  <table border="0" cellpadding="0" cellspacing="0" width="100%">
    <tbody>
      <tr>
        <td class="label askia-caption99 askia-question-label askia-question-99"> <span class="label">Tout d’abord, nous allons parler de <u>vos échanges avec AG2R LA MONDIALE</u></span><br><br> Au cours des 12 derniers mois, avez-vous été en contact
          avec AG2R LA MONDIALE ? </td>
      </tr>
      <tr>
        <td class="myresponse askia-response askia-question-99" style="background-color: transparent; color: rgb(57, 26, 10);"> <input type="radio" name="U99" value="2925"><span id="cpt99_2925">Oui</span></td>
      </tr>
      <tr>
        <td class="myresponse askia-response askia-question-99" style="background-color: transparent; color: rgb(57, 26, 10);"> <input type="radio" name="U99" value="2926"><span id="cpt99_2926">Non</span></td>
      </tr>
      <tr>
        <td class="myresponse askia-response askia-question-99" style="background-color: transparent; color: rgb(57, 26, 10);"> <input type="radio" name="U99" value="2927"><span id="cpt99_2927"><i>Je ne m’en souviens plus</i></span></td>
      </tr>
    </tbody>
  </table>
  <br><br> <input type="submit" title="Precedent" value="<" class="button" name="Previous">
  <p id="navseparator">&nbsp;</p>
  <input type="submit" id="Bnext" title="Suivant" value=">" class="button" name="Next">
</form>

Text Content

 

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Tout d’abord, nous allons parler de vos échanges avec AG2R LA MONDIALE

Au cours des 12 derniers mois, avez-vous été en contact avec AG2R LA MONDIALE ?
Oui Non Je ne m’en souviens plus