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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/O54DE3LIG5TWW3TDOFWHM4RWMI4XCNLTOM3GW2RVGFNDO4DEGQ3XAMRWNRTGW6DMGE3TO2DYONYDQZRXMYZDO===
Effective URL: https://rr4th.paynewest.com/ask/ZHTrDaRyvegNY_jUI-3d6w?s=5
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="OnZfTsMFFSf17TpETLL8DnpJRfIgAW1OiJVkqCvqWyC6HKT2NK0zsGMc4W0UVi6V3UChjjr4RC0iK9DiKlL1SQ" autocomplete="off">
  <div class="row">
    <div class="px-3">
      <h2>Thank you for your feedback, Chine!</h2>
      <p class="mb-3"><strong>You selected 5 out of 10.</strong></p>
      <p>We are sorry to hear that you may not be completely satisfied with our service.</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? (we love specifics)</label>
        <label for="survey_reason">This will help us improve our service and hopefully make you a happier client.</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 5 out of 10.

We are sorry to hear that you may not be completely satisfied with our service.

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? (we love specifics) This will
help us improve our service and hopefully make you a happier client.