www.amgsurvey.com Open in urlscan Pro
34.193.160.203  Public Scan

Form analysis
1 forms found in the DOM

Name: mainform — POST ciwweb.pl

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  <div class="page" id="page" role="main">
    <input type="hidden" name="hid_backup" value="CC231314AMG,,,1,1">
    <input type="hidden" name="hid_studyname" value="CC231314AMG">
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    <div class="page_header font_primary_color">
      <div class="header_logo"><img src="/websurvey/CC23-1314AMG/graphics/AMG_logo_new.jpg"></div>
      <div class="header_text">Patient Warming Study</div>
    </div>
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    <div class="question password" id="Start_div">
      <div class="header2"> Please enter your password included in your email invitation.<br><br></div>
      <div class="question_body indent">
        <table role="table" class="inner_table">
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            <tr>
              <td role="rowheader" class="row_label_cell"><span class="question_text">Password:</span></td>
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    </div>&nbsp;<div class="page_footer"> Prepared by: AMG Research </div>
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</form>

Text Content

Patient Warming Study


Please enter your password included in your email invitation.



Password:


 
Prepared by: AMG Research